at Catholic Care Center in Wichita, Kansas, United States
Job Description
Position Summary
Under the direction of the Business Office Manager, this position is responsible for maintaining accounts receivables related to Third Party Insurances, which includes timely and accurate billing for services provided, collection of accounts receivable, claims submission to all payers and month-end processing.
PRINCIPAL DUTIES AND RESPONSIBILITIES
- Responsible for accurate and timely billing of Third Party Insurance Claims and A/R follow-up as assigned, including, but not limited to:
- Medicare A & B
- Managed Care/Private Insurance
- Medicaid
- Third Party Coinsurance
- Maintain documentation to support third party claims submission and collections in accordance with defined policies.
- Manage A/R collections through claims submission, adjustments, phone calls, and appeals as needed on assigned communities, to meet and/or reduce day’s sales outstanding goals as established by the Director of Finance.
- Maintain A/R notes in the billing software with all outstanding A/R balances reviewed at minimum every 30 days.
- Prepare documentation/collection notes for monthly accounts receivable reviews with Business Office Manager and Director of Finance.
- Identify, document, and communicate best practices and process improvement opportunities to Business Office Manager.
- Assist with cash posting as needed.
- Provide back-up and cross-training to other associates.
- Remain up to date on CMS regulations and policies, as well as federal and state regulations and policies related to healthcare, behavioral health facilities, and insurance.
- Prepare documentation for approval of A/R adjustments including, but not limited to:
- Contractual Adjustments
- Charity Adjustments
- Bad Debt Write Offs
- Administrative Adjustments
- Insurance Refunds
- Maintain ongoing metrics for the Business Office Manager and the Director of Finance to provide continual self-assessment of performance and identification of process improvement opportunities.
- Attend and actively participate in trainings and meetings.
- Other duties as assigned.
