Revenue Cycle Coordinator - RHCF

Rome Health; City of Rome (NY); Vor Ort; USD 60.000 - 90.000; Vollzeit

Zusammenfassung

Rome Health is seeking a Revenue Cycle Coordinator to oversee the revenue cycle within the Residential Healthcare Facility (RHCF), covering admissions, billing and collections, and ensuring compliance for maximum reimbursement.

Responsibilities include financial approval of admissions under Medicare Part A, Medicaid, and commercial contracts, plus coordinating OCDSS paperwork, Rep Payee duties, and resident fund management in accordance with NYS and GAAP standards.

Qualifikationen

• Experience with SNF billing including Medicare/Medicaid and commercial insurance.
• Knowledge of Part A Consolidated Billing and related regulations.
• Ability to determine insurance eligibility for residents (Medicare/Medicaid HMOs, long-term care coverage).
• Solid understanding of GAAP and accounting functions for Resident Trust/Rep Payee.

Aufgaben

• Provide oversite of revenue cycle for admissions, billing, and collections.
• Provide financial approval of new RHCF admissions with reimbursement considerations.
• Coordinate with OCDSS for admission/discharge paperwork and case worker actions.
• Manage Rep Payee accounts and annual re-certifications.
• Notify staff about Medicare coverage status and NOMNC/ABN communications.
• Handle Resident Personal Funds Accounts and quarterly statements.

Kenntnisse

Billing experience

Financial analysis

Regulatory compliance

Communication

Ausbildung

Associates Degree Preferred

Some college in Accounting/Business/Health Services

Jobbeschreibung

Rome Health is seeking a Revenue Cycle Coordinator to provide oversite of the revenue cycle within the Residential Healthcare Facility (RHCF) as it relates to admissions, billing and collecting. They will also provide financial approval of all new admissions to the RHCF and ensure maximum reimbursement and appropriate compliance on all RHCF accounts. The Revenue Cycle Coordinator duties will also include:

Providing financial approval on all new admission to the RHCF based on reimbursement. Approval will be subject to Medicare regulations including Part A Consolidated Billing. Medicaid regulations with short term and long term skilled nursing facility care, as well as the facilities commercial insurance contracts.

Determining insurance eligibility for possible residents, including Medicare and Medicaid HMOs, secondary insurance and any long term care coverage.

Completing and submiting all OCDSS admission and discharge paperwork.

Assisting families with scheduling the completion of Medicaid application and Medicaid re-certification. Coordinates process with OCDSS case worker. This position completes the re-certifications annually for all residents that the facility is Representative Payee for.

Completing Social Security form to request to become Representative Payee for residents

Completing all Accounting function related to Rep Payee Accounts following NYS regulation and Generally Accepted Accounting Principle.

Reporting to Medicaid Inspector General all deceased PIA.

Assisting residents that are eligible for Veteran's benefits, complete the required forms and forward to the Veteran's Administration.

Completing temporary stay request documentation for all short term who are expecting to return home within 3 months.

Coordinating the notification to all pertinent staff regarding status of Medicare coverage and completed the Medicare NOMNC and ABN's . Also notifies pertinent staff regarding Medicare reconsiderations after a hospital stay.

Informing residents and/or responsible party via phone call and letter of expiration/discontinuation of Medicare benefits and explain their rights and responsibilities with regards to the expiration/discontinuation of Medicare benefits. Mails Expiration of Benefits letter to resident/responsible party per time frames specified by regulations.

Assisting with family questions regarding billing issues.

Coordinating pensions and resolves any issues related to annuities to ensure timely payment is made to facility.

Managing the Resident Personal Funds Accounts, this includes setting up, discontinuing and sending out statements quarterly.

Performing Accounting functions per General Accepted Accounting Principles in relation to the Personal Fund Accounts

Position Requirements:

EDUCATION: An Associates Degree Preferred or some college, with studies in Accounting, Business, Social Work or Health Service Management.

EXPERIENCE: Skilled Nursing Facility billing experience with Medicare, Medicaid, commercial insurances and State Agencies required.