Summary: 

Analysis, billing, follow up and collection of all assigned facilities patient receivables. This is accomplished by using knowledge of third-party reimbursement, IHC policies and collection techniques and accounting principles to insure the timely financial resolution of each account.

All responsibilities will be conducted in a manner that exhibits the Integritus Healthcare mission, vision, and core values.

Essential Job Functions:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Responsible for the complete and accurate resolution of all resident account balances for as many as 3 facilities. Total individual facility accounts receivable balances range between six hundred thousand to 3 million dollars
• On a daily basis work directly with Facility Bookkeeper or Nursing personnel to obtain needed information to submit all accounts or resolve disputes with third party insurance
• Responsible for achieving budgeted cash targets for assigned facilities.
• Responsible for achieving budgeted days in Accounts Receivable for assigned
• Participate on a monthly basis in Accounts Receivable meeting with Administrator, Facility Bookkeeper and Director of Patient Accounts. Prepare and present underlying support for
• Manage Accounts Receivable meeting when Director is
• Train facility personnel when Trainer is
• Cover facility bookkeeper position during
• Submit claim forms, turnaround documents or electronic files for all third-party claims within 5 days of month end. Completion of forms following Federal and State specific
• Reconcile all accounts using general accounting principles to ensure balances are accurate. Prepare adjustments for data entry when necessary.
• Maintain adequate control files to allow for ongoing assessment of timely payments by all third
• Write appeal letters to third parties.
• Respond to questions and calls from residents and their
• Make recommendation and prepare any necessary paperwork on potential bad debt
• Analyze and prepare refund request forms within 30 days of credit
• Analyze and prepare all adjustments, refunds, remittance advice's and account changes for approval by Director and for data entry by designated
• Generate and complete month end close
• Respond to questions from Lead Biller and Director re activity that has occurred throughout the month.
• Collaborate with accounting staff during financial statement
• On a quarterly basis prepare credit balance report for submission to Medicare
• Generate, sort and review all private statements for accuracy. Make any adjustments if required. Mail to residents the same day received from MIS
• Review all remittance advices received for any denials and for accurate payments. Do not allow any claims to deny for failure to submit with in filing deadlines
• Must be able to read, write and speak English effectively and communicate written and verbally.
• Performs all job responsibilities in accordance with safety and infection control policies and procedures.
• All responsibilities will be conducted in a manner that exhibits the IHCS mission, vision, and core values.

Supervisory Responsibility-

This position has no supervisory responsibility.

Qualifications: :  

2 years Medical Billing Experience preferred.  Nursing Home Billing experience preferred.

1-2 year's Business/Financial accounting college courses/degree or additional comparable work experience.  Must have demonstrated knowledge of General Accounting Principles.