Position Summary: 

Responsible for overseeing the overallpolicies and objectives of the HCF’s Family of Companies revenue cycleactivities, including pricing, billing, third party payer relationships,collections, denials, and reimbursement rates, while monitoring adherence toHCF’s policies/procedures, to optimize cash flow and financial performance.

Essential Functions:

• Because HCF exists to care for our residents,regular attendance and punctuality. are essential to provide quality care and service.
• Leadership: Ability to take action and achieve results through others.
• Commitment to HCF Family of Companies Vision, Values, and Purpose.
• Must be able to complete performancerequirements independently while using good judgment as well as have theability to harmoniously work with others.
• Must be able to take direction and assumeresponsibility as necessary and initiate appropriate action.
• Must be able to read, write and understand theEnglish language.

Position Responsibilities:

• Follow HCF Policies and Procedures
• Oversee and manage the operations of the billingdepartment.
• Review, design, and maintain policies andprocedures regarding pricing, billing, collections, and other financialanalysis as needed.
• Ensure all billing operations are conducted incompliance with federal, state, and payer regulations, guidelines, andrequirements.
• Plan and direct patient insurance documentation,coding, billing, and data processing to ensure accurate and efficient billingand account collection.
• Analyze billing and claims for accuracy andcompleteness before submission to Medicare, Medicaid and insurance entities.
• Work in collaboration with Collections Manager,and Denials Team to follow up on outstanding accounts.
• Track and report metrics related to coding errorrates, billing turnaround times, and DSO (Days Sales Outstanding)
• Maintain open communication lines with CollectionsManager, Regional Directors of Operations, Business Office Managers, andAdministrators on significant dollar amount accounts.
• Work in collaboration with the ComplianceDepartment to manage relations with payers and providers to generate highreimbursement rates and low levels of denials.
• Auditing current processes and procedures tomonitor and improve efficiency of billing operations.
• Perform other duties as assigned.

Knowledge, Skills andAbilities: 

Must hold a Bachelor’s Degree in Business,Accounting, or a related discipline and/or have previous Revenue Cycleexperience in long-term care. A thoroughunderstanding of and experience with Long-term Health Care billing processesand strong organizational, computer, and time management skills are required.