AR Resource Accounts Receivable Resource

Cambridge Healthcare Services -

POSITION SUMMARY :

The AR Resource is responsible for training the Office Manager and Assistant Office Manager in their roles in order to maintain accurate billing and collection of all receivables, including Private, Medi-Cal, Medicare, Hospice, VA and Managed Care. This position trains on all aspects of billing, eligibility, claims, banking, accounting and EHR software.

REPORTING :

This position reports to the Regional AR Resource

FLSA STATUS : Exempt

ESSENTIAL JOB FUNCTIONS :

Provides ongoing support and training to the Office Manager and Assistant Office Manager in the areas of accounts receivable to include but not limited to :

Posting and reconciling census

Posting and reconciling deposits

Billing and collection process of all payers

Month end closing process to include posting ancillary charges

Resident trust account processes to include petty cash and reconciliation process

All functions as outlined on AR calendar

Provides ongoing support and training on all aspects of billing, claims, banking, accounting and EHR software

Provides ongoing support and training on eligibility and authorization process for all payer types, such as Medi-Cal, Medicare, Managed Care, etc.

Provides direction on the follow-up process for all payers, including claim correction and appeals

Provides direction on the collection process for private accounts, including small claims court, collection agencies and attorney referrals

Ensure accurate and timely submission of refunds and write offs

Assists facility with implementing and improving systems such as insurance verification, authorization / level confirmation, triple check, etc.

Conducts monthly and quarterly audits to include but not limited to :

Private and share of cost account review

120 account review

A-Z aging review

Review of accurate and timely claim submission

Resident trust

Completes month end close process for each facility to ensure accurate revenue

Develops Office Manager supervisory skills and assists them with performance and development of Assistant Office Manager

Informs Administrator of observations and findings during facility visit

Assists facility in the development and achievement of goals

Assists in the recruitment and selection for Office Manager and Assistant Office Manager positions

Collaborates with facility Administrator regarding the hiring, performance management, and termination of Business Office personnel

Joins weekly region bad debt call and performs any necessary follow up with facilities on accounts

Able to travel locally and out of area as needed to support and consult with facilities, including overnight travel

Follows all HIPAA regulations

Must be capable of maintaining a regular attendance

Performs other related duties as required and assigned

REQUIREMENTS :

Demonstrates knowledge of, and respect for, the rights, dignity and individuality of each resident in all interactions

Demonstrates honesty and integrity at all times

Able to understand and follow written and / or verbal directions

Able to communicate adequately in oral and / or written communication

Demonstrates ability to prioritize tasks and responsibilities and complete duties and projects as assigned

Ability to follow through and complete tasks with minimum supervision

Demonstrates ability in maintaining confidentiality of resident and facility / company information

Able to respond to change productively

Possesses strong knowledge of state and federal regulations

Ability to follow appropriate safety guidelines

Must meet all local health regulations and pass pre-employment physical exam, which may include drug screening, criminal background investigation and reference inquiry

Able to carry out the essential functions of this job (with or without reasonable accommodation) without posing specific, current risk of substantial harm to health and safety of self and others

QUALIFICATIONS :

Education : High School graduate or equivalent required; college degree preferred

Work Experience : 3-5 years experience as an Accounts Receivable Resource preferred

Experience in the SNF industry preferred

Possesses knowledge and experience in Medicare, Medi-Cal, Managed Care billing and Private collections

Possesses excellent computer skills, use of computer applications and MS Office

Language Skills :

Must be able to read, analyze, and to be easily understood through verbal communication in the English language.

Mathematical Skills :

Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers, percentages, and decimals.

Communication Skills :

Must have exceptional communication and customer service skills and be empathetic.

Ability to effectively communicate with patients, families, patient representative, staff and outside resources and agencies.

PHYSICAL CAPACITIES :

Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met

Must meet the general health requirements

Must be able to lift a minimum of 25 pounds

Must be able to move intermittently during working hours

Must be able to stand for and walk for extended periods of time

Must be able to bend, squat, push, stoop and pull as needed

ENVIRONMENTAL CONDITIONS :

Office environment has minimum hazards, which may include varying temperatures and moderate noise levels.

Facility environment includes varying temperatures, varying work stations and varying interactions with long-term care residents and facility staff. The noise level is usually moderate. May include possible, but not probably, exposure to bloodborne pathogens.