Responsibilities
- Ensures reimbursement through efficient billing and collections operations and effective accounts receivable management.
- Provides oversight and approval of claims, audits, and processing.
- Conducts final billing audit and issues assignments to the pre-billing team when findings require further documentation.
- Ensures that billing and patient accounts record systems are maintained following generally accepted accounting principles and in compliance with state, federal, and Joint Commission regulations.
- Maintains a comprehensive working knowledge of payer contracts and ensures that payers are billed according to contract provisions.
- Represents and acts on behalf of the agency in resolving conflicts with payers.
- Advises the manager in matters of accepting/declining problematic payers.
- Maintains a comprehensive working knowledge of government billing regulations, including Medicare and Medicaid regulations, and serves as a resource for appropriate agency personnel.
- Monitors aged accounts receivable and resubmits bills to overdue accounts, submits seriously overdue accounts to collection agencies for collection, and prepares bad debt reports for weekly meetings.
- Gathers, collates, and reports key billing information to the billing team.
- Works with the Executive Leadership Team in strategizing monthly, quarterly, and annual goals for optimized billing efficiency.
- Collaborates with the Executive Director in successfully reconciling the billing system reports with the general ledger.
- Reconciles Medicare quarterly reports produced by the fiscal intermediary with the billing information system, and prepares the annual Medicare cost report for Executive Director review.
- Supervises the use of the billing information system and maintains a comprehensive working knowledge of the system including upgrades and enhancements.
- Supervises and reconciles cash receipts and bank deposits according to policy.
- Establishes and maintains positive working relationships with patients, family members, payers, and referral sources.
- Protects the confidentiality of patient and agency information through effective controls and direct supervision of billing operations.
- The incumbents may be requested to perform job-related tasks other than those stated in this description.
Requirements
- Associate's degree in Accounting, Business Administration, or related field
- At least three years’ experience in health care billing and collections management, preferably in home care operations
- Billing information systems knowledge is required
- Knowledge of corporate business management, governmental regulations, and Joint Commission standards
- Ability to exercise discretion and independent judgment and demonstrate good communication, negotiation, and public relations skills
- Demonstrated capability to accurately manage detailed information
- Able to deal tactfully with patients, family members, referral sources, and payers
- Demonstrates autonomy, assertiveness, flexibility, and cooperation in performing job responsibilities
Nice to Have
- Bachelor’s degree
Benefits
- Choice of medical, dental, and vision plans
- Retirement savings opportunities through a 401(k)
- Company match
- Moments of Truth Program for recognition
- Free e-courses through Learning Management System
- Training sessions and seminars
Compensation
DOE
