Accounts Receivable Manager

POSITION SUMMARY:

The Account Receivable Manager supervises the Medicaid and Medicare Coordinator’s which encompasses the entire billing process. The AR Manager initiates and tracks the Medicaid application process with the family through the completion of a grant. The AR Manager audit’s Medicaid residents to ensure billing guidelines are adhered to for the annual Utilization Review. The AR Manager audits and meets with the Business Manager monthly to review the status of receivables.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:

• Supervises Medicaid, Medicare, Insurance and Private pay billing process.
• Initiates and takes the lead role with families through the Long term care process, including but not limited to facilitating the Medical Assistance application, determining Medicaid effective date and tracking with the Department of Public Welfare.
• Oversees annual audit of Utilization Management Review Team. Responsible for providing all necessary audit information as well as implementing any plan of correction required.
• Primary business office representative with the Admissions team, County Assistance Office and the Utilization Review team.
• Audits Cost of Living adjustments, collaborate with County Assistance for corrections and/or changes.
• Reviews financial policies and procedures with all new admissions, obtain copies of insurance cards, including prescription drug coverage.
• Provides the backup and cross training between the Medicaid and Medicare Coordinator positions.
• Continuing Education with Department of Public Welfare and Centers for Medicare and Medicaid Service.
• Audits new MA approvals, verify insurance information, adjust and calculate new bills in ECS.
• Initiates and tracks payer changes and notifies the interdisciplinary team.
• Audits monthly, Accounts Receivable log. Review status monthly with the Business Manager.
• Completes other duties as assigned by Business Office Manager.

QUALIFICATIONS REQUIRED:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• High school diploma or equivalent; management and advanced accounting education preferred.
• Five (5) years’ experience in business office functions of a Long Term Care facility or equivalent.
• Five (5) years’ working knowledge of Medicare and Medicaid regulations required.
• Minimum two (2) years’ experience in the Financial Electronic System (ECS), American Data.
• Minimum two (2) years’ computer experience with Microsoft Office Word and Excel, Promise system.

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to sit. The employee frequently is required to reach with hands and arms, use hands to finger, handle or feel objects, tools or controls; and talk or hear. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 15 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and the ability to adjust focus.

WORK ENVIRONMENT:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

The noise level in the work environment is usually moderate.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Job Details