Accounts Receivable Associate - Payer Specialist

Full Time - Days

**Pay rate up to $22/hour**

McGregor - Supporting Seniors in need and those who serve them.

What do I need as an Accounts Receivable Associate - Payer Specialist with McGregor?

• High School diploma or GED. Associate's degree or equivalent from two year college/technical school preferred.
• Two to three (2-3) years of Medicare or Medicaid billing preferred, Medicaid eligibility/application experience preferred, billing experience in long term care preferred.
• Certified Medical Billing preferred.
• Knowledge of basic computer, Excel and accounting software.

What will I do as an Accounts Receivable Associate - Payer Specialist with McGregor?

• Maintain accurate up-to-date daily census and charges for all McGregor companies reconciling with proper reporting sources.
• Primary facility contact for all ancillary partners to maintain accuracy of monthly ancillary billing (oxygen, radiology, pharmacy, lab, etc.)
• Identify the need for Level of Care and ensure proper Level of Care documents are issued in coordination with social service and MyCare companies, track LOC obtained.
• Daily process and document Bed-Hold Notices and ensure compliance withing ODH regulations.
• Timely identification of any payer changes/eligibility within the Medicaid system (MITS) including MyCare changes and share of cost changes and address any issues that arise from such changes.
• Review all NH (nursing home) claims monthly and coordinate Triple Check with appropriate departments ensuring all claims are correct before sending to outside billing company for processing.
• Complete monthly close in all accounts receivable systems for all McGregor companies by determined deadlines.
• Coordinate the Medicaid pending/new application process from beginning to end. Work closely with families/residents to ensure all data is collected and sent to Medicaid timely. Work closely with Cuyahoga County to ensure applications are being reviewed and approved timely, renewals and all Medicaid issues processed timely.
• Process all Medicaid Authorized Representative documents for all LTC McGregor residents.
• Process 9401s and levels for LTC Medicaid residents.
• Maintain accurate PACE census, charges and AR aging and distribute to appropriate parties for collection.
• Prepare, review, and send out PACE monthly statements.
• Post all Medicaid and Medicare payments to PACE AR and address any outstanding balances related to Medicaid and Medicare payers.

Why Choose McGregor

We meet or exceed area wage and benefit offerings for members of our Care Giving Team, and our goal is to provide a rewarding employment experience for each Team Member. We offer a wide variety of benefits, including:

• Competitive Pay Rates
• Health insurance plan with Wellness program options
• Employee Referral Program
• Secure, free parking
• Mission-minded work environment

McGregor is perfectly situated on a picturesque 45-acre estate, overlooking downtown Cleveland with a view of Lake Erie in the distance. Recognized as a leader of innovation and high-value services, McGregor is meeting the changing needs of Cleveland's seniors throughout Cuyahoga County. McGregor is a leading care provider for elders through our residential care services and community-based PACE program that keeps people connected in the community. Our grant-making foundation supports innovations, workforce development, and quality of care in all settings; each providing ways to age well and improve lives!

Health Care Heroes: McGregor needs You!

McGregor is an Equal Opportunity Employer that recruits and hires qualified candidates without regard to race, religion, sex, sexual orientation, gender identity, age, national origin, ancestry, citizenship, disability, or veteran status.