ACCOUNTS RECEIVABLEMEDICAL BI HR

Tohono O'odham Nursing Care Authority•Sells, AZ

4d•Onsite

About The Position

Prepare bills, statements, and invoices to be sent to residents or responsible parties and insurance companies. Collect on all accounts private and non-private. Accurately and timely enter all resident charges into computer system. Accurately record daily deposits for cash and non-cash items. Analyze resident accounts for all payer sources. Bill all accounts timely and accurately, including any resubmitted bills that are required. Perform collection calls/letters as needed to keep receivables within 30 days. Maintain accurate daily census. Verify payer source, insurance identification number, and authorization prior to admission. Maintain individual resident billing files. Responsible for billing and collecting both paper and electronic payer insurance claims to the appropriate payer. Must have background in Medicare/Medicaid billing and collection experience. Must be familiar with long term care billing. Must be familiar with ALTCS billing. Must be familiar with UB92 forms. Must be familiar with all state and federal medical billing guidelines. Accurately and timely enter all resident charges into computer system. Analyze resident accounts from all payer sources. Bill all accounts timely and accurately, including any resubmitted bills that are required. Maintain Resident Trust Accounts by Resident and follow federal regulations. Follow-up with case workers and insurance carriers regarding prior authorizations. Cover receptionist duties during breaks, lunch, and days off. All staff is always required to follow all safety regulations and precautions. Staff must ensure that their department is maintained in a clean and safe manner by assuring that all necessary equipment and supplies are maintained. Report all hazardous conditions/equipment to immediate supervisor/manager. Report all accidents/incidents to immediate supervisor/manager. All staff must wear protective clothing and equipment when handling infectious waste and or blood/body fluids or when doing Hazardous work i.e., working with chemicals, electrical or day to day maintenance repairs. All Staff are required to participate in the O’odham Centered Care - Managers/Supervisors will help staff in participating in O’odham Centered Care. Recognize your role as part of the QAPI efforts of your organization. Attend trainings to build understanding and capacity to undertake QAPI work. Carry out QAPI roles and responsibilities as assigned. Follow established policies and procedures in support of QAPI efforts. Look for and share with leadership ideas for improvement in the organization. Communicate to leadership upon witnessing a positive outcome of a QAPI project or detecting barriers preventing project success. Support QAPI efforts both verbally and non-verbally (i.e., via actions and attitude), including adjusting performance and practice in accordance with QAPI initiatives and findings.

Requirements

Background in Medicare/Medicaid billing and collection experience.
Familiarity with long term care billing.
Familiarity with ALTCS billing.
Familiarity with UB92 forms.
Familiarity with all state and federal medical billing guidelines.

Responsibilities

Prepare bills, statements, and invoices to be sent to residents or responsible parties and insurance companies.
Collect on all accounts private and non-private.
Accurately and timely enter all resident charges into computer system.
Accurately record daily deposits for cash and non-cash items.
Analyze resident accounts for all payer sources.
Bill all accounts timely and accurately, including any resubmitted bills that are required.
Perform collection calls/letters as needed to keep receivables within 30 days.
Maintain accurate daily census.
Verify payer source, insurance identification number, and authorization prior to admission.
Maintain individual resident billing files.
Responsible for billing and collecting both paper and electronic payer insurance claims to the appropriate payer.
Follow-up with case workers and insurance carriers regarding prior authorizations.
Cover receptionist duties during breaks, lunch, and days off.
Follow all safety regulations and precautions.
Ensure that their department is maintained in a clean and safe manner by assuring that all necessary equipment and supplies are maintained.
Report all hazardous conditions/equipment to immediate supervisor/manager.
Report all accidents/incidents to immediate supervisor/manager.
Wear protective clothing and equipment when handling infectious waste and or blood/body fluids or when doing Hazardous work i.e., working with chemicals, electrical or day to day maintenance repairs.
Participate in the O’odham Centered Care.
Recognize your role as part of the QAPI efforts of your organization.
Attend trainings to build understanding and capacity to undertake QAPI work.
Carry out QAPI roles and responsibilities as assigned.
Follow established policies and procedures in support of QAPI efforts.
Look for and share with leadership ideas for improvement in the organization.
Communicate to leadership upon witnessing a positive outcome of a QAPI project or detecting barriers preventing project success.
Support QAPI efforts both verbally and non-verbally (i.e., via actions and attitude), including adjusting performance and practice in accordance with QAPI initiatives and findings.