Introduction:
HCF believes each employee makes a significant contribution to the quality of life of our residents and the success of the organization. Employee contributions are not limited by assigned job responsibilities. Therefore, this job description is designed to outline essential functions, qualifications and job scope, but not limit the employee to the responsibilities identified. It is HCF’s expectation that each individual will be flexible in offering their services to ensure the highest quality care to our residents.
Position Summary:
Responsible for billing and collection of claims and monitoring adherence to HCF’s policies and procedures.
Essential Functions:
- Since HCF exists to care for our residents; regular attendance and punctuality are essential to provide quality care and service
- Leadership ability to take action and achieve results through others
- Commitment to HCF mission, values, philosophy, and Service Excellence Initiative
- Must be able to complete performance requirements independently while using good judgment as well as have the ability to harmoniously work with others
- Must be able to take direction and assume responsibility as necessary and initiate appropriate action
- Must be able to read, write and understand the English language
Position Responsibilities:
- Ensure proper billing/collection procedures and processes are implemented and followed for all assigned care communities
- Prepare monthly billing of claims for Medicare, Managed Care and 3rd party insurance in a timely manner so as to meet all deadlines
- Review and monitor all claims and provide all necessary follow-up for collection of claims.
- Supervise, manage and monitor all related billing and A/R business office activity in assigned care communities
- Assist assigned care communities with billing, difficult accounts, collections and other A/R related issues or concerns
- Maintain thorough understanding of Medicare, Medicaid, primary and 3rd party insurance reimbursement practices
- Follow HCF Policies and Procedures
- Perform other duties as assigned
Knowledge, Skills and Abilities:
Must hold an Associate’s Degree in Business, Accounting, or a related discipline and/or have previous Accounts Receivable experience in long-term care or a related medical field. A thorough understanding of accounts receivable processes and strong organizational, computer, and time management skills are required.