Regional Financial Specialist

Nexion Health • Flower Mound, TX

1d

About The Position

The Regional Financial Specialist assists facilities with collecting outstanding accounts receivable in accordance with Nexion Corporate policy and applicable federal, state, and local regulations. Reporting directly to the Regional Financial Manager (RFM) and VP of Revenue Cycle, this position supports a set number of facilities and may travel to other regions as needed.

The role provides guidance and operational support to facility Business Office Managers (BOMs), including training, billing oversight, cash collection monitoring, account audits, month-end close support, and assistance with underperforming facilities. The specialist also works with facility administrators on BOM performance and disciplinary action plans, supports responses to state Medicaid and trust fund audit requests, and participates in regional and operational meetings and continuing education.

Requirements

• High school diploma or equivalent.
• At least five years of experience in long-term care as a Business Office Manager, Regional Financial Specialist, or a combination of the two.
• Strong working knowledge of personal computers and job-related software applications, including databases, spreadsheets, and word processing.
• Strong organizational skills.
• Excellent oral and written communication skills.
• Working knowledge of Point Click Care (PCC) software.
• Working knowledge of the Medicaid system.
• Working knowledge of the Medicare system.
• Working knowledge of RFMS.
• Ability to read, write, and speak English.
• Ability to make independent decisions when circumstances warrant.
• Ability to deal tactfully with all types of personnel and maintain confidentiality as appropriate.
• Knowledge of administrative practices and procedures, and laws, regulations, and guidelines pertaining to Medicare, Medicaid, and managed care.

Responsibilities

• Travel to facilities to consult with, train, and assist Business Office Managers with business office processes.
• Conduct routine accounts receivable aging reviews with Business Office Managers and administrators.
• Ensure Medicaid, Medicare, co-insurance, hospice, insurance, and managed care billing is filed timely.
• Monitor daily, weekly, and monthly cash collection reports.
• Cover a facility when its Business Office Manager is on vacation or the position is open.
• Support Business Office Managers with month-end close.
• Work with facility administrators to administer Business Office Manager disciplinary action plans and make recommendations related to Business Office Manager KPIs.
• Train new Business Office Managers.
• Resolve outstanding bank reconciliation items.
• Audit resident accounts.
• Attend regional meetings, Business Office Manager conferences, and operations meetings.
• Approve consolidated billing invoices, write-offs, and refunds.
• Work closely with underperforming facilities.
• Conduct routine audits of Resident Trust Fund and business office processes.
• Perform monthly audits of ACH and credit card transactions.
• Coordinate with Business Office Managers to respond to state Medicaid and trust fund audit requests.
• Update Medicaid and managed care ADR trackers.
• Attend and participate in continuing educational programs and seminars.
• Perform other duties and special projects as assigned.
• Travel to other regions as needed.
• Travel to Medicaid and managed care open forums.

Benefits

• 100% paid vacation and sick time.
• Medical, dental, and vision coverage.
• 401(k).
• FSA.
• Short-term and long-term disability coverage.
• Life insurance.
• AD&D insurance.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED