Job Description
job summary:
Under the direction of the SVP Revenue Management, the Accounts Receivable Biller is delegated the administrative authority, responsibility
and accountability necessary to carry out assigned duties. The primary result of this position is accurately billing and timely collecting of all
funds while meeting facility goals, and maintaining highest ethical standards.
Background in billing in a Skilled Nursing Facility (SNF), knowledge of Medicare/Medicaid, Managed Care
billing processes. Accurate keyboarding, calculating and computer ability is necessary.
location: Montebello, California
job type: Permanent
salary: $73,000 - 94,000 per year
work hours: 9 to 5
education: Associate's degree
experience: 3 Years
responsibilities:
- Submit claims accurately and timely, according to each payer type per assigned entity/center or facility.
- Confirm that each billing has been received. Confirmation method varies with payer type, but may include confirming on-line,
via phone, submitting emails to further investigate to ensure payment is received for all lines of business per aging report.
- Ensure verification of payment status to resolve every balance according to each entity aging report. Every account should be
resolved by either a corrected claim submission, appeal, approved adjustments and/or refund or write-off.
- Consult with BOM/BOA regarding daily census management, bank deposits, authorizations to determine and verify patient status
period, patient file maintenance and statements. Ensure proper communication on all items in the business office that contribute to
100% collections efforts.
- Help monitors TAR/CCI file, monthly reauthorization TARs to facility; maintain unbilled list; record receipt of Medicaid certs.
Monitor for receipt of timely approvals and eligibility.
2
- Complete Facility AR Billing and Follow ups Schedule (Weekly MCAL, Bi -monthly CCI, Monthly MRA/HMO)
- Census Management: Cross Check UB04 Authorizations, payer portal, Tracking logs before billing.
- Cash Management: Posting of Cash, Reconciling Cash, updating Cash Log; (EFTs MRA, CCI, HMO Payers)
- Facility Billing (Review Batch according to Health Plan/Medicare and Medicaid rules, Send claims by mail or electronically)
- AR Management; Review of Aging; Medicare A/B, MCAL, Managed MCAL, HMO, Co-insurance etc. monthly
- Refunds/Write-Off Management
-
- Month-End Process: Verifying ancillaries; Balance of Cash; verify Level of Care; Verify RUGs & DX, auth's etc.
- Acquisitions/Special Projects
- Handle completion of required procedures for end of month billing
qualifications:
- Submit claims accurately and timely, according to each payer type per assigned entity/center or facility.
- Confirm that each billing has been received. Confirmation method varies with payer type, but may include confirming on-line,
via phone, submitting emails to further investigate to ensure payment is received for all lines of business per aging report.
- Ensure verification of payment status to resolve every balance according to each entity aging report. Every account should be
resolved by either a corrected claim submission, appeal, approved adjustments and/or refund or write-off.
- Consult with BOM/BOA regarding daily census management, bank deposits, authorizations to determine and verify patient status
period, patient file maintenance and statements. Ensure proper communication on all items in the business office that contribute to
100% collections efforts.
- Help monitors TAR/CCI file, monthly reauthorization TARs to facility; maintain unbilled list; record receipt of Medicaid certs.
Monitor for receipt of timely approvals and eligibility.
2
- Complete Facility AR Billing and Follow ups Schedule (Weekly MCAL, Bi -monthly CCI, Monthly MRA/HMO)
- Census Management: Cross Check UB04 Authorizations, payer portal, Tracking logs before billing.
- Cash Management: Posting of Cash, Reconciling Cash, updating Cash Log; (EFTs MRA, CCI, HMO Payers)
- Facility Billing (Review Batch according to Health Plan/Medicare and Medicaid rules, Send claims by mail or electronically)
- AR Management; Review of Aging; Medicare A/B, MCAL, Managed MCAL, HMO, Co-insurance etc. monthly
- Refunds/Write-Off Management
-
- Month-End Process: Verifying ancillaries; Balance of Cash; verify Level of Care; Verify RUGs & DX, auth's etc.
- Acquisitions/Special Projects
- Handle completion of required procedures for end of month billing
- Demonstrate knowledge of, and respect for, the rights, dignity and individuality of each resident in all interactions
- Appreciates the importance of maintaining confidentiality of resident and facility information
- Demonstrate honesty and integrity at all times in billing and in care and use of resident and facility property Strict
adherence to the Corporate Compliance Program and Standard of Conduct
- Able to understand and to follow written and/or verbal directions. Able to express self adequately in oral and/or written
communication. Able to communicate effectively with staff members, vendors and agencies. Demonstrates ability to prioritize
tasks/responsibilities and complete duties/projects within allotted time
- Ability to follow through and complete tasks with minimum supervision
Encourage teamwork through cooperative interactions with co-workers and departments. Support a positive and professional
image through actions and attire
Able to respond to change productively and to handle additional tasks/projects as assigned
- Able to carry out the essential functions of this job (with or without reasonable accommodation) without posing specific, current
risk of substantial harm to health and safety of self and others
skills: Medicare/Medicaid, $0-50 million, $1 - 2 billion
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact
[email protected].
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including: medical, prescription, dental, vision, AD&D, and life insurance offerings, short-term disability, and a 401K plan (all benefits are based on eligibility).
This posting is open for thirty (30) days.
Qualified applicants in San Francisco with criminal histories will be considered for employment in accordance with the San Francisco Fair Chance Ordinance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with the Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.
We will consider for employment all qualified Applicants, including those with criminal histories, in a manner consistent with the requirements of applicable state and local laws, including the City of Los Angeles' Fair Chance Initiative for Hiring Ordinance.
Job Tags
Permanent employment, Temporary work, Work experience placement, Local area