Accounting Associate

O'Connor Woods; Stockton (CA); On-site; USD 52,000 - 66,000; Full time

Job summary

O'Connor Woods is seeking an Accounting Associate to manage AR for resident care, verify insurances on file, and oversee authorization processes. The role reports to the SNF Administrator and supports the organization’s mission and core values.

The position requires thorough documentation, confidentiality, and ability to interact with multiple departments. A 40-hour week with potential overtime may apply, and experience in medical billing is required.

Qualifications

• Must be 18 years old or older.
• High School diploma or equivalent required.
• 1-year previous experience with medical billing and authorizations required.
• Thorough documentation skills including grammatical, spelling and organization.
• If required to operate a company vehicle, must meet license and driving record requirements.
• Ability to read, write and communicate in English with residents, staff, families, vendors and others.

Responsibilities

• Balance daily census reports in the EHR (admissions, discharges, room changes, payer changes).
• Monitor Medicare days and communicate with Social Services and MDS on 100-day outlook.
• Monitor HMO authorizations for Kaiser and other insurers; ensure current authorizations.
• Monitor Medi-Cal cases: pending applications and authorizations to treat.
• Prepare statements for Private Pay residents; collect payments and issue Collection letters.
• Prepare and submit Treatment Authorization Requests for Medi-Cal residents.

Skills

Medical billing

Accounts receivable

Insurance verification

EHR software

Billing procedures

Education

High School diploma

Tools

EHR system

Billing software

Job description

Typical schedule: Schedule is generally Monday – Friday during typical business hours of 8am – 5 pm.

Required MOD.

Any schedule is subject to change based on business needs.

POSITION SUMMARY:

The Accounting Associate job entails detailed processing of AR for resident care, oversight of accurate insurances on file and authorization process/requests.

This position requires the full understanding and active participation in fulfilling the Mission of the Organization. It is expected that the employee will demonstrate behavior consistent with the Core Values. The employee shall support the Organization’s strategic plan and the goals.

The Accounting Associate reports direct to the SNF Administrator.

ESSENTIAL FUNCTIONS:

• Balance daily census reports in the EHR: daily admissions, discharges, room changes, payer changes, etc.
• Monitor Medicare days and communicate with Social Services and MDS if there’s any resident approaching 100 days.
• Monitor HMO authorizations for residents under Kaiser and other insurance companies, ensure all authorizations are current.
• Monitor Medi-Cal cases: pending applications and authorizations to treat.
• Prepare statements for Private Pay residents; collect payments, make phone calls and/or send collection letters to residents with outstanding balances.
• Prepare Treatment Authorization Requests for residents under Medi-Cal.
• Prepare and deposit weekly cash receipts and send copies to Eskaton.
• Month end billing: send all invoices and charges to processor to allow billing opportunity to input and close month end in a timely manner.
• Verify insurance coverage for all possible admissions and for patients in need or receiving Outpatient Therapy.
• Communicate with processor/biller on a daily basis regarding patient accounts, authorizations, cash receipts, etc.
• Communicate with the Pharmacy, Diagnostic Lab, and other vendors regarding payer status and other changes affecting individual accounts.
• Work closely with Controller for follow up on outstanding balances, aging of accounts, and other accounts receivable issues.
• Ensure that all resident data in the EHR are accurate and up to date.
• Maintain Petty Cash.
• Assist in the Business Office daily routine.
• Provide coverage of other administrative positions as need for vacations, etc.
• Must maintain the highest level of confidentiality at all times.
• The ability to maintain business/professional boundaries with all staff, management and outside vendors.
• Responds to all verbal and written communication within 24 hours of receipt.
• Attends and participates in Department meetings.
• Assists with special projects as needed.
• Ensures the safety, health and welfare of staff and residents at all times.
• Provides encouragement, guidance and resources to staff and residents when needed.
• Acts as a positive role model and mentor for staff.
• Adheres to company policies and Corporate Compliance and Ethics Program Code of Conduct.
• Other duties as assigned from direct supervisor and/or department Director.
• Maintains compliance with company policy.

MINIMUM QUALIFICATIONS:

1.Must be 18 years old or older.

2.High School diploma or equivalent required.

3.1-year previous experience with medical billing and authorizations required.

4.Thorough documentation skills including grammatical, spelling and organization.

5.If required to operate a company vehicle during the course of employment, must meet the requirements to be an eligible driver. Must possess a current State Driver’s License and have an acceptable driving record for the past three (3) years.

6.The ability to read, write and communicate to residents, staff, families, vendors, and all business relationships in English language.

7.Ability to pass a criminal background clearance check, drug screen, physical and TB test.

8.Able to work in excess of 40 hours per week (upon Dept. Director approval) with the possibility of a varied schedule.

9.Must have excellent organization and time management skills.

10.Must be able to communicate with all levels of staff in an effective, neutral and professional manner.

11.Ability to function as a member of the team in a multi-task environment.

12.Must be flexible and able to handle multiple priorities, with the ability to adjust to high pressure and changing business conditions.

13. Proficient in the use of computers and associated software.