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Accounts Receivable Specialist

Company: Bon Secours Mercy Health
Location: Saint Petersburg
Posted on: March 24, 2020

Job Description:

Thank you for considering a career at Bon Secours!Primary Function/General Purpose of PositionPerforms a wide range of functions including but not limited to facility census, billing, collections, accounts receivable and cash posting for Maria Manor. Provides monitoring and oversight for the accuracy and completion of the Medicaid application process and personal fund accounting. Works to ensure the timely and accurate reimbursement for services provided to residents of the facility. Supports the overall operation and efficiency of the Business Office and works closely with resident responsible parties, Florida Medicaid Case Workers, the Resident/Registrant Accounts Coordinator, nursing, rehab and the facility Bookkeepers at the CHE Shared Service Center.Employment Qualifications

  • Work requires a high school diploma or equivalent. Three years of facility Business Office experience required.
  • Work requires the ability to gather, interpret and analyze data.
  • Must possess ability to communicate effectively and a respect for confidentially.Essential Job Functions
    • Responsible for overseeing all aspects of the census process for all facility residents including the verification of all payer types upon admission. Maintains the census database in the Point Click Care Software System and is responsible for the complete and accurate detailed information on all admissions, discharges and census changes to provide for accurate, timely billing and reimbursement. Ensures the accurate maintenance of a manual census and reports all census changes to the Central Business Office on a daily basis. Ties out the manual census to Point Click Care at month end.
    • Receiving all cash payments and recording the cash payments in accordance with established Business Office policies and procedures. Maintains accurate records of cash receipts. Responsible for the accurate and timely cash posting in the Point Click Care Software System for Self-Pay, Patient Liability and Medicaid accounts. Researches credits, writes up refund requests and submits them for payment to in a timely fashion.
    • Oversees the Maintaining of the residents personal needs account in accordance with Federal, State and organizational regulations, to ensure proper handling of the residents personal funds. This includes maintaining petty cash, providing banking hours, paying bills on behalf of residents when requested, posting charges to accounts timely, sending statements of account to residents and/or responsible parties on a quarterly basis and balancing and reconciling bank statements on a monthly basis.
    • Oversees the billing and collection of all Self-Pay accounts (including coinsurance) and Patient Liability Amounts. This includes, but is not limited to, printing, reviewing and mailing statements, follow-up telephone calls and letters, meeting with families and maintaining a record of all collection efforts. When appropriate position may be required to take accounts to small claims court, pursue guardianship or work with facilities legal counsel to resolve unpaid balances.
    • Oversees the tracking of all residents who are Pending Medicaid. This includes notifying the responsible party of the Patient Pay Amount due per month and the amount that will be owed if Medicaid is not granted, working with the responsible party, Florida Medicaid Caseworker and facility Social Worker to ensure that all documentation is submitted to the state in a timely fashion. A written record of actions taken will be kept.
    • Ensures the timely notification to the appropriate Florida Medicaid office upon admission, discharge or conversion of residents. Coordinates with Social Services and Admissions to ensure accurate and timely processing of payment source changes.
    • Bills Florida Medicaid by the second working day of the month and reviews Florida Medicaid Remittance Advices for variances or denial codes and takes the appropriate corrective action. Maintains the Point Click Care Software System with updated Patient Liability Amounts and is responsible to contact Florida Medicaid with any income changes or discrepancies.
    • Processing Medicaid Redeterminations for Maria Manor residents.
    • Being responsible for overseeing the accurate insurance verification information on all residents. Uses FISS DDE and the Florida Medicaid online system to verify that benefits are available and shares information with other staff as well as enters all updated information into the Point Click Care Software System. Works with Nursing and Rehab to ensure that the required Medicare information for billing is timely and accurate.
    • Tracks Medicare eligibility status and benefit periods. Keeps a calendar of the PPS Schedule. Monitors facility Medicare Notices of Non Coverage for accuracy and keeps copies in the Patient Financial Folders. Attends facility weekly Medicare Meetings and monthly Triple Check Meetings.
    • Completing any reports required by vendors to ensure they have accurate resident information. Provides cost reporting data to the Reimbursement Department.
    • Maintaining an up-to-date filing system for cash receipts, accounts receivable, residents financial information and personal needs funds to ensure ready-access to needed information.
    • Maintaining a close working relationship with the facility Accounts Receivable Bookkeeper to resolve census and/or billing problems. Participates in regularly scheduled AR Meetings, Weekly facility Medicare Meetings and monthly Medicare Triple Check Meetings.Bon Secours is an equal opportunity employer.Well also reward your hard work with:
      • Comprehensive, affordable medical, dental and vision plans
      • Prescription drug coverage
      • Flexible spending accounts
      • Life insurance w/AD&D
      • An employer-matched 403(b) for those who qualify
      • Paid time off
      • Educational Assistance
      • And much moreS cheduled Weekly Hours:40Work Shift:Days (United States of America)Department:Central Business Office - Maria Manor Nursing Care CenterAll applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If youd like to view a copy of the affirmative action plan or policy statement for Mercy Health Youngstown, Ohio or Bon Secours Ashland, Kentucky, which are Affirmative Action and Equal Opportunity Employers, please email If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at .

Keywords: Bon Secours Mercy Health, St. Petersburg , Accounts Receivable Specialist, Other , Saint Petersburg, Florida

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