Accounts Receivable Analyst

REGENCY IHS ADMINISTRATIVE SERVICES LLC•Victoria, TX

44d•Hybrid

About The Position

The essential functions for the AR Analyst are to bill required claims in a timely manner, filing, and ensuring that payments are received. Each AR Analyst has a monthly goal to meet. The AR Analyst is responsible for effective communication from the central billing office to field staff and facility staff to facilitate prompt and clean claims submission for facilities assigned. The AR Analyst is responsible for census for each assigned facility. This includes being familiar with payer contracts and checking census regularly to ensure revenue and residents are booked and being billed per our contracts, and payer trees are set up correctly. The AR Analyst is responsible for billing all claims monthly by deadlines set forth depending on payer. The AR Analyst is responsible for working claims rejections and denials in a timely manner. The AR Analyst is responsible for held claims daily review and follow up as well as documentation until claims release. The AR Analyst is responsible for claims follow up until payment is received on all claims for assigned facilities. The AR Analyst is responsible for daily cash posting of deposits within 24 hours of receipt and reconciling check registers to verify all payments posted for the month. The AR Analyst is responsible for aging review and cleanup for assigned facilities. This includes reclassing and census line corrections as identified during such reviews. The AR Analyst is responsible for notifying ADR team regarding denials or additional documentation requests as identified for medical necessity or medical records requests. Claim corrections due to coding issues will be handled by the assigned biller. The AR Analyst is responsible for billing co-insurance claims after receipt of primary payer payment. The AR Analyst is responsible for reporting issues with specific payers to CBO AR Manager so that complaints are addressed timely and with the appropriate State departments should the need arise. The AR Analyst is responsible for keeping accurate and up-to-date billing notes in PCC for all accounts worked. The AR Analyst is responsible for Bad Debt completion on receivables each month. Maintain company collection goals and provide reasons for not meeting collections. Participate in monthly aging reviews with Accounts Receivable Manager and Supervisor. Ability to maintain proper time and attendance along with possessing a positive attitude and productive work environment. Any other assigned functions as needed by the department as deemed necessary by CBO AR Manager.

Requirements

High School diploma required.
Excel spreadsheets experience is required.

Nice To Haves

2 years minimum Skilled Nursing Billing Experience is preferred.
Associate degree preferred.
Point Click Care Software experience is preferred.
Simple LTC software experience is preferred.

Responsibilities

Responsible for effective communication from the central billing office to field staff and facility staff to facilitate prompt and clean claims submission for facilities assigned.
Responsible for census for each assigned facility. This includes being familiar with payer contracts and checking census regularly to ensure revenue and residents are booked and being billed per our contracts, and payer trees are set up correctly.
Responsible for billing all claims monthly by deadlines set forth depending on payer.
Responsible for working claims rejections and denials in a timely manner.
Responsible for held claims daily review and follow up as well as documentation until claims release.
Responsible for claims follow up until payment is received on all claims for assigned facilities.
Responsible for daily cash posting of deposits within 24 hours of receipt and reconciling check registers to verify all payments posted for the month.
Responsible for aging review and cleanup for assigned facilities. This includes reclassing and census line corrections as identified during such reviews.
Responsible for notifying ADR team regarding denials or additional documentation requests as identified for medical necessity or medical records requests.
Responsible for billing co-insurance claims after receipt of primary payer payment.
Responsible for reporting issues with specific payers to CBO AR Manager so that complaints are addressed timely and with the appropriate State departments should the need arise.
Responsible for keeping accurate and up-to-date billing notes in PCC for all accounts worked.
Responsible for Bad Debt completion on receivables each month.
Maintain company collection goals and provide reasons for not meeting collections.
Participate in monthly aging reviews with Accounts Receivable Manager and Supervisor.
Ability to maintain proper time and attendance along with possessing a positive attitude and productive work environment.
Any other assigned functions as needed by the department as deemed necessary by CBO AR Manager.