Humera - Administrative and Professional Staffing

Accounts Receivable Billing Generalist

Location
Shorview, MN, United States
Salary
Contact For Rate
Posted
Nov 16, 2017
Closes
Nov 25, 2017
Job Type
Employee
Employment Status
Full Time
Humera is seeing an Accounts Receivable Billing Generalist for our client in Shoreview, MN. This individual will be responsible for preparing and processing resident claims, invoices and updates, maintaining accurate billing records and data files on assigned communities, and steps in to provide assistance in any area of A/R as required. The A/R Billing Generalist assists with training centralized billing office and community associates when needed. Also, plans, coordinates and organizes the workflow to meet rigid billing and month end closing deadlines. This is a direct hire position.
Duties:
KEY RESULT AREAS

As assigned, assists with accounts receivable billing and collections of payment for all designated payers for assigned communities in order to meet and maintain individual communities and goals.

  • Performs accounts receivable daily processes and assures workflow between the community and support center is accurate and timely resulting in a solidified process.
  • Creates and reviews private pay statements on the designated schedule for assigned communities; notifies communities when statements are completed and mailed.
  • Files claims timely and accurately on behalf of the designated communities and follows up on denied or returned claims until payment is received. When payments do not match charges, researches and makes appropriate corrections in MatrixCare or files an eSource ticket for assistance. Where possible, minimize the need to reprocess claims and resubmissions.
  • Ensures all billing timelines are met to be paid in the 30 day window of bills being processed.
  • Ensures the Collections policy and procedures is being followed in regards to collection calls, letters, legal proceedings and discharge notices to ensure payments are made accurately and timely.
  • Ensures follow up/collection activity is documented in MatrixCare resident notes.
  • Performs month-end accounts receivable procedures timely and accurately according to checklists and standards.
  • 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 applicable A/R and Billing Supervisor and/or Manager.
  • Assists with reconciling projects for communities with high accounts receivable as assigned.
  • Participates monthly (or as needed) with community A/R reviews as assigned. If billing long term stay payers, associate may assure the A/R Specialist/ST has the needed information for the A/R review for assigned community and assist them with preparing and working through A/R on each community by assuring that A/R Collection policy and procedures are being followed. If billing short term stay payers, may assure the A/R Specialist/LT, has set up the A/R review for 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 community business office associates as assigned.

May assist A/R and Billing Supervisors with providing training or assistance to business office or CBO associates in time of need to assure policy, State and Federal regulations and any other third party regulations and requirements are followed. All training will be conducted based on the Central Billing Office or Community Training Task Lists.

May collaborate with workgroups focused on A/R processes and improvement opportunities.


QUALIFICATIONS REQUIRED
  • Three plus years of accounts receivable long-term healthcare billing experience.
  • Experience in claims processing along with rules and regulations relating to Medicare, Managed Care and third party payers.
  • Experience in private pay collections along with rules and regulations relating to Fair Credit and Collections.
  • Knowledge of Medicare, Managed Care, Medicaid and Insurance reimbursement systems, including billing forms and requirements for various third party payers in the States where BHS communities are located.
  • Knowledge of and skill in using personal computers and related software for word processing (such as Word), spreadsheet (such as Excel) and accounting software.
QUALIFICATIONS PREFERRED
  • Two year business or accounting degree.
  • Two years supervisory or training experience.
  • Knowledge of regulations affecting community business offices.
KNOWLEDGE, SKILLS AND ABILITIES
  • Skill of developing and maintaining positive working relationships with customers and other BHS 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; and (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 BHS communities throughout the United States, up to 20% of the time.
  • Ability to transport meeting materials weighing up to 30 pounds.

Schedule:
    Monday through Friday 8am - 5pm

More jobs like this