Job Description
Description Job Summary: The
Collector has the responsibility for managing the accounts receivable and collection related functions for multiple Skilled Nursing facilities in the State of Texas and Louisiana. Focus will be on the next level appeals and collections.
Qualifications Qualifications: - A high school diploma is required, a college degree or equivalent advanced courses are preferred.
- Prior skilled nursing facility billing experience required.
- Strong knowledge of billing software (MyUnity/PCC preferred).
- Ability to multitask, meet deadlines, and prioritize workload.
- Initiative-taking, organized, and detail-oriented individual with good interpersonal and communication skills.
- Strong team player with willingness to help in other areas of medical billing.
Essential Functions: - Review outstanding accounts on ageing with CBO Manager to determine accounts for collections.
- Work outstanding claims for the next level of appeal process of accounts after biller has exhausted appeal efforts (referral to collections made by CBO Manager or Director of AR only).
- Follow up on claims monthly, or more often, if required for processing.
- Understanding of UB04.
- Understanding of ICD 10.
- Understanding of portals.
- Answering provider questions.
- Ensure billing is accurate, complete and in compliance with State and Federal regulations.
- Coordinate third party billing with nursing facility personnel, as necessary.
- Communicates and works in cooperation with fiscal intermediaries, accountants, auditors, cost report preparers, state and federal agencies and private insurance companies.
- Monitors facility receivable balances and maintain receivable balances within acceptable limits, as well as, assists with collection of problem accounts.
- Understand billing software capabilities and lead efforts to enhance efficiency.
- Understand software and regulatory requirements for transmitting claims to the various third-party payers.
- Analyze and resolve technical questions regarding billing including transmission to payers, calculating claims, printing bills, resident accounts, etc.
- Ensure all required billing compliance and regulatory initiatives are met.
- Compiles and prepares data and reports as required.
- Strives to meet goals every month.
- Ensures compliance with Cantex policies and procedures including Financial Management Systems.
- Performs other duties and tasks as assigned by the Managed Care Billing Manager, Director of AR, or CFO.
Diversity, Equity, and Inclusion are at the heart of Cantex. We are committed to a culture that respects our differences and values the contributions of all people.
We are an Equal opportunity employer; We offer an excellent benefit plan to include 401K with match, CEU reimbursement, vacation, sick, holidays, medical, dental, and supplemental insurance Plans as well as a Highly competitive compensation package. #Corp
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