1+ months

LTC Account Associate

CentraState Healthcare System
Freehold, NJ 07728

Overview

The LTC Account Associate maintains, prepares and processes billing records and bills for CentraState Healthcare System affiliates.

Responsibilities

  • Prepares and submits bills according to individual payor requirements.
  • Reviews appropriate literature in order to stay informed of issues and developments in the field.
  • Makes suggestions for software improvements.
  • Reviews system generated data for accuracy and makes corrections as needed.
  • Maintains accurate records of dollars and accounts billed by payor.
  • Provides additional information requested by payors including Medical Records, Medicaid claim correction forms and claim adjustment forms.
  • Posts allowances or adjustments to accounts according to payor contracts and/or System policy.
  • Prepares monthly statements for resident/resident payment balances.
  • Prepares accurate bank deposits for Personal Needs Accounts.
  • Sends adjusted bills with balance due to responsible payor or patient/resident as appropriate, following established procedure.
  • Manages PNA in accordance with the Medicaid waiver program requirements.
  • Maintains a cash receipts journal for all cash deposits.
  • Brings unresolved issues to the attention of the Supervisor or Administrator.
  • Investigates and responds to patient billing questions received by mail, phone, or in person in a timely manner.
  • Demonstrates compassion and understanding when communicating with residents and/or family members.
  • Identifies and records software or hardware problems and contacts the vendor for resolution.
  • Maintains detailed daily facility census activity data and submits to appropriate regulatory agencies and facility staff.
  • Reviews charges for reasonableness and researches questionable or late charges with appropriate departments.
  • Prepares accurate reports and statistics as assigned by Coordinator.
  • Coordinates, locates and organizes accounts and other documentation for internal, payor and other audits as requested.
  • Maintains a resident file for resident billing purposes.
  • Monitors accounts and Accounts Receivable reports to identify accounts which require follow-up, adjustment, rebilling, refund, etc and perform indicated duties.
  • Actively participates in the collection of delinquent resident accounts by making phone calls, sending notices, etc.
  • Advises Resident A/R-Supervisor of delinquent accounts promptly.
  • Identifies resident balances which are eligible for placement with an attorney or collection agency and provides documentation to Resident A/R Supervisor.
  • Provides information to residents and/or responsible party regarding Medicaid waiver program information and low and moderate income housing requirements.
  • Communicates with regulatory agencies to effectuate prompt Medicaid enrollment.
  • Notifies appropriate parties as changes related to Medicaid eligibility occur; including income changes and verification of information.
  • Posts routine and exceptional charges based on information provided by clinical staff and outside vendors promptly and accurately.

Qualifications

Education:

  • High School Diploma or Equivalent

Work Experience:

  • Sub-Acute/Long-Term Care Experience

Required Knowledge and Skills:

  • Medical and long term care/sub-acute billing experience preferred. Ability to work with figures accurately and PC experience required. Strong customer service skills.

 

Physical Demands

Exposure:

  • No expected exposure to blood and/or body fluids

Physical Demands:

Sitting

Standing/Walking Rarely

Kneeling/Stooping Rarely

Bending/Climbing Rarely

Reaching above shoulder, at waist or below waist Rarely

Lifting/Pushing or Pulling up to 40 pounds

Lifting/Pushing or Pulling over 40 pounds

Typing/Filing

 

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Categories

Posted: 2021-01-27 Expires: 2021-05-28

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LTC Account Associate

CentraState Healthcare System
Freehold, NJ 07728

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