Accounts Receivable Billing Specialist

Otterbein SeniorLife•Lebanon, OH

12d

About The Position

At Otterbein, you’re more than an employee, you’re a Partner in Caring. Together, we work side by side toward a shared goal: delivering person-centered care that respects every resident and the choices they make. Whether in our vibrant communities, our welcoming small house neighborhoods, Home Health, Hospice or Home Office, we provide the highest level of compassionate, quality care. Join our team of Partners who are talented, kind, wise, funny, spirited, generous, endearing, and truly one-of-a-kind. Overview: We are looking for an A/R Billing Specialist to join our team! This position will be responsible for billing and business office functions for Otterbein. This position reports directly to the Director of Accounts Receivable.

Requirements

Strong Communication skills (verbal and written) to communicate with coworkers, families and outside vendors in remote locations to obtain needed information and provide support to effectively prepare accounts for the billing process and resolve billing issues.
Above average understanding of full billing process from point of care to payment collection.
Strong critical thinking / decision-making skills to make informed decisions on how to proceed with billing concerns and issues.
Positive customer service attitude towards others by taking ownership in problem solving and taking initiative to research and resolve billing issues.
Ability to communicate positively, effectively, and appropriately with elders, families, leadership, clinical staff, and other partners.
Ability to understand and explain complex Accounts Receivable and Revenue Cycle questions.
Ability to manage multiple priorities to meet the needs of our customers and achieve department timelines and goals.
Ability to work independently without supervision.
Detail oriented especially to identify and resolve billing discrepancies and/or questions.
Education: Associate’s degree in accounting, Business Administration, or equivalent experience is required.
Experience: Minimum 5 years long-term care billing experience required and knowledge of Medicare, Medicaid, Managed Care, Private Pay, MyCare Ohio, Supplement plans, Waiver, Resident Trust, and other payers in the SNF and Assisted Living environment.
Computer Skills: Computerized account systems, Microsoft Excel, and Point Click Care or other similar billing software.

Nice To Haves

Prior experience as a Business Office Manager in a skilled nursing facility preferred.
Supervisory and training experience of business office and billing process preferred.

Responsibilities

Maintain current knowledge of industry compliance including new regulations, conditions / requirement of participation, and third-party insurance billing requirements.
Preform all aspects of billing for all payers including but not limited to electronic billing and claims follow up/resolution, Private Pay statements, collection letters, insurance verifications, 9401 & Change Form communication through Provider Gateway, and communication with Council on Aging and respective County agencies.
Train and support partners on basic business office and billing functions, so they can assist with their respective assigned duties regarding patient accounts and billing.
Assist with communication and data collection between Medicaid Billing Specialist, Medicaid Caseworker, Social Worker, Elder and Families as needed.
Run monthly MITS checks for all elders to identify changes in case coverage, enrollment in Managed Care plans, Liability, LTC Facility Placement, Restricted Coverage Periods, and status of Waiver or Nursing Home benefit assignment. Take all appropriate action(s) on accounts to update, adjust claims, and notify partners.
Maintain accurate and up to date daily census in Point Click Care in a timely manner. Validate and check all daily census activity and update Payer Trees as required in accordance with member coverage and billing standards.
Coordinate and report on monthly Managed Care census to verify elders, days, levels, authorizations, and other case specific data as required.
Process monthly LTC statements by the 5th of each month (for prior month’s activity / confinement) on accounts for which policy information has been provided to assist elders in obtaining all benefits they are eligible to receive.
Make any necessary retroactive census changes, process adjustments as required, and coordinate / communicate regarding impacts on prior period revenue recognition.
Collaborate with clinical staff for the completion of MDS Assessments, and collaborate with therapy department as related to pre-billing checks (Triple check, UB Watch / CareWatch, Etc.)
Assist with month end close procedures including by not limited to cash reconciliation, ancillary uploads, bill payer setup screens for claim coding (prior to claim submissions monthly), coordinate with external vendors for billing data, and assist with reporting as requested.
Posting of Cash Receipts on a daily basis to maintain current up to date AR balances, and process necessary adjustments concurrent with Cash posting and zero balance or zero paid remittances.
Monthly review of Accounts Receivable Aging reports and follow up on past due balances through to completion and appropriate payment processing.
Communicate with partners and/or families regarding receivable balances in a clear, respectful, customer service-oriented manner.
Investigate credit balances monthly, and process refunds and adjustment as needed in accordance with department procedures reviewing all open AR balances.
Maintain customer confidentiality in accordance with all HIPPA regulations.
Support the Mission and high standards of customer service as it pertains to both internal customers, external customers, and partners of Otterbein Senior Life.
Crosstrain with other positions within the department to provide coverage, support, and understanding overall functions of the department.
Maintain daily documentation in PCC Collections on payer and period balances and other relevant account information. Note all adjustments, account updates, and pertinent contact to support accurate and up to date account notes.
Other duties as assigned.

Benefits

Medical Insurance with free virtual doctor visits
Vision & Dental Insurance
Pet Insurance
Life Insurance
Employee Assistance Program (EAP) for personal and professional support
401(k) Retirement Savings Plan with company match
Paid Time Off (PTO) that accrues immediately from day one
Paid Holidays for a healthy work-life balance
Access to DailyPay, enabling you to access up to 100% of your earned wages on a daily basis
Tuition Reimbursement up to $5,250 per year for ANY field of study
Tuition Discounts through exclusive partnerships with the University of Cincinnati, University of Toledo, and Hondros College
Employee-Sponsored Crisis Fund available for those facing unforeseen challenges
Legal & Identity Theft Protection
University Partnerships with University of Cincinnati, University of Toledo, and Hondros College for exclusive tuition discounts
Multiple Partner Discounts available for various products and services through Access Perks
Access to 1,000s of hours of personal and professional development material through RightNow Media @ Work