Kansas Works Veterans Jobs

This job was posted by https://www.kansasworks.com : For more information, please see: https://www.kansasworks.com/jobs/12938678

On site fulltimeposition

Position Summary

Under the direction of the Business Office Manager, this position is responsible for maintaining accounts receivables related to Third Party Insurances, which includes timely and accurate billing for services provided, collection of accounts receivable, claims submission to all payers and month-end processing.

PRINCIPAL DUTIES AND RESPONSIBILITIES

• Responsible for accurate and timely billing of Third Party Insurance Claims and A/R follow-up as assigned, including, but not limited to:
• Medicare A & B
• Managed Care/Private Insurance
• Medicaid
• Third Party Coinsurance
• Maintain documentation to support third party claims submission and collections in accordance with defined policies.
• Manage A/R collections through claims submission, adjustments, phone calls, and appeals as needed on assigned communities, to meet and/or reduce days sales outstanding goals as established by the Director of Finance.
• Maintain A/R notes in the billing software with all outstanding A/R balances reviewed at minimum every 30 days.
• Prepare documentation/collection notes for monthly accounts receivable reviews with Business Office Manager and Director of Finance.
• Identify, document, and communicate best practices and process improvement opportunities to Business Office Manager.
• Assist with cash posting as needed.
• Provide back-up and cross-training to other associates.
• Remain up to date on CMS regulations and policies, as well as federal and state regulations and policies related to healthcare, behavioral health facilities, and insurance.
• Prepare documentation for approval of A/R adjustments including, but not limited to:
• Contractual Adjustments
• Charity Adjustments
• Bad Debt Write Offs
• Administrative Adjustments
• Insurance Refunds
• Maintain ongoing metrics for the Business Office Manager and the Director of Finance to provide continual self-assessment of performance and identification of process improvement opportunities.
• Attend and actively participate in trainings and meetings.
• Other duties as assigned.

Management Responsibilities

• N/A

Education and/or Experience

• High school diploma or equivalent required.
• Associate Degree in Accounting or Business preferred.
• Minimum of 3 years of Accounts Receivable processing experience.
• A minimum of one (1) year experience in behavioral health insurance billing or experience in a healthcare environment required.
• Experience working with Kansas Medicaid, Medicare, Commercial Insurance, and Co-Insurance required.
• Inpatient Behavioral Health hospital billing experience preferred.
• Experience working in Electronic Medical Records systems (specifically MedSphere).
• Experience with insurance portals and business software programs.
• Ability to define problems, analyze data, establish facts, and draw valid conclusions.
• Ability to read and interpret documents such as CMS regulations, Managed Care contracts and other instructions and procedure manuals.
• Certified Professional Coder Certification and/or working knowledge of CPT and ICD coding.
• Ability to speak effectively before administrators, residents, or employees.
• 3-5 years administrative and clerical experience preferred.

Certificates, Licenses, Registrations

• N/A

KNOWLEDGE, SKILLS AND ABILITIES

• Working knowledge of financial practices.
• Must be able to read, write and communicate in English.
• Must possess strong collaborative, interpersonal, organizational, multi-tasking, verbal and written communication skills, and a desire to create a high-performance, effective team that can produce consistent, demonstrated results.
• Must demonstrate on an ongoing basis the ability to develop and maintain good working relationships with co-workers and ministry leadership.
• Competencies needed for this position include strong interpersonal relationship skills, detail oriented, work in collaboration with others, demonstrate a high degree of integrity and personal commitment, possess strong analytical skills, be able to work independently and manage multiple deliverables at the same time.
• Ability to function in a matrix environment and demonstrate a passion to succeed be self- motivated, dependable, committed, and a willingness to see a project through to its conclusion.
• Working knowledge and proficiency with Microsoft Office is required.

Equal Employment Opportunity Employer:\ Catholic Care Cen