Job Description
Position Summary
The Accounts Receivable Manager will oversee all claims billing functions, electronically or otherwise, to various funding sources including Medicare, Medicare PPS, Medicaid/AHCCS and Commercial insurances. The AR Manager acts as the lead liaison with the Home Health/Home Care clinical staff and the Accounting/finance departments. Must have advanced proficiency with Home Health/Home Care provider services, PPS billing procedures and coding. The position will provide on-the-job training and development of one or more direct reports.
Essential Functions: % of Time
• Daily management of the accounts receivable functions to include billing and collection
• Monitor the AR aging reports and work with respective management and communities for timely collection of receivables
• Oversees the preparation and submission of billings and claims processing for all payers
• Oversees daily verification of eligibility, benefits, and diagnosis coding
• Provides training and assistance to Clinical staff as necessary
• Oversees and monitors clinical data entry for accuracy
• Oversees posting of EOB's and Remittance Advices and reconciliation of EFT/ERA's to billing reports
• Preparation/development of policies and procedures manuals for each payer billing process
• Provide documentation and spreadsheets or other reports to auditors and assist with annual budget process and variance reporting
• Oversee maintenance of current contracts and any amendments for each payer source; communicate regularly with clinical, billing and management staff as needed
• Responsible for creating receivables aging and bad debt collection tracking report
• Responsible for payer websites and user administration and maintenance
• Responsible for oversight of annual audit requirements for billing
• Maintains client confidentiality and compliance with HIPPA requirements
• Prepares miscellaneous reports and schedules or performs other tasks as requested
• Works with accountants to ensure that the AR subledgers are balanced and agree to the general ledger
• Ensures that accurate and timely information is provided for monthly and year-end accounting
90%
Supervisory Requirements:
• Assigns, plans, and oversees the work of departmental staff
• Hiring, training, and supervising of AR staff
• Conducts performance evaluations that are timely and constructive
• Oversees the development and growth of department staff
• Communication and enforcement of company policies
• Recognize and reward extraordinary performance
10%
Requirements
Minimum Required:
• Five years medical claims billing, coding and follow-up experience in a Home Health Agency including Medicare PPS, Medicaid, commercial and self-pay accounts
• Five years prior experience supervising billing staff including development of departmental goals, interviewing, hiring, training and staff development, retention planning and disciplinary action as necessary to meet departmental objectives
• Advanced knowledge of Home Health medical billing practices including Medicare PPS, procedure and diagnosis coding and regulatory mandates
• Advanced knowledge and experience with Electronic Billing, Electronic Remittances and Electronic Funds Transfer via online portals or clearing house
• Must be able to read and understand payer contracts and bill in accordance with payer requirements
• Ability to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately
• Ability to communicate clearly and concisely both verbally and in writing including the use of proper grammar, spelling, punctuation; ability to speak with patients, payers and co-workers in a helpful and customer service-oriented manner
• Ability to establish and maintain long-term patient, payer and inter-departmental/co-worker relationships, building trust and respect by consistently meeting and/or exceeding expectations
• Intermediate skill in the utilization of Microsoft Office including Excel and Word
• Ability to provide training and direction to billing and clinical staff with respect to all the above
• Must not have any restrictions for physical work for which reasonable accommodation cannot be made
Preferred:
• Associate Degree in accounting or related field.
• Documented coursework in bookkeeping, business and accounting
• Experience in Sandata software
• 6-10 years medical claims billing, coding and follow-up experience in a Home Health Agency including Medicare PPS, Medicaid, commercial and self-pay accounts
Abilities
• Able to comprehend, retain, and follow regulations and procedures relative to position
• Ability to understand and solve problems by applying intermediate analytical skills to include collecting all the relevant information and data needed to address the problem; organizing, classifying and synthesizing the data into fundamental issues; from the information, identifying the most probable causes of the problem; reducing the information down into manageable components; identifying the logical outcomes from the analyses of the data collected; and, identifying the options and solutions for addressing the problems analyzed.
• Willingness and ability to embody FSL's core values:
• Have passion for our mission
• Follow the golden rule
• Do the right thing
• Begin with a can-do attitude
• Find a better way
• Be your best
The Accounts Receivable Manager will oversee all claims billing functions, electronically or otherwise, to various funding sources including Medicare, Medicare PPS, Medicaid/AHCCS and Commercial insurances. The AR Manager acts as the lead liaison with the Home Health/Home Care clinical staff and the Accounting/finance departments. Must have advanced proficiency with Home Health/Home Care provider services, PPS billing procedures and coding. The position will provide on-the-job training and development of one or more direct reports.
Essential Functions: % of Time
• Daily management of the accounts receivable functions to include billing and collection
• Monitor the AR aging reports and work with respective management and communities for timely collection of receivables
• Oversees the preparation and submission of billings and claims processing for all payers
• Oversees daily verification of eligibility, benefits, and diagnosis coding
• Provides training and assistance to Clinical staff as necessary
• Oversees and monitors clinical data entry for accuracy
• Oversees posting of EOB's and Remittance Advices and reconciliation of EFT/ERA's to billing reports
• Preparation/development of policies and procedures manuals for each payer billing process
• Provide documentation and spreadsheets or other reports to auditors and assist with annual budget process and variance reporting
• Oversee maintenance of current contracts and any amendments for each payer source; communicate regularly with clinical, billing and management staff as needed
• Responsible for creating receivables aging and bad debt collection tracking report
• Responsible for payer websites and user administration and maintenance
• Responsible for oversight of annual audit requirements for billing
• Maintains client confidentiality and compliance with HIPPA requirements
• Prepares miscellaneous reports and schedules or performs other tasks as requested
• Works with accountants to ensure that the AR subledgers are balanced and agree to the general ledger
• Ensures that accurate and timely information is provided for monthly and year-end accounting
90%
Supervisory Requirements:
• Assigns, plans, and oversees the work of departmental staff
• Hiring, training, and supervising of AR staff
• Conducts performance evaluations that are timely and constructive
• Oversees the development and growth of department staff
• Communication and enforcement of company policies
• Recognize and reward extraordinary performance
10%
Requirements
Minimum Required:
• Five years medical claims billing, coding and follow-up experience in a Home Health Agency including Medicare PPS, Medicaid, commercial and self-pay accounts
• Five years prior experience supervising billing staff including development of departmental goals, interviewing, hiring, training and staff development, retention planning and disciplinary action as necessary to meet departmental objectives
• Advanced knowledge of Home Health medical billing practices including Medicare PPS, procedure and diagnosis coding and regulatory mandates
• Advanced knowledge and experience with Electronic Billing, Electronic Remittances and Electronic Funds Transfer via online portals or clearing house
• Must be able to read and understand payer contracts and bill in accordance with payer requirements
• Ability to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately
• Ability to communicate clearly and concisely both verbally and in writing including the use of proper grammar, spelling, punctuation; ability to speak with patients, payers and co-workers in a helpful and customer service-oriented manner
• Ability to establish and maintain long-term patient, payer and inter-departmental/co-worker relationships, building trust and respect by consistently meeting and/or exceeding expectations
• Intermediate skill in the utilization of Microsoft Office including Excel and Word
• Ability to provide training and direction to billing and clinical staff with respect to all the above
• Must not have any restrictions for physical work for which reasonable accommodation cannot be made
Preferred:
• Associate Degree in accounting or related field.
• Documented coursework in bookkeeping, business and accounting
• Experience in Sandata software
• 6-10 years medical claims billing, coding and follow-up experience in a Home Health Agency including Medicare PPS, Medicaid, commercial and self-pay accounts
Abilities
• Able to comprehend, retain, and follow regulations and procedures relative to position
• Ability to understand and solve problems by applying intermediate analytical skills to include collecting all the relevant information and data needed to address the problem; organizing, classifying and synthesizing the data into fundamental issues; from the information, identifying the most probable causes of the problem; reducing the information down into manageable components; identifying the logical outcomes from the analyses of the data collected; and, identifying the options and solutions for addressing the problems analyzed.
• Willingness and ability to embody FSL's core values:
• Have passion for our mission
• Follow the golden rule
• Do the right thing
• Begin with a can-do attitude
• Find a better way
• Be your best
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