Coordinates the orderly processing of all third party claims in accordance with the policies and procedures of the nursing home and regulatory agencies. JOB RESPONSIBILITIES

• Verifies insurance, demographic and financial information supplied for potential residents for accuracy and completeness. Then makes recommendations on admissions and confirms that a viable pay source exists.
• Performs timely and accurate cash receipt and Ancillary Services posting to the Accounts Receivable system.Submits claims for third party insurance payers. Handles self pay billing in a timely and accurate manner.
• Maintain an accurate and current census within the Keane system.
• Promotes/portrays a high level of professionalism, both technically and personally. Possesses strong work ethic and exhibits optimism, adheres to the department dress code policy and maintains a professional appearance and positive attitude.
• Promotes positive relationships with support staff, residents and their families, clinicians, and the Department of Social Services. Communicates effectively within the department and keeps management informed on key issues.
• Conducts monthly AR meetings to review open balances and aged self pay and Medicaid pending accounts.
• Provide technical reimbursement research and assist in reimbursement analysis.
• Reviews the reasonableness and consistency of the statistics, investigate fluctuations. Maintains monthly/annual statistical information to be used for financial/cost reporting.
• Establishes and maintains private pay collection procedures. Identifies accounts for outside collection activity, interacts with attorneys on high profile accounts as needed.
• Recognizes when all charges and payments have been performed which allows the monthly financial close to occur.
• Performs other duties as assigned

• 2 to 5 yrs patient accounting experience

• High School diploma, some college (business administration, or equivalent experience

• Typing, data entry, mathematical skills, knowledge of computer systems and modern office equipment necessary. Medical terminology, coding medical insurance and familiarity with medical field essential.

About Us:

HealthAlliance Hospital

Benefits:

We offer a comprehensive compensation and benefits package that includes:

• Health Insurance
• Dental
• Vision
• Retirement Savings Plan
• Flexible Savings Account
• Paid Time Off
• Holidays
• Tuition Reimbursement