Long Term Care Billing Specialist-accounts

3 weeks ago

Worcester, United States ODD Fellows Home of Massachusetts Full time

**FLSA Status**: Non-Exempt-Hourly - Full time Monday - Friday 7:30 a.m. - 3:30 p.m.

**JOB TITLE: ACCOUNTS RECEIVABLE ASSISTANT**

**Department**: Administration

**Reports To**: Business Office Manager

**Supervises**: N/A

This job description, defining qualification, primary and secondary functions, responsibilities and duties, and is intended as a guideline for the employee and manager. The duties listed here are not considered to be all inclusive. The employee in this position performs these and other duties as required although not listed which may be assigned by his supervisor or facility Administrator.

ESSENTIAL FUNCTIONS:

- Knowledge of Patient-Driven Payment Model-(PDPM) required.
- Prior Long term Care billing, collections experience required 2- 5 yrs.

Salary commensurate with experience

Control and maintain census, resident files, billing setup in matrix. Responsible for securing information on residents' financial status, through E-solutions (MVP) and/or other providers. Includes but not limited to precertification, authorizations and referrals.

Establishes and maintains patients' personal accounts, receives money from family, resident or Social Service, and deposits to aggregate account. Appling for re payee for residents.

Maintains ledger of each patient's account.

Continually monitor accounts the $2,000 personal allowance limit.

Prepares accounting quarterly statements, sends out and files the return receipt.

Prepares PNA death forms in accordance with Department of Public Welfare regulations.

Keeps records of patient payment mechanisms, prepares deposit records on cash receipt form and deposits all payments in appropriate accounts. Forwards copies of all patient accounting to main office.

Maintains accurate resident accounts in regards to Medicare, Medicaid and private pay residents.

Analyzes billings and submits appropriate statements to Medicare, Medicaid, private insurance companies or private paying entities.

Interviews residents or residents' representatives to arrange payment methods.

Organizes a system for collection of accounts on a regular basis and when delinquent.

Prepares checks, invoices, vouchers and pays authorized bills.

Pays residents' bills.

Completes discrepancy sheet and submits along with invoice to corporate accounts payable.

Replenishes and maintains patient-petty cash...

Communicates effectively and works cooperatively with fiscal intermediaries, accountants, auditors and private insurance companies.

Communicates effectively and works cooperatively with all facility department supervisors and administration.

Comes to work clean and neat, and consistently presents a professional appearance.

Observes all facility safety policies and procedures.

Follows all facility infection control procedures.

Follows Resident's Rights policies at all times.

Accepts assigned duties in a cooperative manner.

Assumes accountability for data contained in the Personnel Policy Manual.

Consistently demonstrates responsibility, accountability and dependability.

Generates special reports as requested.

**NON-ESSENTIAL FUNCTIONS**

Serves as receptionist relief as required.

Transports deposits to the bank.

May coordinate with corporate office to maintain current accurate Aged Trial Balance (ATB) and

discuss status of accounts with corporate office.

Examines ATB, determines and implements appropriate collection procedure.

May be responsible for T.V. and telephone billing for facility.

**Prerequisites**

High School Graduate or G.E.D. with some Business/Accounting experience or courses preferred.

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