Job Summary: The role's primary responsibility is to be a part of the Revenue Cycle process team. Facilitating Richter's policies and procedures to maintain accurate census and payer demographics for successful billing for multiple client assignments.
Responsibilities:
- Performs maintenance and reconciliation of daily census
- Evaluates client demographics and payer set up reviews
- Communicates daily with clients to ensure retrieval of census reporting
- Reviews appropriate system dashboard and/or reports daily to reconcile census, past period adjustments, resident rates, and payer trees for proper set up (coinsurance, patient liability, etc.)
- Identifies, verifies, and resolves Insurance and authorizations required for timely billing within the appropriate systems
- Escalates census, demographics, and payer issues with management and client
- Research payer source, set up and contract information for client assignments as needed
- Enters ancillaries via data entry/import of Pharmacy, Lab, XRay, Oxygen and Medical Supplies
- Reconcile ancillary invoices to census, addressing discrepancies and ensuring appropriate charge capture
- Runs month end reporting for all revenue captured prior to month end close
- Manage Month End Task Tracker and Ancillary Tracker per facility on month end checklist
- Participates in daily team huddle and individual touchpoint with Associate Manager/Manager
- Performs other duties as assigned
Qualifications:
- High School Diploma required, College degree preferred
- Three to Five years experience in client/patient Intake
- Must possess an extensive knowledge of payers and insurance companies
- Ability to understand demographics, ancillary reporting, and insurance payments
- Possesses strong organizational and follow up skills
- Strong critical thinking skills
- Possess a high degree of attention to detail and best practice as it relates to client data
- Possess basic computer literacy skills, including Microsoft Excel and Word
- Experience working within CRM and EHR software preferred but not required
Requirements:
- Must be able to remain in a stationary position for long periods of time, including ne