Accounts Receivable - Medicare / Medicaid

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DEPARTMENT : Accounting

POSITION TITLE : Accounts Receivable – Medicaid, Medicare, Insurance, and Private Pay Billing

RESPONSIBLE TO : Controller

EXPOSURE LEVEL : Level III

GRADE : 16

EXEMPTION STATUS : Non-Exempt

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SUMMARY :

To provide effective, timely and quality financial service for St. John’s United. Responsible for the billing of Medicaid, Medicare, Insurance, and Private Pay residents. Monthly statements to be prepared both accurately and timely and receivables maintained in a current status. Daily contact with residents, families and administrative and support staff members. Work alongside other accounts receivable and business office staff.

ESSENTIAL JOB FUNCTION : Business office.

• Billing for Medicaid, Medicare, Insurance, and private pay residents.
• Follow-up on status of Medicaid applications and renewals.
• Initiate weekly Medicaid updates with social workers.
• Provide representative payee reports for Medicaid patients as required.
• Bill flu shots and other vaccines for all campus residents.
• Manage audits (e.g. Medicare Advantage) by working with Medical Records and nurses to supply the necessary information.
• Prepare Resident Trust statements and reconcile Trust bank statements.
• Post charges and cash receipts for accounts receivable.
• Review and follow up on accounts receivable each month and prepare refund checks.
• Cross-train as necessary into other work areas as required allowing adequate backup in department and perform other duties as assigned.
• Assist with walk-in traffic in the Business Office.
• Answer billing questions from residents and families.
• Assist with distributing monthly statements to residents and families.
• Ability to satisfy multiple target dates with adequate completion of work assignments.

ESSENTIAL JOB FUNCTION : Mission / Customer Service

Supports the growth and actively engages in the Eden Alternative philosophy, including a work environment with plants and animals.

Follows the St. John’s Guidelines for Customer Service

ESSENTIAL JOB FUNCTION : Safety & Employee Responsibilities

A primary goal for employees is to return home at the end of a day healthy and injury free. An “it starts with me” attitude is important for this to happen. Employees of St. John’s United are expected to :

Requirements

REQUIREMENTS :

Minimum Requirements : Knowledge and skills acquired through completion of high school. Understanding of basic accounting concepts. Previous healthcare knowledge of Medicaid, Medicare, and insurance billing is preferred. Two years of experience working in an accounting position is preferred.

Knowledge, skills, and abilities required :

PHYSICAL DEMANDS :

WORKING CONDITIONS :

The examples of essential job functions identify the major duties and requirements for the performance of this job and do not identify all duties, responsibilities and requirements performed by positions in this class.