Revenue Cycle Operations Quality Assurance Liaison

Next Step Healthcare•Woburn, MA

About The Position

Next Step HealthCare is seeking an Revenue Cycle Quality Assurance Liaison to join our team in Woburn, MA COMPANY OVERVIEW: At Next Step Healthcare, we are driven to provide each of our patients with an experience that exceeds their expectations. Whether you are a short-term patient with rehabilitation needs after a hospital stay or a long-term patient with chronic and complex care needs, our skilled nursing facilities are designed to offer personalized healthcare. The Revenue Cycle Operations Quality Assurance Liaison is responsible for ensuring the quality of the results of the functions that contribute to the capture, management, and collection of patient service revenue.

Requirements

A high school degree with a minimum of 5 years’ experience in nursing home bookkeeping.
Basic computer skills.
The ability to interpret and apply standard procedures.
The ability to handle confidential information.
Problem solving & decision making skills.
The ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, polices, procedures of the business office department.
Must possess the ability to positively interact with personnel, resident, family members, visitors, government agencies/personnel and the general public.
Must have strong knowledge of the reimbursement process and regulations.

Nice To Haves

Bachelor’s degree is preferred.
Additional coursework in accounting/finance is recommended.

Responsibilities

Collaborates with all facility-based managers involved in RCO functions to ensure compliance with established best practice business process standards and quality results.
Assists in the recruitment, selection, orientation, and training of new Business office Managers in assigned facilities.
Provides ongoing support and training to facility Business Office Managers in the areas of revenue cycle operations of census processing, resident trust fund accounts, billing, accounts receivable and collection, and the systems related to these responsibilities.
Reviews processing of census information, accounts receivable and adjustments; and assures consistent compliance with company policies and procedures as well as company practices including federal and state regulations.
Reviews Business Office Manager’s management of resident trust funds on a regular basis.
Reviews Business Office Manager’s management of accounts receivable collections for past due resident account and recommends action where needed.
Assists Business Office Managers with collection of outstanding accounts receivable as needed.
Verifies the revenue month end close process to ensure facilities close in accordance with company policies and procedures.
Reconciles cash logs, deposits and cash posting to ensure no unreconciled items remain from week to week, month to month.
Monitors credit balance accounts and ensures timely and accurate resolution of the balance in accordance with applicable Federal, State and company requirements.
Review and approve resident refunds per company practice/policy.
Assist in covering facilities with temporary business office staff shortages due to long-term illness or turnover, either personally or by arranging temporary coverage from other sources.