Accounts Receivable Coordinator - Private

Accounts Receivable Coordinator - Private Pay

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It’s fun to work in a company where people truly BELIEVE in what they’re doing! Our intention is to have employees who are passionate about making their personal mission statement come to life each day ther it’s providing healing, eradicating loneliness, contributing to efficiencies, streamlining processes, being dependable, sparking creativity or something else, the demonstration of HOW you do your job is just as important as WHAT you do.

Alongside our valued employees, we are making a difference throughout the state of Ohio in the lives of those that need healthcare or those embracing the next chapter of their lives. Sustained members of our team demonstrate accountable behavior and share our values of customer service, innovation, inclusion, integrity, financial stewardship, leadership and care.

The Accounts Receivable Coordinator—Private Pay is responsible for all aspects of billing and collection of funds for services provided to residents and patients in our life plan communities that are paid for directly by the patient, resident, family member, or appointed guardian in accordance with company standards and federal, state, and local standards, guidelines, and regulations.

• Maintain, obtain, retain and apply knowledge regarding the specific billing requirements established by management applicable for private pay billing to and collections from residents/patients of the Communities’ independent living, assisted living, skilled nursing, outpatient or other ancillary service settings. This includes developing and maintaining working knowledge of the primary revenue, receivables, receipts, billing, and medical records software to enable efficient and effective use.
• Complete all routine daily and monthly processes pertaining to census verification and validation. Interact with site representatives to clarify and/or correct any census discrepancies.
• Perform certain tasks pertaining to monitoring status of level of care approval/denial by local area offices of aging, Medicaid application approval/denial by County Offices of Medicaid, and receipt of all required documentation to enable Medicaid billing to occur. This includes frequent interaction with Communities’ site representatives, patients or their family members and/or guardians, and governmental agency representatives. Maintain quality documentation of interaction with site and patient/resident or their representatives within the notes section of the primary software.
• Perform certain tasks relating to verifying patient liability amounts (e.g. personal funds available) for Medicaid beneficiary patients/residents at prescribed timing.
• Review and balance all assigned ancillary service files provided by various vendors by the prescribed dates for the month end close billing cycle to ensure all ancillary services are captured in billing files to enable accurate claims.
• Ensure that all required documents are included into the electronic medical record within prescribed timelines. This includes approved Cost of Care packets, approved Life Care Application packets, consummated Residency Agreements and certain other documents as applicable.
• Monitor status of collections and appropriate cash receipt application to correct resident and patient account balances. This includes receipt of explanation of benefits from primary or secondary health insurance coverage (e.g. Medicare, managed care plans, etc.), to enable the identification of coinsurance that should be included on the current month end close private pay invoice statements.
• Prepare, review and release private pay invoice statements, using specified software, within established monthly billing performance timeframe and by prescribed due dates. Invoice statements should be completely accurate with minimal and infrequent errors subsequently discovered. Adhere to supervisory internal control review requirements before release of claims. Established supporting documents or special statement inserts must…