Summary:
Analysis, billing, follow up and collection of all assigned facilities patient receivables. This is accomplished by using knowledge of third-party reimbursement, IHC policies, collection techniques, and accounting principles to ensure the timely financial resolution of each account.
All responsibilities will be conducted in a manner that exhibits the Integritus Healthcare mission, vision, and core values.
Essential Job Functions:
Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Responsible for the complete and accurate resolution of all resident account balances for as many as 3 facilities. Total individual facility accounts receivable balances range between six hundred thousand to 3 million dollars.
- On a daily basis, work directly with Facility Bookkeeper or Nursing personnel to obtain needed information to submit all accounts or resolve disputes with third-party insurance.
- Responsible for achieving budgeted cash targets for assigned facilities.
- Responsible for achieving budgeted days in Accounts Receivable for assigned facilities.
- Participate on a monthly basis in Accounts Receivable meetings with Administrator, Facility Bookkeeper, and Director of Patient Accounts. Prepare and present underlying support for discussions.
- Manage Accounts Receivable meetings when the Director is unavailable.
- Train facility personnel when the Trainer is unavailable.
- Cover facility bookkeeper position during absences.
- Submit claim forms, turnaround documents, or electronic files for all third-party claims within 5 days of month-end. Ensure completion of forms following Federal and State specific guidelines.
- Reconcile all accounts using general accounting principles to ensure balances are accurate. Prepare adjustments for data entry when necessary.
- Maintain adequate control files to allow for ongoing assessment of timely payments by all third parties.
- Write appeal letters to third parties.
- Respond to questions and calls from residents and their representatives.
- Make recommendations and prepare any necessary paperwork on potential bad debt.
- Analyze and prepare refund request forms within 30 days of credit.
- Analyze and prepare all adjustments, refunds, remittance advices, and account changes for approval by the Director and for data entry by designated personnel.
- Generate and complete month-end close.
- Respond to questions from Lead Biller and Director regarding activity that has occurred throughout the month.
- Collaborate with accounting staff during financial statement preparation.
- On a quarterly basis, prepare credit balance report for submission to Medicare.
- Generate, sort, and review all private statements for accuracy. Make any adjustments if required. Mail to residents the same day received from MIS.
- Review all remittance advices received for any denials and for accurate payments. Ensure no claims deny for failure to submit within filing deadlines.
- Must be able to read, write, and speak English effectively and communicate both written and verbally.
- Perform all job responsibilities in accordance with safety and infection control policies and procedures.
- All responsibilities will be conducted in a manner that exhibits the IHCS mission, vision, and core values.
Supervisory Responsibility:
This position has no supervisory responsibility.
Qualifications:
2 years of Medical Billing Experience preferred. Nursing Home Billing experience preferred.
1-2 years of Business/Financial accounting college courses/degree or additional comparable work experience. Must have demonstrated knowledge of General Accounting Principles.
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