Accounts Receivable Resource AR

Cambridge Healthcare Services -

*Healthcare Experience preferred, Supporting skilled nursing facilities*

POSITION SUMMARY:

The AR Resource is responsible for training the Office Manager and Assistant Office Manager in their roles in order to maintain accurate billing and collection of all receivables, including Private, Medi-Cal, Medicare, Hospice, VA and Managed Care. This position trains on all aspects of billing, eligibility, claims, banking, accounting and EHR software.

REPORTING:

This position reports to the VP of Revenue Cycle Management

FLSA STATUS: Exempt

ESSENTIAL JOB FUNCTIONS:

• Provides ongoing support and training to the Office Manager and Assistant Office Manager in the areas of accounts receivable to include but not limited to:

  • Posting and reconciling census

  • Posting and reconciling deposits

  • Billing and collection process of all payers

  • Month end closing process to include posting ancillary charges

  • Resident trust account processes to include petty cash and reconciliation process

  • All functions as outlined on AR calendar

• Provides ongoing support and training on all aspects of billing, claims, banking, accounting and EHR software

• Provides ongoing support and training on eligibility and authorization process for all payer types, such as Medi-Cal, Medicare, Managed Care, etc.

• Provides direction on the follow-up process for all payers, including claim correction and appeals

• Provides direction on the collection process for private accounts, including small claims court, collection agencies and attorney referrals

• Ensure accurate and timely submission of refunds and write offs

• Assists facility with implementing and improving systems such as insurance verification, authorization/level confirmation, triple check, etc.

• Conducts monthly and quarterly audits to include but not limited to:

  • Private and share of cost account review

  • 120+ account review

  • A-Z aging review

  • Review of accurate and timely claim submission

  • Resident trust

• Completes month end close process for each facility to ensure accurate revenue

• Develops Office Manager supervisory skills and assists them with performance and development of Assistant Office Manager

• Informs Administrator of observations and findings during facility visit

• Assists facility in the development and achievement of goals

• Assists in the recruitment and selection for Office Manager and Assistant Office Manager positions

• Collaborates with facility Administrator regarding the hiring, performance management, and termination of Business Office personnel

• Joins weekly region bad debt call and performs any necessary follow up with facilities on accounts

• Able to travel locally and out of area as needed to support and consult with facilities, including overnight travel

• Follows all HIPAA regulations

• Must be capable of maintaining a regular attendance

• Performs other related duties as required and assigned

REQUIREMENTS:

• Demonstrates knowledge of, and respect for, the rights, dignity and individuality of each resident in all interactions

• Demonstrates honesty and integrity at all times

• Able to understand and follow written and/or verbal directions

• Able to communicate adequately in oral and/or written communication

• Demonstrates ability to prioritize tasks and responsibilities and complete duties and projects as assigned

• Ability to follow through and complete tasks with minimum supervision

• Demonstrates ability in maintaining confidentiality of resident and facility/company information

• Able to respond to change productively

• Possesses strong knowledge of state and federal regulations

• Ability to follow appropriate safety guidelines

• Must meet all local health regulations and pass pre-employment physical exam, which may include drug screening, criminal background investigation and reference inquiry

• Able to carry out the essential functions of this job (with or without reasonable accommodation) without posing specific, current risk of substantial harm to health and safety of self and others

QUALIFICATIONS:

Education:

• High School graduate or equivalent required; college degree preferred

Work Experience:

• 3-5 years' experience as an Accounts Receivable Resource preferred

• Experience in the SNF industry preferred

• Possesses knowledge and experience in Medicare, Medi-Cal, Managed Care billing and Private collections

• Possesses excellent computer skills, use of computer applications and MS Office

Physical Requirements

Travel to and from facilities- supporting areas in the Orange and Los Angeles County.