What are the responsibilities and job description for the Lead LTC Account Associate position at CentraState Healthcare System?
Overview
The Lead Long Term Care Account Associate maintains, prepares and processes billing records and bills for CentraState Healthcare System affiliates.
Responsibilities
- Prepares and submits bills according to individual payor requirements.
- Reviews appropriate literature in order to stay informed of issues and developments in the field.
- Makes suggestions for software improvements.
- Reviews system generated data for accuracy and makes corrections as needed.
- Maintains accurate records of dollars and accounts billed by payor.
- Provides additional information requested by payors including Medical Records, Medicaid claim correction forms and claim adjustment forms.
- Posts allowances or adjustments to accounts according to payor contracts and/or System policy.
- Prepares monthly statements for resident/resident payment balances.
- Prepares accurate bank deposits for Personal Needs Accounts.
- Sends adjusted bills with balance due to responsible payor or patient/resident as appropriate, following established procedure.
- Manages PNA in accordance with the Medicaid waiver program requirements.
- Maintains a cash receipts journal for all cash deposits.
- Brings unresolved issues to the attention of the Supervisor or Administrator.
- Investigates and responds to patient billing questions received by mail, phone, or in person in a timely manner.
- Demonstrates compassion and understanding when communicating with residents and/or family members.
- Identifies and records software or hardware problems and contacts the vendor for resolution.
- Maintains detailed daily facility census activity data and submits to appropriate regulatory agencies and facility staff.
- Reviews charges for reasonableness and researches questionable or late charges with appropriate departments.
- Prepares accurate reports and statistics as assigned by Coordinator.
- Coordinates, locates and organizes accounts and other documentation for internal, payor and other audits as requested.
- Maintains a resident file for resident billing purposes.
- Monitors accounts and Accounts Receivable reports to identify accounts which require follow-up, adjustment, rebilling, refund, etc and perform indicated duties.
- Actively participates in the collection of delinquent resident accounts by making phone calls, sending notices, etc.
- Advises Resident A/R-Supervisor of delinquent accounts promptly.
- Identifies resident balances which are eligible for placement with an attorney or collection agency and provides documentation to Resident A/R Supervisor.
- Provides information to residents and/or responsible party regarding Medicaid waiver program information and low and moderate income housing requirements.
- Communicates with regulatory agencies to effectuate prompt Medicaid enrollment.
- Notifies appropriate parties as changes related to Medicaid eligibility occur; including income changes and verification of information.
- Posts routine and exceptional charges based on information provided by clinical staff and outside vendors promptly and accurately.
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Qualifications
- High School Diploma or Equivalent
- Two years experience in medical billing required.
- Pevious Sub-Acute/Long-Term Care Experience Billing experience preferred
- Knowledge of medical terminology
- Ability to work with figures accurately and PC experience required.
- Strong customer service skills.
About Us
CentraState Healthcare System, a partner of Atlantic Health System, is a fully accredited, not-for-profit, community-based health system that provides comprehensive health services in the central New Jersey region. In addition to offering a full range of leading-edge diagnostic and treatment options, CentraState serves as a valuable health partner focused on the latest ways to prevent disease, promote healthy behaviors, and help people of all ages live life well. Based in Freehold, CentraState is comprised of a 284-bed acute-care hospital, a vibrant health and wellness campus, two award-winning senior living communities, a charitable foundation, and convenient satellite health pavilions offering primary care and specialty physician practices, along with access to outpatient services, such as lab and physical therapy. The system also offers a family medicine residency and geriatric fellowship training program in affiliation with Rutgers Robert Wood Johnson Medical School. Among its many honors and accreditations, CentraState is one of less than two percent of hospitals nationwide to earn Magnet® designation for nursing excellence four times and was designated a Great Place to Work-Certified™ Company by Great Place to Work® for the fourth consecutive year.
When you bring your talent to CentraState, you are joining a trailblazing healthcare facility, committed to providing high-quality, patient-focused care. Join us in making incredible strides in health care, and making a difference in our community. We believe in enriching the lives of our employees through work/life balance initiatives, tuition assistance, career advancement opportunities and much more.
Find out why our employees love their jobs and being part of the CentraState family!
What We Offer:
- Highly competitive compensation
- Excellent benefits package and rewards program
- 403(b) retirement plan with company match
- 401(a) retirement plan with employer contribution
- Life Insurance
- Tuition Reimbursement Program
- Growth Opportunity and Workforce Development Initiatives
- Continuing Education / Onsite Training
- A warm, welcoming company culture based upon mutual respect and a collaborative goal of providing excellent patient care
- Concierge Services with Work & Family Benefits
- Magnet recognized healthcare facility
