Patient Accounting Supv/ARMC Home Care

ID 2023-19043
Location
Alamance Regional Medical Center
Work Location
US-NC-Burlington
Division : Name
Transitional Care
Department : Name
ARMC-HCP CONTINUOUS CARE
Category
PROFESSIONAL/MNGMNT
Position Sub-Category
FINANCE
Position Type
Full Time (40 hours/week)
Employment Type
Employee
Exempt/NonExempt
Exempt
FTE
1.00
Workforce Status
Hybrid I
Work Hours
40.00
Provider Schedule (specific schedule)
M-F 8am -5pm
On call Required
No
Sub Category
Finance

Overview

 

Manages the overall financial operation which includes but not limited to statistical analysis for budgetary projections, billing, collections, monitoring expenses vs. budget and accounts receivable functions to maximize cash flow for the agency.

 

This position does not have direct reports.

 

Please note that this position is hybrid. Two days a week would be on-site - Mondays and one other day of the week.

 

Talent Pool: Professional/Corporate

Responsibilities

 

 
BILLING: Perform audits of accounts receivable operations to assess compliance, effectiveness and accuracy of charges prior to issuing billing. Performs accurate and timely claim submission according to established billing time frames.
--------------------------------------------------
CASE MANAGEMENT: Generates and monitors weekly reports for expiring authorizations and obtains additional authorization as needed. Monitors all Medicaid pending patients to include following up with managers, DSS, patient.
--------------------------------------------------
CHARGES: Ensures all patient charges/activities are properly coded and posted to the correct patient/agency within the established time frame. Notifies the appropriate personnel of any problems/discrepancies with charges codes and corrects them.
--------------------------------------------------
FOLLOW-UP/COLLECTIONS: Performs and records all follow-up work associated with payer denials and or requests for additional information with established time frames. Obtains additional documentation, corrects claims, and/or re-submits claims as necessary in order to receive payment on outstanding accounts. Record information in episode note in computer. Identifies accounts to be written off or sent to collections and completes the associated paperwork necessary to process the account.
--------------------------------------------------
GENERAL ACCOUNTING: Thoroughly addressees questions and concerns regarding the status of patient accounts: Admission, balances statements, bills and collection efforts. Accomplishes billing or processing of claims for patient charges in accordance with prescribed procedures and time frames. Follows established procedures and time frames for the processing of payments. Pursues unsettled aged accounts in the method and manner prescribed by policy and ensures that possible bad debts, and other write off accounts, are identified prior to 90 collection standard. Accurately processes and maintains credit balance accounts. Submits statistical data as it relates volume, expenses and revenue to Dept. Manager at time of budget preparation. Ensures accuracy of work and adherence to Medicaid and other funding sources policies/procedures without exception. Keeps supervisor informed on all areas of responsibilities on an on-going basis, ensuring prompt notification in the event of problems or potential problems to include coordinating work activities with other departments, agencies or individuals. Keeps staff informed of all regulations relating funding sources. Ensures accuracy of charges by applying established audit procedures, prior to issuing bill or claim. Ensures full accountability over cash receipts. Accomplishes special and non-routine assignments in accordance with specifications and time frames. Establishes and maintains designated accounting manuals, policies and procedures and other required documentation on an on-going basis so that information is up-to-date. Maintains accurate payer information and client profiles to insure information is current for billing and payment efforts. Operates and maintains office equipment in accordance with manufacturer•s specifications (so that no damage or excessive wear and tear occurs due to failure to comply). Provides for the orientation , training and on-going development of clerical support staff ensuring that comprehensive documentation systems are established and maintained, so that status, progress and participation can be easily monitored and complies with regulations standards as evidenced by satisfactory inspections and audits. Generate accurate month-end and year-end reports. Closes month-end and year-end. Distributes reports to designated individuals with established time frame. Enter new payer sources in system as necessary including reimbursement schedules, contact information and coverage criteria. Develops and maintains knowledge of all payer requirements and regulatory guidelines by reading/reviewing information and attending workshops/seminars. Enters and processes payroll for agency with required time frames. Check on monthly basis (by 5th of the month) for current Physician licenses and UPIN numbers. Prepare or assist in special projects and reports as assigned.
--------------------------------------------------
POSTING PAYMENTS: Reviews, reconciles and posts all payments to the correct company and patient within established timeframes.
--------------------------------------------------
REFERRAL PROCESSING: Verifies payer source eligibility for Medicaid and Private Insurance for covered services ordered. Informs patient/representative, completes and distributes financial responsibility prior to visit or admission, documents in computer, informs staff.
--------------------------------------------------

Qualifications

 

EDUCATION:
Required - Completion of high school plus two to three years specialized training in medical billing and general accounting functions. Accounting experience required
BSA
Preferred - MSA

 

EXPERIENCE:
Required - Minimum of 2 years? experience in medical billing and general ledger accounting
Preferred Supervisory experience

 

LICENSURE/CERTIFICATION/REGISTRY/LISTING:
REQUIRED
PREFERRED

Options

Sorry the Share function is not working properly at this moment. Please refresh the page and try again later.
Share on your newsfeed