Medicaid Accounts Receivable Manager

St. Croix Hospice; Mendota Heights (MN); On-site; USD 95,000 - 115,000; Full time

Benefits offered by this job

Medical/dental/vision insurance

Disability and life insurance

Paid time off

401(k) retirement plans

Job summary

St. Croix Hospice seeks a Medicaid Accounts Receivable Manager in Mendota Heights, MN to lead Medicaid AR and optimize revenue cycle processes.

You will collaborate with the Revenue Cycle Director, ensure compliance with Medicaid/Medicare rules, and supervise the AR team. A Bachelor's in Finance/Healthcare Admin and 5+ years in hospice billing are preferred, with DHS background eligibility.

Qualifications

• Bachelor's degree in Finance, Healthcare Administration or related field (preferred).
• 5+ years hospice billing, collections, and reporting (preferred).
• 5+ years Accounts Receivable team management (preferred).
• Knowledge of Medicaid hospice reimbursement rules, eligibility, and compliance standards (preferred).
• Knowledge of Long Term Care Medicaid Room and Board reimbursement processes (preferred).
• Ability to pass DHS background study.

Responsibilities

• Collaborates with the Director of Revenue Cycle Management to maximize efficiency and performance.
• Ensures compliance with AR department policies and procedures.
• Provides leadership, support, training and guidance to the Medicaid AR team.
• Develop and implement processes to improve revenue collection and financial reporting.
• Prepare monthly billing and AR reports.
• Monitor AR aging, analyze trends and identify areas for improvement.
• Oversee month end close and year end closing for Medicaid billing.
• Collaborate with internal and external stakeholders to resolve billing issues.
• Assist with revenue collection by monitoring AR and billing functions as needed.
• Ensure compliance with HIPAA and protect patient information.

Skills

Leadership

Communication

Financial analysis

Team management

Deadline oriented

Education

Bachelor's degree in Finance/Healthcare Administration

Tools

EMR systems

HCHB

NetSuite

Job description

Job Details: Job Location: Administration - Mendota Heights, MN, Position Type: Full Time, Salary Range: Undisclosed, Work Where You Matter!

At St. Croix Hospice we guide patients and families through the end-of-life journey. Through compassionate care, we focus on our patient’s quality of life, empowering them to make the most of their time with dignity, comfort and respect. If you are ready to be part of an extraordinary team of caregivers, then come work where you matter.

Medicaid Accounts Receivable Manager

Position Overview

Essential Functions and Skills

Responsibilities

• Collaborates with the Director of Revenue Cycle Management to develop strategies to maximize efficiency and performance.
• Ensures compliance with all AR department policies and procedures.
• Provides leadership, support, training and guidance to the Medicaid A/R team.
• Develop and implement processes to improve revenue collection and financial reporting.
• Prepare monthly billing and account receivable reports.
• Monitor AR aging reports, analyzing trends in collection effectiveness, billing errors, and denial patterns to identify areas for improvement.
• Maintains complete and accurate billing and accounts receivable records.
• Oversee month end close and year end closing processes for the Medicaid billing team.
• Collaborate with internal and external stakeholders to resolve billing issues and streamline processes.
• Assists with revenue collection by monitoring accounts receivables and performing billing functions as necessary.
• Ensure compliance with all federal and state regulations governing Medicare and Medicaid billing for hospice care, including timely submission and correction of claims.
• Perform special projects as needed.
• Responsible for maintaining compliance with all HIPAA regulations and requirements. Treats all patient information as confidential and utilizes protected health information on a minimum necessary basis.
• Performs other duties as assigned.

Qualifications: Requirements/Qualifications

• Bachelor’s degree in Finance, Healthcare Administration, Business or related field (preferred).
• 5+ years of dedicated Hospice billing, collections, and reporting (preferred).
• 5+ years of Accounts Receivable team management (preferred).
• Strong knowledge of Medicaid hospice reimbursement rules, eligibility, and compliance standards (preferred)
• Knowledge of Long Term Care Medicaid Room and Board reimbursement processes (preferred)
• Ability to pass DHS background study

Knowledge, Skills, Abilities

• Proficiency in Microsoft Office (Word, Excel, PowerPoint)
• Demonstrated leadership and team management skills.
• Ability to communicate effectively, both written and verbally, with internal and external stakeholders
• Ability to analyze financial data and provide insights and recommendations
• Proficiency with EMR and billing systems (e.g., HCHB, NetSuite, or similar hospice/home health billing software)
• Ability to meet deadlines and work well under pressure
• Proficient in the English language. Able to read, speak, and write English in a clear and concise manner required.

Physical Requirements

• Prolonged periods sitting at a desk and working on a computer.
• Pushing/Pulling and Lifting/carrying up to 10 pounds.

The annual salary range for this role is $95,000-$115,000/annually. An employee’s actual annual salary will be based on but not limited to: geographic location, relevant education, applicable certifications, depth of experience, and special skillsets.

The total compensation package for this position may also include the opportunity to participate in employee benefits

• medical/dental/vision/pet insurance
• disability and life insurance
• paid time off
• 401(k) retirement plans

subject to applicable plan terms, and/or eligibility for other compensation.