Position Summary:
Responsible for overseeing the overall
policies and objectives of the HCF’s Family of Companies revenue cycle
activities, including pricing, billing, third party payer relationships,
collections, denials, and reimbursement rates, while monitoring adherence to
HCF’s policies/procedures, to optimize cash flow and financial performance.
Essential Functions:
- Because HCF exists to care for our residents,
regular attendance and punctuality. are essential to provide quality care and service.
- Leadership:
Ability to take action and achieve results through others.
- Commitment to HCF Family
of Companies Vision, Values, and Purpose.
- Must be able to complete performance
requirements independently while using good judgment as well as have the
ability to harmoniously work with others.
- Must be able to take direction and assume
responsibility as necessary and initiate appropriate action.
- Must be able to read, write and understand the
English language.
Position Responsibilities:
- Follow HCF Policies and Procedures
- Oversee and manage the operations of the billing
department.
- Review, design, and maintain policies and
procedures regarding pricing, billing, collections, and other financial
analysis as needed.
- Ensure all billing operations are conducted in
compliance with federal, state, and payer regulations, guidelines, and
requirements.
- Plan and direct patient insurance documentation,
coding, billing, and data processing to ensure accurate and efficient billing
and account collection.
- Analyze billing and claims for accuracy and
completeness before submission to Medicare, Medicaid and insurance entities.
- Work in collaboration with Collections Manager,
and Denials Team to follow up on outstanding accounts.
- Track and report metrics related to coding error
rates, billing turnaround times, and DSO (Days Sales Outstanding)
- Maintain open communication lines with Collections
Manager, Regional Directors of Operations, Business Office Managers, and
Administrators on significant dollar amount accounts.
- Work in collaboration with the Compliance
Department to manage relations with payers and providers to generate high
reimbursement rates and low levels of denials.
- Auditing current processes and procedures to
monitor and improve efficiency of billing operations.
- Perform other duties as assigned.
Knowledge, Skills and
Abilities:
Must hold a Bachelor’s Degree in Business,
Accounting, or a related discipline and/or have previous Revenue Cycle
experience in long-term care. A thorough
understanding of and experience with Long-term Health Care billing processes
and strong organizational, computer, and time management skills are required.