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Compliance and Billing Manager
4 months ago
Shepherd Center, located in Atlanta, Georgia, is a private, not-for-profit hospital specializing in medical treatment, research and rehabilitation for people with spinal cord injury, brain injury, stroke, multiple sclerosis, spine and chronic pain, and other neuromuscular conditions.
Join us in our mission to help people with a temporary or permanent disability, rebuild their lives with hope, independence and dignity, advocating for their full inclusion in all aspects of community life.
At Shepherd Center, you'll discover a diverse and inclusive environment, enlightened leadership, a culture of teamwork, professionalism and mutual respect.
If you are seeking career advancement, continuing education opportunities coupled with a welcoming and fun workplace, competitive compensation and employment benefits, visit our careers page to explore current openings.
Side by Side Brain Injury Clubhouse is a 501(c)(3) non-profit organization whose mission is to advance the long-term well-being of people with brain injury-related disabilities and their families through skills development, support, and advocacy.
This is a full time, in office position.
Coordinates compliance-related and billing operations of the organization including risk management, and recordkeeping to maintain corporate compliance and ensure the organization follows industry best practices.
Plays an integral role in maintaining program quality assurance by ensuring admission information is complete; scheduling and monitoring clinical documentation; and managing member and billing files.
Coordinates quality assurance activities in accordance with current Commission on Accreditation of Rehabilitation Facilities (CARF) standards and Adult Day Center regulations.
Maintains program and organizational quality assurance processes by monitoring organizational policies and procedures; facilitates licensure and accreditation preparation and surveys.
Billing and Bookkeeping:Enters charges for program services in accounting system and completes billing accurately, efficiently, and in a timely manner.
Maintains accurate billing records for each active and inactive member.
Stays abreast of current billing practices unique to each third-party payer and implements changes to processes as appropriate.
Assists Finance Director [working] with maintaining billing and accounting practices to ensure continuity of organizational financial operations.
Communicates with outside payers, customers, donors, vendors, etc. effectively and willingly assists in resolving concerns in a courteous and professional manner.
Maintains Accounts Payable and generates payments in a timely fashion.
Keeps Executive Director apprised of any pertinent earned revenue issues.
Completes deposits including bookkeeping entries and constituent system entries.
Records member bank transactions and maintains communication with member and/or member family regarding balances.
Facilitates member and staff involvement in quality assurance processes following the Clubhouse partnership model philosophy.
Coordinates completion and analysis of stakeholder satisfaction and outcome measures. Completes annual Quality Assurance Summary and obtains stakeholder feedback regarding needed improvements. Completes other related annual summary documentation.
C oordinates the development, implementation, revision, organization, and review of quality assurance processes including but not limited to organization policies and procedures and risk management processes.
Provides administrative support to the Board of Directors by recording minutes of Board meetings, preparing necessary materials for meetings, assisting Board Directors to meet the duties of their respective roles, and maintaining up-to-date required documentation for individual Directors.
Stays abreast of current CARF and Adult Day Center standards and assists Executive Director and Clubhouse Manager in developing and implementing program improvement measures in accordance with evolving standards of best practice.
Maintains corporate compliance chart to ensure effective, efficient, and compliant business and program practices. Facilitates staff members staying abreast of regulations and best practices in their assigned areas of the corporate compliance program. Notifies Executive Director of compliance concerns related to the program, staff, volunteers, and members.
Ensures member records are retained and released according to HIPAA and other legal regulations by functioning as the Medical Records Custodian .
EDUCATION :
College degree in Business or Health with commensurate experience in non-profit/ healthcare administration considered.
EXPERIENCE:
At least 1 year of experience in compliance, healthcare administration, non-profit finance, and/or quality assurance. Proficient in project management; data analysis, management, and reporting. Proficient with data structures and technology. At least 1 year of experience working or volunteering for a non-profit organization. Prefer experience in CARF accreditation process. Experience working with people who have cognitive and/or physical disabilities is desired.
OTHER:
Verbal and writing skills to communicate effectively. Physical ability to perform job requirements. Demonstrated ability to collaborate with peers, managers , and members. Flexibility and willingness to assist in other areas of the organization as needs arise. Good driving record, current Georgia driver's license; insurable by employer's auto insurance policy.
WORK ENVIRONMENT :
Normal office and community environments.
CONTACT GROUP :
Side by Side stakeholders: members and their support systems, staff and volunteers, external payer and referral sources, case managers, donors; vendors; private and public agencies; accreditation agencies; professional and lay community.
