Accounts Receivable Clerk

Phoenix Senior Living•Lexington, KY

2d•Onsite

About The Position

Lexington Country Place is seeking an Accounts Receivable Clerk to join our team! The Accounts Receivable Clerk is responsible for the timely and accurate billing, collection, and reconciliation of resident accounts within a skilled nursing facility. This position manages accounts receivable for Medicare, Medicaid, managed care, hospice, VA, and private-pay residents while ensuring compliance with federal and state regulations, payer requirements, and facility policies. The Accounts Receivable Clerk works collaboratively with Admissions, Case Management, Medical Records, Therapy, Nursing, and Finance to maximize reimbursement and maintain accurate resident financial records.

Requirements

Timely and accurate billing, collection, and reconciliation of resident accounts.
Management of accounts receivable for Medicare, Medicaid, managed care, hospice, VA, and private-pay residents.
Ensuring compliance with federal and state regulations, payer requirements, and facility policies.
Collaboration with Admissions, Case Management, Medical Records, Therapy, Nursing, and Finance.
Maximizing reimbursement and maintaining accurate resident financial records.
Preparation and submission of claims for various third-party payers.
Monitoring resident accounts for timely payment and appropriate reimbursement.
Accurate posting of payments, adjustments, denials, refunds, and corrections.
Aggressive follow-up on outstanding balances via accounts receivable aging reports.
Research and resolution of billing discrepancies, claim rejections, payment delays, and denials.
Liaising with insurance companies, Medicaid agencies, managed care organizations, and responsible parties.
Maintenance of complete documentation for all billing and collection activities.
Coordination with Admissions for accurate payer sources, authorizations, and demographic information.
Assisting residents and families with billing inquiries, balances, payment options, and financial responsibilities.
Support of Medicaid application and pending processes.
Verification of insurance coverage, benefits, authorizations, and eligibility.
Preparation of monthly accounts receivable reports and assistance with month-end close.
Compliance with CMS regulations, HIPAA, Medicare and Medicaid billing guidelines, and facility policies.
Participation in audits and resolution of audit findings.
Effective communication with interdisciplinary team members.
Performance of additional duties as assigned.

Responsibilities

Prepare and submit timely and accurate claims for Medicare Part A, Medicaid, managed care organizations, hospice, private pay, and other third-party payers.
Monitor resident accounts to ensure timely payment and appropriate reimbursement.
Post payments, contractual adjustments, denials, refunds, and account corrections accurately.
Review accounts receivable aging reports and aggressively follow up on outstanding balances.
Research and resolve billing discrepancies, claim rejections, payment delays, and denials.
Work with insurance companies, Medicaid agencies, managed care organizations, and responsible parties to resolve payment issues.
Maintain complete documentation supporting all billing and collection activities.
Coordinate with Admissions to ensure payer sources, authorizations, and resident demographic information are accurate.
Assist residents and family members with billing questions, account balances, payment options, and financial responsibilities.
Support Medicaid application and pending processes by coordinating with residents, families, and eligibility workers.
Verify insurance coverage, benefits, authorizations, and eligibility as required.
Prepare monthly accounts receivable reports and assist with month-end close activities.
Maintain compliance with CMS regulations, HIPAA, Medicare and Medicaid billing guidelines, and facility policies.
Participate in audits by providing requested documentation and resolving audit findings.
Communicate effectively with interdisciplinary team members to resolve reimbursement issues.
Perform additional duties as assigned by the Business Office Manager or Administrator.