Humera - Administrative and Professional Staffing

Accounts Receivable Specialist- Short Term Care

Shorview, MN, United States
Contact For Rate
Feb 21, 2018
Feb 27, 2018
Job Type
Employment Status
Full Time
Humera has a new client and looking to find an Accounts Receivable Specialist in their Finance Department for Short Term Care. This facility is located in Shoreview, MN. This is a Direct Hire opportunity with a mission-based, non-profit health system headquartered in Minnesota, with over 40 locations, that provide independent living and complete long-term care services for aging adults.

This position is responsible for performing accounts receivable daily processes for the MatrixCare Short Term Care accounts receivable (A/R) system and assuring workflow between the individual Communities and the Central Billing Office (CBO) is accurate and timely.
  • Manage accounts receivable billing and collection of payments for all designated payers and designated locations in order to meet and maintain goals
  • Performs accounts receivable daily processes and assures workflow between the Community and CBO is accurate and timely resulting in a solidified process
  • Files claims timely and accurately on behalf of the designated Communities and follows up on denied or returned claims
  • Processes late ancillary claims and adjustments
  • Maintains the integrity of the accounts receivable system with payers or system updates accurately and timely
  • Maintains the integrity of the aging and collection process, along with bringing difficult collection accounts or workflow issues to the attention of the A/R and Billing Supervisor.
  • May coordinate reconciling projects for Communities with high accounts receivable
  • Participates monthly (or as needed) with each of their Communities accounts receivable reviews. May also assure the A/R Specialist / LT, Long Term, has set up the A/R review for their assigned Community and assist them with preparing and working through A/R by assuring that A/R Collection Policy and Procedures are being followed
  • Assists CBO associates as needed
  • Is a backup position for the A/R Specialist /LT by performing month-end accounts receivable procedures timely and accurately in accordance with Support Center standards in time of need
  • Is a backup for the A/R Specialist /LT by performing claim processing timely and accurately in accordance with the support center standards in time of need
  • Monitor Medicare, Medicare Advantage, Managed Care Insurance and other designated payer sources as assigned to ensure billing and claims are accurately and timely filed on behalf of their designated facility for both Primary and Secondary payers
  • Creates and submits claims for Medicare, Medicare Advantage, Managed Care, Insurance and any other assigned payers, along with co-pay, co-insurance and deductible claims
  • Follows up on all submitted payer claims by phone or website until payment is received. Document all follow up/collection activity in MatrixCare resident notes
  • Manages and minimizes denied claims, minimizing the reprocessing of claims and resubmissions
  • Researches and identifies why payments do not match the charge, and make appropriate corrections in MatrixCare or file an eSource A/R support ticket to adjust the account accurately and timely
  • Monitor A/R aging, accessing the accounts for further attention by involving the A/R and Billing Supervisor and/or Nursing Home Administrator
  • Ensures all billing timelines are met to be paid in the 30 day window of claims being processed
  • May collaborate with workgroups
  • Follows the BHS Collections policy and procedure in regards to collection calls, letters, legal proceedings and discharge notices to ensure payments are made accurately and timely
  • May assist with difficult collection accounts
  • Comply with all related laws and regulations pertaining to the position and for fulfilling the obligations under the Corporate Compliance Program
  • Promotes the mission and core values of hospitality, stewardship, respect and justice by bringing these values to life in the organization.
  • Promotes the mission, core values, maximum morale, productivity, and efficiency by creating an environment supporting accountability and results
  • Demonstrates regard for dignity and respect for others as outlined in the philosophy of the organization
  • Promotes and contributes positively to departmental and organizational relationships
  • Performs other duties, tasks and/or projects as assigned

Required Qualifications
  • High School Diploma or Equivalent
  • Experience in claims processing along with rules and regulations relating to Medicare, Managed Care and third party payers
  • Knowledge of Medicare, Managed Care and Insurance reimbursement systems, including billing forms and requirements for various third party payers in the States where the communities are located (Minnesota, Wisconsin, Missouri, Illinois, and North Dakota)
  • Knowledge of and skill in using computers and related software for word processing (such as Word), spreadsheet (such as Excel) and accounting software such as billing and clearinghouses
Preferred Qualifications
  • Two year business or accounting degree
  • Accounts Receivable long term care billing experience
  • Knowledge of regulations affecting facility business offices

Knowledge, Skills, and Abilities
  • Skill of developing and maintaining positive working relationships with customers and other associates, ability to respond with a sense of urgency to customer's needs
  • Skill of developing and maintaining positive working relationships with community associates and co-workers
  • Skill in dealing with diverse business problems, issues and opportunities in which
    (1) many problems exist simultaneously;
    (2) these problems all compete for immediate attention;
    (3) the issues are inter-related
  • Ability to work independently with little supervision.
  • Ability to use sound judgment in decisions
  • Ability to use and operate office equipment including copy machine, fax machine, postage machine, 10-key calculator, multi-line phone system and computers
  • Ability to collaborate with others to arrive at a conclusion using compromise, persuasion, rational and diplomacy
  • Ability to maintain confidential information
  • Ability to provide attention to detail and prioritize work
  • Ability to travel to other communities throughout the United States, up to 5% of the time
  • Ability to transport meeting materials weighing up to 30 pounds

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