Medical Biller/AR Specialist

How have YOU impacted someone's life today? At Harborview Health Systems our teams are focused on changing the lives of our residents by providing the highest level of care each and every day.

Harborview Health Systems is a growing company that provides a range of services, including skilled nursing care, post-acute medical and rehabilitation care, hospice care, home health care and rehabilitation therapy. We are always seeking highly motivated, focused, and determined leaders to join our dynamic team!

The AR Executive (SNF Medical Biller) provides leadership in billing SNF Medicare and Managed Care claims monthly for multiple facilities in a home-office setting with follow up on denials, adjustments, and ensuring payment received is paid at appropriate levels.

The AR Executive (SNF Medical Biller) bills UB04s monthly, through proper planning and triple check review. After billing is completed monthly, the AR Executive will complete follow up on denied claims, post contractual adjustments and move co-insurance to proper payer buckets and review remittance advices to ensure the facility designated has received proper payment according to contract. This position is placed within a Centralized Billing Office Setting and has responsibility for 2-3 Harborview Skilled Nursing Facilities Medicare A/B, Managed Care A/B, Commercial and Supplement Insurance/Medicaid AR. Thorough review of the AR Aging for the designated facilities is required monthly with the VP of Revenue for Harborview Health Systems. Communication to the facility leadership teams is often required for a successful and clean claim. This includes building a working relationship with the business office managers, Regional Directors of Accounts Receivable, rehab teams and MDS Directors. This position is responsible for developing and implementing strategies to ensure corporate Accounts Receivable goals and objectives are achieved.

Responsibilities:

A day in the life of an AR Executive at Harborview Health Systems includes:

• Work closely with the VP of Revenue to ensure Accounts Receivable goals and objectives are achieved.
• Monitors system metrics, including dashboards and accounts receivable reports, and conducts analytical reviews to determine where additional emphasis needs to be placed to ensure the goal of timely and proper account adjudication is accomplished.
• Review and work Accounts receivable, follow up, reconciliation, and customer service functions for facilities assigned.
• Work closely day-to-day with Regional Directors, Business Offices, Home Office Billers and other facility staff regarding financial system issues, billing guidelines, federal regulatory requirements, state mandates and compliance issues.
• Work closely with Information Technology company and payors to ensure technology needs are met and appropriate for Accounts Receivable and other departments with a negative impact on the facility revenue.
• Overall responsibilities include monitoring day-to-day activities and performance of all Accounts Receivable functions and serving as the subject matter expert for Managed Care contracts, PCC, Ability and Payor Portals to support reimbursement measures for the company.
• Follow company policies and procedures in Accounts Receivable.
• Attend any meetings with VP of Revenue, Regional Directors and Business Offices to ensure the exchange of information required for efficient operation of the accounts receivable department.
• Work with practices from all Regions as it related to workflow development for purposes of alignment of processes.
• Manage medical denials by providing timely feedback to appropriate leaders. Analyze underlying reasons for denials so they can be resolved and prevented in the future.
• Identifies opportunities for more efficient utilization of staff resources.
• Interacts with key personnel at payer organizations, federal and state intermediaries, as well as various professional associations to keep abreast of billing guidelines and rules, state mandates and federal regulatory requirements.
• Encourages a team environment with active supervisor and staff participation in relevant discussions regarding the performance of the patient accounting department, as well as maintaining open communication and accessibility for the staff, supervisors, and other management.
• Establishes clearly defined productivity targets and goals for the supervisors and staff and reports performance feedback.
• Reports to Revenue Operations significant Accounts Receivable compliance, system and other issues that have a negative impact on billing and reimbursement.
• Maintains federal regulatory, state mandated, and third-party guidelines relating to Billing, Registrations and Health Information. Ensures clinical areas take appropriate actions when there are financial implications.
• Other duties and/or projects as assigned.

Education, Knowledge, Skills and Abilities Required:

• Associate degree in business, Healthcare Administration or Finance preferred but not required. Experience is taken into consideration.
• Minimum of 5 years of work experience in healthcare receivables or health insurance claims processing.
• Previous experience in a long-term care setting preferred.
• Extensive knowledge of Federal and State regulations and mandates relating to Nursing Home billing and reimbursement is preferred.
• Strong leadership skills.
• Good written and verbal communication skills.
• Strong financial management and leadership skills.
• Good project management skills.
• Excellent knowledge of information technology and management information systems and how it can be used to improve operations.
• Good interpersonal and analytical skills.
• Fluent with computer applications.

If you feel that the above description speaks directly to your strengths and capabilities, then please apply today!

Job Type: Full-time

Pay: $17.50 - $20.00 per hour

Expected hours: 40 per week

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• Monday to Friday

Experience:

• Medical Billing: 3 years (Required)

Work Location: In person

Salary : $18 - $20