AR Area Manager/AR Consultant

Rockwell Care•Ontario, CA

1d•Onsite

About The Position

This role oversees and trains Business Office Managers at various facilities, ensuring accurate record-keeping for accounts receivable, cash, DSO, and bad debt. The position involves organizing, implementing, and developing company policies and procedures in compliance with State and Federal standards. The AR Area Manager/Consultant is responsible for maintaining current and accurate records, including bank reconciliations, census, and patient personal fund interest-bearing accounts. This role also involves assisting and training on monthly billing processes for various payers, collection efforts, and month-end closing procedures. A key aspect is ensuring billing compliance for all claims and participating in utilization meetings. The position also handles refund and write-off processing, oversees the AR aging report, and manages resident trust accounts, including balancing and interest allocation, in compliance with regulations. The role involves referring and strategizing with collection lawyers, assisting in court cases, and managing Medicare audit notifications. New hire orientation and training on trust, AR payers, and billing/collection functions are also part of the responsibilities. Additionally, the role involves auditing business files, communicating policy requirements, and fulfilling BOM duties during vacancies. The AR Area Manager/Consultant may also assist in BOM interviews and hiring and undertake other projects assigned by the CFO.

Requirements

Skilled Nursing Facility Consulting Experience with Successful performance of essential functions can best be achieved through consistent application of current knowledge, use of good judgement, teamwork, common sense, ability to establish and carry out priorities, effective use of interpersonal skills and ongoing communication with residents, staff, families, interdisciplinary team members, and government officials, including state surveyors and ombudsman.
Working knowledge and ability to apply professional standards of business office practice for long term care.
Ability to establish criteria to ensure that business office practices meets professional standards of quality.
Ability to conduct oneself in a professional business-like and responsible manner and maturity to relate effectively with residents, public and co-workers.
Knowledge of current state/federal laws and regulations that apply to management of the business office in long-term care.
Ability to assure compliance with regulations as they relate to the business office.
Proficient Knowledge and utilization of PCC (or any SNF AR Platform).
Proficient Knowledge and utilization of RFMS and/or other Resident Trust system.
Proficient Knowledge and utilization of Payer Portal and Clearing house platform i.e. Inovalon, Waystar, Office Ally, DDE, Medicaid/Cal Portal, Manager Care Portal, etc.
Strong office/desk organizational and interpersonal/teamwork skills to work effectively with home office, all departments and administration in management of business office procedure.
Ability to understand and follow written and verbal directions.
Ability to effectively communicate with staff members and residents through verbal and/or written means with a teamwork effort.
Demonstrates knowledge of and respect for the rights, dignity and individuality of each resident in all interactions.
Demonstrates honesty and integrity at all times in the care and use of resident and facility property.
Knowledge of emergency and disaster procedures of facility.
Ability to locate nearest exit, to understand and respond to written or oral instructions in case of emergency.
Sufficient mobility and strength to move freely through the building, to assure resident safety at all times and to assist, transfer or otherwise move residents of the facility out of danger in case of an emergency.
Demonstrates respect for co-workers and responds to needs of residents by complying with facility policies on attendance and punctuality and dress code.
Ability to arrive and to begin work on time.
Ability to respond to facility needs on on-call basis.
Working knowledge and ability to comply with facility polices and procedures for workplace safety including infection control procedures, application of universal precautions for blood borne pathogens, use of personal protective equipment and handling of hazardous materials.
Makes prompt efforts to resolve all resident concerns or grievances related to billing or personal trust fund.
Working knowledge of computers, both hardware and software.
Ability to work independently on computer applications with a minimum of supervision/training.
Demonstrates ability to prioritize tasks/responsibilities and complete duties/project as assigned.
Demonstrates and models positive attitude, cheerfulness, initiative, patience, enthusiasm, and problem solving skills.
Must be able to both foster a teamwork environment in the facility workforce and work effectively as a team member.
Ability to respond to change productively and to handle additional tasks/projects as assigned.
Ability to carry out the essential functions of this job (with or without reasonable accommodation) without posing specific, current risk of substantial harm to health and safety of self and others.

Nice To Haves

at least 2-3 years of SNF Consulting Experience

Responsibilities

Oversees and trains Business Office Managers of each facility.
Maintains current and accurate records of accounts receivable Cash, DSO, and Bad Debt reports.
Performs bank reconciliations, census, and patient’s personal fund interest-bearing account.
Organizes, implements, and develops company Policies and Procedures according to State and Federal standards.
Consistently and accurately maintains accurate records of accounts receivable Cash, DSO, and Bad Debt reports, including audit of resident’s Trust Accounts.
Organizes, develops and maintains Policies and Procedures for the entire aspect of business office systems in accordance with State and Federal standards pertaining to billing, collection, trust, and compliance.
Creates company standard forms pertaining to Trust account, AR, and Other compliance matters.
Establishes and maintains an ongoing, positive working relationship with other facility personnel, including vendors.
Supervises and trains the employee(s) performing in the business office functions.
Assist and train with monthly billing process of resident’s responsible party, Medicare, Medi-Cal, Manage Care skilled and Custodial, Hospice, HMO, VA, Coinsurance, Private/SOC etc.
Assists and train routine and consistent collection efforts of all accounts.
Posts medical, and other ancillary supply charges to resident accounts.
Assist and train on all Pending Medi-Cal Eligibility application to any qualified residents.
Assist and trains on all E-TARs.
Upholds all collection protocol for all pay types in accordance to company Collection Policy & Procedure.
Projects and Reconciles monthly Cash Collection for all facilities.
Assist, trains, and Observes timely Month End process.
Developed, trains, and assist the facility with Medicare and Medi-Cal billing compliance standards.
Ensures billing compliance requirements are met on all claims prior to submission.
Participates in developing and monitoring of weekly HMO, Medicare Utilization and monthly Triple check meeting.
Organizes and Conducts monthly AR Reviews.
Reviews, Approves, and Ensures timely processing of all refunds, write-offs, adjustments, and financial error code monthly.
Oversees monthly AR Aging report to identify outstanding accounts; and ensures that ALL accounts are addressed/worked on monthly.
Developed and implements Resident Trust Policy and Procedure.
Organized, Developed, and oversees and trains on resident trust account (a) Monthly balancing and interest allocation (b) Compliance of both CFR and Title 22 regulations on Trust account.
Reviews and authorize consolidated billing invoices prior to processing.
Handles all collection accounts.
Refers, strategize, and communicates with Collection lawyers on how to proceed with account collections.
Assists and Participates in Small Claims and other court case account collection.
Receives, Tracks, review, submit, and overall gatekeeper of all Medicare audit notifications ie Probe, RAC, CERTS, etc.
Communicates and provide Corporate team with materials required for yearly audits.
Performs and conducts new hire orientation and training on overall Trust, all AR payers, and all other aspects of billing and collection functions.
Audits current business files are established and maintained on: (a) All residents. (b) Monthly billing deposits, AR, resident trust, Medicaid billing, Medicare billing, and all other payer and reports.
Communicates regarding policies, requirements, and problem-solving of business office matters as needed.
Fulfills the duties and responsibilities of the BOM if the position is vacant at any particular facility.
Assist in BOM interview and hiring process.
Other specified projects as assigned by the CFO of the company.