ACCOUNTS RECEIVABLEMEDICAL BI HR

Tohono O'odham Nursing Care Authority; Sells (AZ); On-site; USD 40,000 - 60,000; Full time

Job summary

Tohono O'odham Nursing Care Authority at Archie Hendricks Sr. Skilled Nursing Facility in Sells, AZ is seeking a billing specialist to manage resident charges and deposits, analyze accounts, and bill and collect from multiple payer sources.

The role requires Medicare/Medicaid billing and long-term care experience. The successful candidate will ensure accurate daily census, maintain resident billing files, and coordinate with case workers and insurers on prior authorizations, while covering

Qualifications

• Background in Medicare/Medicaid billing and collections.
• Familiar with long-term care billing.
• Familiar with ALTCS billing.
• Familiar with UB92 forms.
• Knowledge of state and federal medical billing guidelines.

Responsibilities

• Enter resident charges accurately into the computer system.
• Record daily deposits for cash and non-cash items.
• Analyze resident accounts for all payer sources.
• Bill all accounts accurately and on time, including resubmitted bills.
• Perform collections calls/letters to keep receivables within 30 days.
• Maintain accurate daily census and resident billing files.
• Verify payer source, insurance ID, and authorization prior to admission.
• Bill and collect both paper and electronic payer insurance claims.
• Follow up with case workers and insurance carriers regarding authorizations.
• Cover receptionist duties during breaks and days off.

Skills

Billing

Accounts receivable

Insurance verification

Job description

Job Details

Job Location: Archie Hendricks Sr. Skilled Nursing Facility - Sells, AZ 85634

GENERAL PURPOSE:

ESSENTIAL FUNCTIONS:

• Accurately and timely enter all resident charges into computer system.
• Accurately record daily deposits for cash and non-cash items.
• Analyze resident accounts for all payer sources.
• Bill all accounts timely and accurately, including any resubmitted bills that are required.
• Perform collection calls/letters as needed-to keep receivables within 30 days.
• Maintain accurate daily census.
• Verify payer source, insurance identification number, and authorization prior to admission.
• Maintain individual resident billing files.
• Responsible for billing and collecting both paper and electronic payer insurance claims to the appropriate payer.
• Must have background in Medicare/Medicaid billing and collection experience.
• Must be familiar with long term care billing.
• Must be familiar with ALTCS billing.
• Must be familiar with UB92 forms.
• Must be familiar with all state and federal medical billing guidelines.
• Accurately and timely enter all resident charges into computer system.
• Analyze resident accounts from all payer sources.
• Bill all accounts timely and accurately, including any resubmitted bills that are required.
• Maintain Resident Trust Accounts by Resident and follow federal regulations.
• Follow-up with case workers and insurance carriers regarding prior authorizations
• Cover receptionist duties during breaks, lunch, and days off.
• All staff is always required to follow all safety regulations and precautions.
• Staff must ensure that their department is maintained in a clean and safe manner by assuring that all necessary equipment and supplies are maintained.
• Report all hazardous conditions/equipment to immediate supervisor/manager.
• Report all accidents/incidents to immediate supervisor/manager.
• All staff must wear protective clothing and equipment when handling infectious waste and or blood/body fluids or when doing Hazardous work i.e., working with chemicals, electrical or day to day maintenance repairs.
• All Staff are required to participate in the O’odham Centered Care - Managers/Supervisors will help staff in participating in O’odham Centered Care.
• Recognize your role as part of the QAPI efforts of your organization.
• Attend trainings to build understanding and capacity to undertake QAPI work.
• Carry out QAPI roles and responsibilities as assigned.
• Follow established policies and procedures in support of QAPI efforts.
• Look for and share with leadership ideas for improvement in the organization.
• Communicate to leadership upon witnessing a positive outcome of a QAPI project or detecting barriers preventing project success.
• Support QAPI efforts both verbally and non-verbally (i.e., via actions and attitude), including adjusting performance and practice in accordance with QAPI initiatives and findings.

Qualifications