Accounts Receivable Specialist LTC Follow-up & Denials

Job Description

Salary: 20.98-31.46 USD

Facility: Administrative Regional Training Cntr

Shift: Shift 1

Status: Full Time FTE: 1.000000

Bargaining Unit: ACE Associates

Exempt from Overtime: Exempt: No

Work Schedule: Days

Hours:

8:00am- 4:00pm

Summary:
The Revenue Management Center supports the revenue cycle for all of the acute care sites and related departments, service lines and business units organized within Mercy Hospital, Sisters of Charity Hospital including the St. Joseph Campus, Mount St. Mary's Hospital and Kenmore Mercy Hospital as well as the Nursing Home Long Term Care and Sub-Acute Rehab facilities.

The position will support the Nursing Home Long-Term Care and Sub-Acute facilities and has responsibility for ensuring all resident encounters are followed up on and collected within the designated timeframe. Additionally, all collection efforts must be in compliance with federal, state and contracted payer requirements and regulations as well as the standards established by Catholic Health. Responsibilities will include, but are not limited to, the following: (1) Ensuring all resident encounters are followed up on within the designated timeframe, (2) Appropriate levels of engagement with the insurance company, state or federal agency, or patient/resident to ensure timely collection for services rendered,

(3) Review of all work lists to identify accounts that are aging beyond established thresholds and/or require follow up action based on a payer denial. (4) Active engagement and processing of denied claims or other rebill efforts for follow up or escalation to ensure payment. A high level of customer service is expected in this role at Catholic Health.

Responsibilities:

EDUCATION

• High School diploma

EXPERIENCE

• One (1) - three (3) years relevant experience in healthcare accounts receivable billing or collection preferred

KNOWLEDGE, SKILL AND ABILITY

• Knowledge of billing regulations
• Demonstrated problem solving and organizational skills
• Strong computer skills (MS Word and Excel preferred)
• Excellent written and oral communication skills
• Ability to work well with others
• Dependable in both production and attendance
• Self-motivated
• Good communicator

WORKING CONDITIONS

• Normal heat, light space, and safe working environment; typical of most office jobs