LTC Finance Supervisor

JOB SUMMARY

The LTC Finance Supervisor oversees the business office related staff, coordinates and assures that all required resident information is obtained in order to expedite reimbursement for charges and expenses. Work is performed in accordance with Federal, state and local standards, guidelines and regulations that govern long-term care facilities, and under the supervision of the Dir Rev & Rev Analysis.

ESSENTIAL FUNCTIONS

• Supervises the work of subordinate staff, through assignment of work, establishment of priorities, approval of leave requests, and the completion of performance appraisals.
• Assures that all required resident data and information is gathered and input into PCC in order to expedite the reimbursement of expenses and charges from Medicare, Medicaid, and third-party insurers.
• Interviews residents and family members to obtain needed information and to explain billing processes, procedures and provide information on policies, regulations, and accounts maintained.
• Responds to residents’ and family members’ questions and inquiries on billing, payment or account issues.
• Oversees and monitors the preparation of all receipts for resident income sources.
• Applies as payee on behalf of incapable residents’ government income or pension checks and provides an annual audit to the government body.
• Determines and maintains information on bed availability for admission purposes.
• Oversees and monitors final preparation of daily and monthly census, assuring information is timely and accurate.
• Organize the month end closing process of the billing cycle.
• Assures that accurate and timely fiscal reports are provided to the fiscal department.
• Participates with admission team to review potential new residents. Responsible for handling financial inquiries from perspective residents and families.
• Reviews accounts receivable to identify at risk aged accounts and take remedial action to follow up in an effort to collect funds. Participate in monthly accounts receivable and follow up collection meetings.
• Perform collection procedures on past due accounts, in conjunction with billers and supervisor.
• Review accounts receivable aging report with the facility administrators monthly.
• Review closed accounts, make necessary adjustments, and create payment vouchers.
• Oversees the review and reconciliation of all batch control logs, edits and equivalencies.
• Participates with nursing and therapy staff on resident care needs and completion of MDS forms.
• Assures that residents receive funds as requested and in accordance with state and Federal requirements, reconciles all resident fund accounts properly and in a timely manner, and maintains and controls resident fund petty cash. Responsible for updating the RFMS system.
• Oversees and monitors the preparation of MA applications, and the appeal/resubmission of rejected applications.
• Recalculates residents’ patient pay amount, by adjusting for health insurance premiums and other medical expenses as needed.
• Maintains all PA 162s (initial, COLAs, and changes), verification of insurance premium deductions, guardianships, and any other deduction. All documents scanned into PCC.
• Assists and provides information to third party auditors and survey staff. Responds to all financial claim requests from DHS/CHCs, Medicare ADR requests (i.e. Targeted Probe and Educate, etc.) and Managed Care claim and medical record reviews.
• Performs related duties and tasks as required and directed by the Dir Rev & Rev Analysis.

QUALIFICATIONS

Education

• Associate’s degree in accounting or business related is field preferred. Experience in lieu of a degree may be accepted

Work Experience

• Currently in billing position role with 4 years SNF specific billing experience in PA.
• 4 years of experience in SNF Medicare and Medicaid billing required with knowledge of LTC billing regulations for Medicare and Medicaid.
• 1 year prior supervisory experience is preferred
• PointClick Care (PCC) of direct billing in software system.
• Experience with utilizing clearinghouses (Quadax preferred).
• Experience using the Medicare system for billing and the ability to interpret reports and remits.
• Knowledge and experience using Medicaid systems and websites.
• Working knowledge of SNF billing and collections.
• Position subject to Criminal Background Investigation.

Licenses / Certifications

• N/A

GOOD SHEPHERD'S UNIVERSAL FLU PROGRAM

As a health-care provider, we have a professional and ethical obligation to protect our patients and residents from developing further complications.

GOOD SHEPHERD'S UNIVERSAL FLU PROGRAM

To protect our patients and residents, Good Shepherd requires influenza (flu) vaccinations for all Associates, licensed independent practitioners, contracted, agency and temporary employees, students and volunteers.

***Important Note: Good Shepherd Penn Partners is a drug and tobacco free work environment. As a result, candidates selected for employment may be subject to a drug screen test. Good Shepherd Penn Partners does require the COVID vaccination for all employees.***

Good Shepherd is an Equal Employment Opportunity employer and does not discriminate in its hiring or employment practices. All qualified applicants will receive consideration without regard to their race, color, creed, religion, national origin, age, disability, sex, sexual orientation, veteran status or any other characteristic protected by State or Federal law.