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Accounts Receivable Billing Specialist

Company: Wesley Enhanced Living
Location: Warminster
Posted on: April 17, 2018

Job Description:

Overview Do you aspire to enhance the lives of others while enjoying a positive work environment? Wesley Enhanced Living (WEL) is dedicated to making a compelling difference in the lives of our residents through providing excellence and innovation in aging services. If you are looking for an inspiring and rewarding workplace, Wesley Enhanced Living is a great place to be! Wesley Enhanced Living is a retirement community providing Independent Living, Personal Care, and Skilled Nursing services to senior adults. We are seeking individuals whose values align with Wesley Enhanced Living---s values of Grace, Honor, and Integrity. Ideal candidates will be:

  • Kind and Compassionate
  • Honest and Trustworthy
  • Committed to Moral and Ethical Principles
  • Driven to Provide Enhanced Living to Our Residents Wesley Enhanced Living is working to set a new paradigm in aging services by always doing the right thing and we need YOU to help us discover new ways to achieve this goal. Discover the Art of Living and Working WEL Responsibilities The Accounts Receivable Billing Specialist is responsible for direct oversight of the accounts receivable function. Accounts Receivable Billing Specialist essential duties and responsibilities include, but are not limited to:
    • Daily Deposits
      • Responsible for the daily entry of deposits of all cash receipts of the facility
      • Completes reconciliation of posted cash between billing software and the bank at least twice per month (before mid-month billing and at the end of the month, at minimum)
      • Handle questions from WEL Billing and Finance departments concerning cash receipts
      • Billing
        • Verifies resident insurance coverage
        • Enters new residents and/or ensure payer set-up is accurate
        • Enter demographic changes to resident information into the billing system
        • Ensure benevolent care credits, rate incentives and move-in incentives are posted
        • Ancillary Charges
          • Responsible for the verification of appropriate charges and the data entry of ancillary charges into the billing system (x-ray, lab, pharmacy, therapy)
          • Ensure payer set-up is accurate and revenue books are accurate
          • Maintains files for supporting documentation including all charge sheets for the ancillary charges
          • Sends census to the pharmacy weekly
          • Private Pay Monthly Billing and Collection
            • Ensure ancillaries posted and coordinate bill run with the Facility Business Office Staff for IL/AL and SNF private billing
            • Tie with the Facility Business Office
            • Medicare & HMO Billing and Collection
              • Ensure payer set-up in billing software is accurate
              • Submit claims and ensure timely collection of primary, secondary and private co-pays
              • Coinsurance billing for Medicare A & B
              • Private collections
              • Medicaid Billing and Collection
                • Upon notification of MA application, contact POA/Guardian to review Medicaid requirements for resident income payments
                • Ensure payer set-up in billing software is accurate
                • Submit Medicaid claims and ensure timely collection of Medicaid Accounts Receivable through monthly electronic submission of claims, 180 paper claims and mid-month billing of new approvals
                • Resident Trust Funds
                  • Responsible for the timely and accurate data entry of resident fund activity
                    • Reconcile resident trust fund accounts with Finance Staff
                    • Monthly Financial Close
                      • Ensure all charges, cash and adjustments are posted
                      • Reconcile facility census to billing software and ensure room rates are recorded accurately
                      • Reconcile cash to the bank deposit report
                      • Reconcile exchange accounts so that they are balanced
                      • Reconcile bad debt write-offs
                      • Review revenue reconciliation prior to close to ensure that the rates are correct
                      • Close period upon Finance Department approval
                      • System Support
                        • Provide support to Facility Business Office staff for account review and account set-up and system functioning
                        • Attend monthly collections meeting
                        • Documentation
                          • Maintain resident financial files
                          • Other duties as assigned Qualifications Related Experience: Three plus years--- experience in Medical billing and collections, preferable in a long term care setting Education or Degree Requirements: High School Diploma Licenses, Certifications, Registrations: None Equal Opportunity Employer

                            Keywords: Wesley Enhanced Living, Philadelphia, Accounts Receivable Billing Specialist, Accounting, Auditing, Warminster, Pennsylvania

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