Accounts Receivable Analyst

RIHS Weslaco Branch Office - Weslaco, TX 78596

Position Type:
Full Time

The essential functions for the AR Analyst are to bill required claims within manner, filling, and ensuring that payments are received. Each AR Analyst has a monthly goal to meet.

• Responsible for effective communication from central billing office to field staff and facility staff to facilitate prompt and clean claims submission for facilities assigned.
• Responsible for census for each assigned facility. This includes being familiar with payer contracts, and checking census regularly to ensure revenue and residents are booked and being billed per our contracts and payer trees are set up correctly.
• Responsible for Billing all claims monthly by deadlines set forth depending on payer.
• Responsible for working claims rejections and denials in a timely manner.
• Responsible for held claims daily review and follow up as well as documentation until claims release.
• Responsible for claims follow up until payment is received on all claims for assigned facilities.
• Responsible for daily cash posting of deposits within 24 hours of receipt and reconciling check registers to verify all payments posted for the month.
• Responsible for Aging review and clean up for assigned facilities. This includes reclassing and census line corrections as identified during such reviews.
• Responsible for notifying ADR team regarding denials or additional documentation requests as identified for medical necessity or medical records requests. Claim corrections due to coding issues will be handled by the assigned biller.
• Responsible for billing co-insurance claims after receipt of primary payer payment.
• Responsible for reporting issues with specific payers to CBO AR Manager so that complaints are addressed timely and with the appropriate State departments should the need arise.
• Responsible for keeping accurate and up to date billing notes in PCC for all accounts worked.
• Responsible for Bad Debt completion on receivables each month.
• Maintaining company collection goals and provide reasons for not meeting collections.
• Participate in monthly aging reviews with Accounts Receivable Manager and Supervisor.
• Ability to maintain proper time and attendance along with possessing a positive attitude and productive work environment.
• Any other assigned functions as needed by the department as deemed necessary by CBO AR Manager.

• 2 years minimum Skilled Nursing Billing Experience is preferred.
• Ability to work well with others as a team and have strong customer service and communication skills is required.
• High School diploma required.
• Associate degree preferred.
• Point Click Care Software experience is preferred.
• Simple LTC software experience is preferred.
• Excel spreadsheets experience is required.

Full
- Time status Monday – Friday 8:00 am – 5:00 pm

Corporate billing office is located in Victoria, Texas for training purposes then will transition to a hybrid remote schedule with potential to be fully remote.