Magistrate Jobs

About The Position

Requirements

• High school diploma required
• Minimum 3 years of Business Office, Billing, Accounts Receivable, or Revenue Cycle experience in Skilled Nursing, Long-Term Care, or Healthcare setting required.
• Strong knowledge of Medicare, Medicaid, Managed Care, Private Pay billing, and collections.
• Understanding of UB claims, Triple Check, and census management required.
• Strong analytical and organizational skills
• High attention to detail and accuracy
• Knowledge of reimbursement and revenue cycle processes
• Effective communication and collections skills
• Ability to manage multiple deadlines
• Professional handling of sensitive financial matters
• Strong Excel and reporting skills
• Problem-solving and follow-through mindset

Nice To Haves

• Associate’s or Bachelor’s degree preferred in Business, Accounting, Healthcare Administration, or related field.
• Prior supervisory experience preferred.
• Experience with PCC, RFMS, and healthcare billing systems preferred.

Responsibilities

• Manage and reconcile daily census activity to ensure accuracy of admissions, discharges, transfers, payer changes, and room moves.
• Utilize PCC Dashboard to review and validate census data.
• Verify insurance coverage, eligibility, benefit periods, and dates used.
• Enter and maintain authorizations timely and accurately.
• Process all payor changes in billing systems and census records.
• Maintain and update census spreadsheets and internal tracking reports.
• Complete PA Health and Wellness reporting requirements accurately and on time.
• Conduct 72-hour insurance reviews for all new admissions to confirm coverage and reimbursement opportunities.
• Prepare and process daily deposits.
• Complete Bankwell check deposits accurately and timely.
• Reconcile and process Sola transactions.
• Enter manual care costs in RFMS when required.
• Maintain internal controls related to cash receipts and deposits.
• Oversee collections for Private Pay and PL accounts while maintaining 95%+ collection performance.
• Review monthly resident statements and invoices for accuracy prior to distribution.
• Ensure timely mailing or electronic delivery of monthly bills.
• Conduct collection calls for past due accounts professionally and consistently.
• Coordinate magistrate filings and court-related collection actions when necessary.
• Manage guardianship-related account matters and communication.
• Process approved refund requests within 30 days.
• Maintain aging reports and execute collection strategies to reduce outstanding AR.
• Participate in Triple Check process to ensure accurate billing prior to claim submission.
• Review UB claims for completeness, accuracy, payer compliance, and supporting documentation.
• Resolve billing discrepancies before submission.
• Collaborate with clinical and admissions teams to support clean claims and timely reimbursement.
• Conduct weekly Utilization Review meetings/processes.
• Monitor payer coverage, authorizations, continued stay criteria, and reimbursement opportunities.
• Coordinate with clinical leadership to ensure documentation supports skilled coverage.
• Supervise business office staff as assigned.
• Train team members on billing systems, collections procedures, and customer service standards.
• Maintain resident trust accounts, if applicable.
• Ensure confidentiality of financial and resident information.
• Support audits, month-end close, and special financial projects.
• Promote a professional, service-oriented environment for residents and families.