CentraState Healthcare System

LTC Account Associate

Posted Date 2 weeks ago(11/11/2021 8:13 AM)
ID
2021-11029
Position Type
Regular Part-Time
Location
CentraState Healthcare System
Shift
Day

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.

 

About Us

CentraState Healthcare System aims to enhance the health and well-being of our communities through the compassionate delivery of quality healthcare. We are confident that you will find success within CentraState Healthcare System, which is Magnet Recognized and was designation a Great Place to Work-Certified™ company by Great Place to Work®. When you bring your talent to CentraState, you are joining a trailblazing healthcare facility, committed to providing in high-quality, patient-focused care. Join us in making incredible strides in healthcare, and making a difference in our community.

 

We believe in enriching the lives of our employees through work/life balance initiatives, tuition assistance, career advancement opportunities and much more.

 

Find out why our employees love their jobs and being part of the CentraState family!

 

What We Offer:

  • Highly competitive compensation
  • Excellent benefits package and rewards program
  • Leading edge technology
  • Great staff-to-patient ratio’s
  • Career Development and Growth Opportunity
  • Tuition Reimbursement Program
  • Comprehensive Retirement / Savings Programs
  • Continuing Education / Onsite Training
  • A warm, welcoming company culture based upon mutual respect and a collaborative goal of providing excellent patient care
  • Profit Sharing Program
  • Concierge Services with Work & Family Benefits
  • Magnet recognized healthcare facility

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