AR Analyst (64853)

Job Details

Description

The essential functions for the AR Analyst is to bill required claims within manner, filling, and ensuring that payments are received.

Each AR Analyst has a monthly goal to meet.

The AR Analyst is responsible for :

• Bi-Weekly Medicaid Billing set deadlines by CBO AR Manager for assigned facilities.
• Working Claims Rejections and Denials in a timely manner and within the parameters set forth by CBO AR Manager.
• MCO and MCD Held Claims daily follow up and documentation until claims release.
• Claims follow up until payment date is assigned on all claims for assigned facilities.
• MCO and MCD Daily Cash Posting for MCO and MCD deposits within 24 hours of receipt.
• Reconciling cash monthly for MCO and Medicaid payers (cash logs to be reconciled with check registers to verify all payments have been posted for month).
• Aging Review along with PCC top 5 reports and Clean Up for assigned facilities. This includes reclassing and census line corrections as identified during such reviews.
• Appeals and reconsiderations for each resident in MCD or MCO payers for facilities assigned.
• Medicaid Coinsurance billing as required by either BOM notification via email (within 24 hours of receipt) or by aging review once Medicare claim has paid date.
• Reporting issues with specific payers to CBO AR Manager so that complaints are addressed timely and with the appropriate State departments as the need arises.
• Effective communication from central billing office to field staff and facility staff to facilitate prompt and clean claims submission for facilities assigned.
• Keeping accurate and up to date billing notes in PCC for all accounts worked in MCO and Medicaid Payers.
• Bad Debt completion on Past Filing Deadline receivables if required due to failure to reclass and bill timely or failure to submit clean claim within billing time frames as prescribed by each MCO or MCD payer.
• Review of all Medicaid residents’ MESAV to show service authorization, eligibility, level of service, applied income and MCO payer type if applicable in order to bill claims.
• Assisting Business Office Managers by submitting service authorization (3618 / 3619 forms) as needed.
• Communication with Medicaid Case Workers by Case Status Reports on missing or invalid information regarding residents’ Medicaid eligibility.
• Accurate set up of Medicaid payer trees along with applied income and level of service (RUG) in PCC on each Medicaid resident.
• Billing approved durable medical equipment to TMHP and submitting refunds to the DME provider once payment is received, including PASRR approved therapy charges.
• Maintaining company collection goals and provide reasons for not meeting collections.
• Participate in monthly aging reviews with Business Office Manager, Regional Accounts Receivable Manager, Administrator, Regional Vice President of Operations, Vice President of Accounts Receivable, Chief Financial Officer and Chief Executive Officer.
• Ability to maintain proper time and attendance along with possessing a positive attitude and productive work environment
• Any other assigned functions as needed by the department as deemed necessary by CBO AR Manager.

Qualifications

Qualifications :

• 2 years minimum Medicaid Skilled Nursing Billing Experience is required.
• Ability to work well with others as a team and have strong customer service and communication skills is required.
• High School diploma required.
• Associate’s Degree preferred.
• Point Click Care Software experience is preferred.
• Simple LTC software experience is preferred.

Schedule :

Full- Time status Monday Friday 8 : 00 am 5 : 00 pm

Location :

Corporate billing office is located in Victoria, Texas for training purposes then will transition to a hybrid remote schedule with potential to be fully remote.