Revenue Cycle Specialist

CHI Living Communities; Perrysburg (OH); Sur place; USD 42 000 - 64 000; Plein temps

Résumé du poste

CHI Living Communities’ St. Clare Commons in Perrysburg, OH seeks a Revenue Cycle Specialist to manage patient billing and ensure accurate Medicare/Medicaid reimbursements.

You will verify admissions data, monitor billing activity, and coordinate with MDS to support coding and reimbursement. The role requires knowledge of medical billing practices, strong attention to detail, and the ability to meet close timelines.

Qualifications

• High School Diploma or equivalent.
• Knowledge of medical billing/collection practices and billing software.
• Regular attendance is an essential part of this job.

Responsabilités

• Verify admissions documentation and upload items to Point Click Care for billing.
• Follow up on Medicaid applications/benefits for residents.
• Monitor daily billing activity and ensure census data and charges are billed.
• Coordinate with the MDS to ensure documents support billing codes.
• Respond to third-party billing inquiries and manage private pay AR aging.
• Enter invoices into accounts payable to meet close timelines.

Connaissances

Medical billing

Billing software

Business office procedures

Formation

High School Diploma or equivalent

Outils

Point Click Care

Description du poste

In the rich St. Clare tradition of compassionate, quality care, St. Clare Commons is a residential and rehabilitation facility along with AL Memory care for the elderly and those in need of extensive rehabilitation services. In a compassionate environment, we provide care that enhances the person: mind, body, and spirit. Committed to working together, our service is characterized by mutual trust and respect, education and leadership, efficiency and service, and access and quality.

The Revenue Cycle Specialist is responsible for the management of the revenue cycle within the Skilled Nursing Facility. This role ensures the accuracy of patient financial data, oversees the billing process, minimizes claim denials, and ensures timely collections. This position bridges the gap between clinical documentation and financial reimbursement, ensuring that the facility is accurately compensated for the care provided under Medicare, Medicaid and insurance

Essential Job Specific Duties/Responsibilities

• Verifies completion of admissions documentation and ensure all the necessary items are uploaded to Point Click Care for billing.
• Follows up on Medicaid applications/benefits for residents.
• Maintains and tracks ancillary charges and submits to corporate timely to meet all close timelines.
• Monitor daily billing activity to ensure all census data and ancillary charges are captured and billed correctly.
• Involved in the triple check process by obtaining claims, attending meeting, and submitting approved claims to the third party billing company.
• Coordinate with the MDS Coordinator to ensure clinical documentation supports the billing codes submitted.
• Maintain the facility’s private pay AR aging reports; proactively identify and resolve outstanding balances using CHI Living Communities protocols.
• Respond timely to all third party billing companies follow up tasks relating to unpaid or denied claims
• Manage the resident trust fund and private pay billing statements as assigned.
• Act as a point of contact for families regarding billing inquiries, insurance coverage, and financial obligations.
• Ensures all invoices are entered into the accounts payable system in a timely manner to meet all close timelines.
• Understands and demonstrates knowledge of and respect for the rights, dignity, and individuality of residents in interactions.
• Demonstrates honesty and integrity in the care and use of resident and campus property.
• Satisfies all educational in-service requirements mandated by CHI Living Communities, the department, external accrediting, and regulatory agencies.

In addition to the essential job specific duties listed above, the Revenue Cycle Specialist shall be required to perform all duties (essential and non-essential) in a manner consistent with the mission and values (compassion, excellence, inclusion, integrity, collaboration) of CHI Living Communities and will be evaluated on such basis. Furthermore, every employee must abide by all campus, departmental, and safety policies, rules, and regulations.

CHI Living Communities has the right to change the job specific duties and specifications required for the position of Revenue Cycle Specialist from time to time without prior notice.

Job Requirements

• High School Diploma or equivalent
• Knowledge of medical billing/collection practices, computer programs used for billing, and business office procedures
• Regular attendance is an essential part of this job