SNF/LTC - AR Resolution Consultant

Richter•Twinsburg, OH

13h

About The Position

Job Summary: The Resolution Consultant is part of the Revenue Cycle process team. They facilitate the Richter policies and procedures to affect the accurate and timely billing and collection process of client revenue. Responsibilities: Provides insurance verification, claim submits follow-up up, denial management and remit review Responds to Patient Billing Inquiries Handles daily billing calls on behalf of assigned clients/accounts Follow up on billing inquiries made after hours Follow up on billing concerns from residents, family and staff Complete tracking worksheets Performs Billing and Collection Functions Completes billing and collection efforts on behalf of all payer types Performs Private or Self Pay collection procedures Performs patient account analysis Completes basic bookkeeping functions (census or charge entry, cash application, adjustment processing) Generates and submit billing for all pay sources timely and accurately Documents billing and collection activity in accordance with Richter Healthcare Consultants policy and procedure Works effectively within client and/or Richter Healthcare Consultants billing systems Communicates and responds to inquiries by client staff, co-workers, and other party representatives Performs Accounts Receivable Cleanup Set-up clean-up spreadsheet (Richter template) Prioritize accounts by age and amount Analyze each account to verify accuracy of balance Resubmit and/or follow-up on outstanding accounts Perform all denial management and collections procedures to obtain payment Document all activities on client AR thoroughly in billing software Report project status to clients weekly via reports, documentation in software or AR calls as directed Performs other duties as assigned Qualifications: High School Diploma, Associate's Degree preferred 3 – 5 years of professional billing experience, preferably in a healthcare environment Must possess extensive knowledge of Medicare and Medicaid requirements, procedures, as well as laws, regulations, and guidelines that pertain to healthcare providers Must have the ability to make independent decisions Must possess the ability to deal tactfully with team members, other staff, residents of client facilities, family members, visitors, government agencies, and the general public Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing practices Must possess a high degree of attention to detail and best practice as it relates to client data Must possess basic computer literacy skills, including Microsoft Excel and Word All Richter employees agree to be bound by applicable company policies, including confidentiality, security, appropriate standards of conduct, etc., which are customary and standard across most companies for compliance and the assurance of a safe and productive work environment. This offer is contingent upon the successful completion of a background check and drug screening. Further details will be provided to you soon.

Requirements

High School Diploma, Associate's Degree preferred
3 – 5 years of professional billing experience, preferably in a healthcare environment
Must possess extensive knowledge of Medicare and Medicaid requirements, procedures, as well as laws, regulations, and guidelines that pertain to healthcare providers
Must have the ability to make independent decisions
Must possess the ability to deal tactfully with team members, other staff, residents of client facilities, family members, visitors, government agencies, and the general public
Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing practices
Must possess a high degree of attention to detail and best practice as it relates to client data
Must possess basic computer literacy skills, including Microsoft Excel and Word
All Richter employees agree to be bound by applicable company policies, including confidentiality, security, appropriate standards of conduct, etc., which are customary and standard across most companies for compliance and the assurance of a safe and productive work environment.
This offer is contingent upon the successful completion of a background check and drug screening.

Responsibilities

Provides insurance verification, claim submits follow-up up, denial management and remit review
Responds to Patient Billing Inquiries
Handles daily billing calls on behalf of assigned clients/accounts
Follow up on billing inquiries made after hours
Follow up on billing concerns from residents, family and staff
Complete tracking worksheets
Performs Billing and Collection Functions
Completes billing and collection efforts on behalf of all payer types
Performs Private or Self Pay collection procedures
Performs patient account analysis
Completes basic bookkeeping functions (census or charge entry, cash application, adjustment processing)
Generates and submit billing for all pay sources timely and accurately
Documents billing and collection activity in accordance with Richter Healthcare Consultants policy and procedure
Works effectively within client and/or Richter Healthcare Consultants billing systems
Communicates and responds to inquiries by client staff, co-workers, and other party representatives
Performs Accounts Receivable Cleanup
Set-up clean-up spreadsheet (Richter template)
Prioritize accounts by age and amount
Analyze each account to verify accuracy of balance
Resubmit and/or follow-up on outstanding accounts
Perform all denial management and collections procedures to obtain payment
Document all activities on client AR thoroughly in billing software
Report project status to clients weekly via reports, documentation in software or AR calls as directed
Performs other duties as assigned