Accounts Receivable Coordinator - Private Pay

Overview:

Billing is your thing!

Accurate, detail oriented, and organized are words that describe you perfectly. You love data entry, working with details, and making sure that all “I’s” are dotted and “T’s” are crossed! You have the skills to work independently, accurately, and meet deadlines. You show up every day with your can-do attitude, and your willingness to lend a hand whenever needed makes you the perfect fit for the Accounts Receivable Coordinator – Private Pay position at Ohio Living!

Potential for hybrid remote work schedule once successful onboarding has been completed.

Why Ohio Living is different

Close-knit culture. You’ll have the opportunity to work both independently and with a team. We make sure that you’re supported and have the resources you need to be successful and comfortable here.

Rewarding work. You’ll find real satisfaction at Ohio Living. This is an environment where you can fully use your skills to complete projects, assist and inspire.

Just the start. This is often the beginning of a career with us or within healthcare. Our accounts receivable coordinators can move into a variety of different roles within our organization.

Attractive pay and benefits. We offer everything you expect, plus a retirement plan, paid time off, education assistance, pay advances up to $500, and recognition programs.

Schedules that fit. We’ll work together to find a schedule that meets both of our needs, and we will always be reasonable about the time you need to get the job done!

What you’ll do

You’re no stranger to the specific billing requirements for Medicare, Medicaid, and all other third part commercial insurance funding sources, and you’ll work with the Division Manager of Accounts receivable to ensure all aspects of billing and collecting funds for provided life plan community services is completed timely. We will look to you to prepare and transmit all third party claims electronically, complete all third-party triple check forms for every primary claim, and review and balance all assigned ancillary service files.

What it takes

High school diploma or equivalent required

Associate degree in related field preferred, accounting coursework or concentration is ideal

Three years experience performing billing operations preferred

Experience in long-term care, hospital, or other related healthcare accounting preferred, as well as experience with accounts receivables analytics

Responsibilities:

Billing and Collections

Maintain, obtain, retain and apply knowledge regarding the specific billing requirements established by management applicable for private pay billing to and collections from residents/patients of the Communities’ independent living, assisted living, skilled nursing, outpatient or other ancillary service settings. This includes developing and maintaining working knowledge of the primary revenue, receivables, receipts, billing, and medical records software to enable efficient and effective use.

Complete all routine daily and monthly processes pertaining to census verification and validation. Interact with site representatives to clarify and/or correct any census discrepancies.

Perform certain tasks pertaining to monitoring status of level of care approval/denial by local area offices of aging, Medicaid application approval/denial by County Offices of Medicaid, and receipt of all required documentation to enable Medicaid billing to occur. This includes frequent interaction with Communities’ site representatives, patients or their family members and/or guardians, and governmental agency representatives. Maintain quality documentation of interaction with site and patient/resident or their representatives within the notes section of the primary software.

Perform certain tasks relating to verifying patient liability amounts (e.g. personal funds available) for Medicaid beneficiary patients/residents at prescribed timing.

Review and balance all assigned ancillary service files provided by various vendors by the prescribed dates for the month end close billing cycle to ensure all ancillary services are captured in billing files to enable accurate claims.

Ensure that all required documents are included into the electronic medical record within prescribed timelines. This includes approved Cost of Care packets, approved Life Care Application packets, consummated Residency Agreements and certain other documents as applicable.

Monitor status of collections and appropriate cash receipt application to correct resident and patient account balances. This includes receipt of explanation of benefits from primary or secondary health insurance coverage (e.g. Medicare, managed care plans, etc.), to enable the identification of coinsurance that should be included on the current month end close private pay invoice statements.

Prepare, review and release private pay invoice statements, using specified software, within established monthly billing performance timeframe and by prescribed due dates. Invoice statements should be completely accurate with minimal and infrequent errors subsequently discovered. Adhere to supervisory internal control review requirements before release of claims. Established supporting documents or special statement inserts must be included in the mailing.

Identify and escalate significant site performance, ancillary vendor data performance, or contested invoice accuracy issues to supervisor/manager in a timely manner.

Field incoming patient, resident, and/or appropriate family member or guardian calls or emails in a professional and responsive manner. Perform appropriate account research and activity verification. Develop thoughtful and accurate response and send to inquirer. Escalate more complex matters to supervisor/manager when appropriate.

Review accounts receivable aging reports to identify outstanding balances and take appropriate action to research and resolve outstanding balances. Goals for overall days in accounts receivable, targeted outstanding balances needing resolution and expecting timing will be established on a monthly basis by supervisor/manager.

Make collection calls at prescribed intervals. Prepare and send collection letters at prescribed intervals. Develop payment plan options when appropriate and within prescribed guidelines. Refer certain accounts to attorneys or collection agency upon supervisor/manager approval.

Review accounts receivable aging reports on a prescribed timing frequency such that refunds can be identified, verified and paid on a reasonably timely basis. Identify appropriate party for which refunds should be made.

Prepare for and participate in monthly calls with designated corporate and site representatives to review accounts receivable hot list for private pay receivables and for those that are Medicaid pending. Make recommendations for additional action including notice of discharge. Document all communication with sites in resident notes within primary software.

Process refundable entrance fee refunds as approved by site and other corporate management representatives. Identify appropriate party for which refunds should be made.

Financial Management and Support

Prepare and provide for review and approval all accounts receivable write-off and other types of revenue or receivable balance adjustments as needed with all required supporting documentation.

Identify and notify supervisor/manager of other potential issues through use of various reports that may indicate the need to make revenue, receivable, payer, or rate corrections to ensure that revenue and receivables are recorded accurately and timely.

Identify and offer suggestions pertaining to process improvements.

Communicate collaboratively with the account receivable coordinators – third party to resolve any common patient/resident receivable matters.

Successfully transition through trainings and education requirements by pre-determined deadlines.

Participate in recurring team meetings and trainings. Assist and/or be present for site personnel trainings.

Prepares other special reports and performs other tasks or projects as requested and/or required.

All other duties as assigned.

Qualifications:

Education

High school diploma or equivalent required.

Associate degree in a related field preferred, accounting coursework or concentration desired.

Experience

Three years experience performing billing operations preferred.

Experience in long-term care, hospital, or other related healthcare accounting preferred.

Experience with accounts receivables analytics preferred.

Proficiency with Windows, Microsoft Office (Word, Excel, PowerPoint), and the internet required.

Other Requirements

Must be able to read, write, speak, and understand the English language.

Location Information:

Ohio Living is among the country's leading comprehensive resources on aging well. Our Ohio-based services range from a variety of housing options in one of our life plan communities through the full continuum of care to post-acute home health and hospice support for adults, wherever they live. Most importantly, we’re a company that:

chooses to operate as a faith-based, not-for-profit organization

makes its mission the heart of our organization by consistently exceeding the needs and expectations of those we serve

provides an engaging, recognition centered, team-oriented workplace dedicated to career, family and faith

Why work at Ohio Living?

Depending on an employee’s status, they may benefit from:

competitive wages

affordable medical, dental, and vision insurance

403b retirement savings

paid time off including your birthday

training, continuing education, and education assistance

pay advances up to $500

the latest technology

unlimited career opportunities

and much more!

Who is Ohio Living?

Headquartered in Columbus, Ohio Living is one of the nation’s largest not-for-profit, multi-site senior living organizations. Since its founding in 1922, Ohio Living has defined the highest standards of quality of life for adults in 50 Ohio counties.

Our mission is to provide adults with caring and quality services toward the enhancement of physical, mental and spiritual well-being consistent with the Christian Gospel.

Our Values:

Care • Integrity • Customer Service • Innovation

Financial Stewardship • Leadership • Inclusion

Permanent