What are the responsibilities and job description for the LONG TERM CARE PATIENT ACCOUNTS MANAGER- LONG TERM CARE FULL-TIME DAY 24216 position at New Jersey Division of Mental Health Services?
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We are dedicated to providing high-quality, compassionate care to our diverse community. As a leading healthcare provider, we offer a supportive and inclusive work environment. If you're passionate about making a difference and thrive in a collaborative setting, New Bridge Medical Center is looking for a Long Term Care Patient Accounts Manager.
Job Duties
Participates in the hiring of department staff; Coordinates staff in daily operations; Handles training of new staff; Refers issues requiring disciplinary action to director, including terminations; prepares annual performance appraisal of employees. Supervises 6 employees
Reviews Policies and Procedure Manuals for compliance with requirements of third party payers and regulatory agencies; recommends changes and implements changes as required by third party payers or regulatory agencies.
Balancing of Paragon and Relay Assurance inclusive of staff assignments for Relay Assurance, Paragon, One Content and T-Location.
Review, analyze and assign tasks from system reports to include Complete for Billing Report, Admissions Report, Late Charge Reports, etc.
Review of Remittances to ensure staff compliance.
Responds to problems that arise on a daily basis; resolves where possible. Seeks guidance from Manager for those that cannot resolve. Creates documentation describing problem and steps for resolution for future reference.
Coordinates the billing and collection operation for accounts that will be paid by third party agencies, private insurance companies and regulatory agencies. To include communication to internal and external departments of errors or issues that is delaying the submission of claims.
Ensures that the Accounts Receivable is accurate, working with the PFS Manager to the review the trial balances monthly, including billed and unbilled accounts. Assists in establishing and implementing controls to ensure appropriate submission, billing and payment cycles and procedures for follow-up on aged accounts.
Coordinates the handling of special audit projects including audits, charge capture, TPL's etc. are handled accurately and timely.
Analyzes staff productivity on a daily basis; works with staff to address issues to ensure all applications and functions are kept current and up to date on a daily basis. Administers controls to ensure appropriate claims submission; monitoring billing and payment cycles and timely follow up procedures.
Ensures that claims are received in accordance with the established import schedule and timely releases are performed; ensure that the billing staff is performing in accordance with established departmental procedures and third party regulatory agency (s) guidelines and requirements.
Reports issues to Manager regarding functionality of the computer applications utilized by department so that initiation of cases/service orders can be done with IS department for resolution. Systems include Paragon, Relay Assurance, One Content and Microsoft Office products.
Maintains established departmental Policies and Procedures, objectives quality assurance programs and standards, safety, environmental and infection control standards.
Customer Service: respect, flexibility, knowledge, confidence, professionalism, pleasant attitude, patience and helpfulness. All responses should be timely, professional, caring, and respectful in accordance with Customer Service Performance expectations
Provides hands on assistance with all aspects of departmental billing Policies and Procedures to Patient Accounts
Maintains established departmental policies and procedures, objectives, quality assurance program, safety, environmental, and infection control standards.
Understands and adheres to the Medical Center's Code of Conduct.
Familiar with the Medical Center's Mission, Vision, and Values Statements.
Other Duties
Coordinates and oversees orientation and training of new employees. Performs other related duties as required.
Position Qualifications
2 - 5 years Medical Billing experience, Hospital Billing experience preferred. Supervisory experience helpful, but not required. MDS experience preferred.
Demonstrates familiarity with computer programs used in the department.
Good oral and written communication skills.
Good interpersonal skills.
Speaks, reads and writes English to the extent required by the position
Education
Minimum of High School graduate, College education preferred.
Job Setting/Physical Demands:
Patient Financial Department office; contact with staff, patients and families and third party payers. Mainly sedentary with occasional reaching, stooping bending stretching. Manual dexterity.
We provide a comprehensive benefits package, including a competitive medical, dental, and vision plans. We prioritize work-life balance with a generous time off policy that includes ample vacation days, personal time, sick leave and nine paid holidays. Additionally, we are committed to the personal and professional growth of our employees, offering robust tuition reimbursement and continuing education programs to help support our employees ongoing development.
