Job Description

Take this job and LOVE IT!

• Do you love making a difference in other's lives?
• Do you love being appreciated an recognized for your hard work?
• Do you love getting extra perks throughout the year?

Come join our AMAZING team at Clinton Manor Living Center!

Accounts Receivable Manager/Medical Biller: FT mainly weekdays (work hours can be flexible)

Salary position: Wage range $55,000 to $62,000

The Accounts Receivable Manager's primary purpose is to complete timely and accurate billing for all services CMLC and MLMH provides and to ensure that SILC/CMLC and SICSS/MLMH receives all funds due it from the variety of private and public funding sources that are billed for. This position must maintain working relationships with multiple internal departments, family and guardians of residents, insurance carriers, as well as governmental agencies such as HFS.

Essential Responsibilities:

Administrative Functions

1. Manage & implement the day-to-day functions of Accounts Receivables for CMLC and MLMH.
2. Implement written policies & procedures that govern the accounts receivable function including establishing and maintaining an adequate accounts receivables system that reflects the operating income for CMLC and MLM.
3. Complete admissions input for agency accountant service (WDM) and Point Click Care.
4. Assure accurate daily, monthly census for CMLC and MLMH are recorded and provided to our accountant services and the President/CFO.
5. Complete all Med A & Med B billing for the agency using the accounts receivable system on a timely basis and complete and sending reports to accountant services.
6. For Medicare billing
   1. Add all ancillary charges to Medicare
   2. Check on Medicare status, before or at time of admission into Medicare
   3. Complete no pay billing notifications for death or discharge
7. Review and appeal denied and unpaid claims for all coverages
8. Handle collections on unpaid accounts including but not limited receivables from insurance carriers, governmental funding sources, private pay sources, etc. This includes working with other departments to ensure calls and follow ups are being done and collections are occurring in a timely and efficient manner.
9. Verify resident insurance coverage prior to admission
10. Meet with families and explain coverage(s) available including co-insurance and amount due if applies.
11. Complete all co-insurance billing when applicable.
12. Complete outpatient Med B billing for MLMH individuals
13. Complete Medicaid & Managed Care insurers billing requirements monthly for ICFDD and SNF Medicaid Recipients including assuring accuracy of the billing and payments received and making corrections when necessary, using the IL Medi system.
14. Work with ICFDD and SNF Social Service Designees and Healthcare & Family Services representatives with any changes of income, payment, annual redeterminations, etc. as required or necessary to assure payment.
15. Review SNF Medicaid Report and check SS# and spelling of names, coordinate with SNF DON, ICFDD: Social Services Director.
16. Complete all Medicaid (HFS) Bed Hold report due monthly to assure accurate billing of Medicaid services
17. Ensure all Medicaid & Managed Care, Medical Mileage billings monthly and work with SNF and ICFDD & MLMH to assure prior approvals are obtained as required by working with Transportation Coordinators for CMLC & MLMH.
18. Complete all monthly billings & follow ups including but not limited to:
    1. Medicaid (HFS) Day Training billings including working with the CFO on payments received by on behalf of the Day Training Programs to pass on funds in a timely manner
    2. Private pay billings
    3. Long-term Care Insurance Billing monthly (or as required to assure payments of services)
    4. Hospice billings monthly and works with Hospice contractors for timely payments.
    5. Meet with families and/or residents to accept payments for services monthly and/or as needed
    6. ROCS / DHS bulling for CILA services for MLMH services
19. Complete Newly admitted resident background checks for ICFDD and SNF and remain updated on regulatory changes to ensure processes meet requirements. Provide results to designated team as needed.
20. Work with the CFO to coordinate bank deposits of all receivables and assure that they are made within 48 hours of receiving the funds when possible.
21. Reconcile all bank deposits with CFO monthly and provide a detailed report of all deposits to the accountant service.
22. Record payments received to appropriate cash receipts journal & Point Click Care software system as well as posting payments received it resident accounts in Point Click Care.
23. Verify accuracy of daily deposit ticket with cash receipts journal.
24. Maintain a file of copies of all charge slips, debts, credits, etc. issued to each resident.
25. Monitor and collect accounts receivables information from accountant service and report delinquent accounts to the CFO.
26. Assist Social Services Director for ICFDD & SNF in interviewing residents/guardians and obtaining required financial information and signatures to comply with HFS/Medicaid process.
27. Abstract information from records as authorized/required for insurance companies, Medicare, Medicaid, Social Security, etc.
28. Explain billing procedures and room rates as appropriate to residents and/or guardians.
29. Other job duties as assigned.

Our benefits & perks include:

• Insurance benefits
• Paid holidays, sick, vacation and floating holiday
• Employee appreciation celebrations
• Positive work environment
• Well-being programs

Clinton Manor's full benefits listing:

Clinton Manor Living Center in New Baden IL is a skilled nursing facility with LTC and STC residents. Our culture is to treat each person with respect and individualize their care. Work in a diverse environment where you are appreciated and shown this in several different ways. Come join our team to find out the great benefits and perks of working somewhere wonderful!

CORE COMPETENCIES:

1. Business in Thoroughness - Carefully reviews and checks accuracy of information in work reports. Checks the accuracy of own and other's work.
2. Personal Credibility - Takes responsibility for own actions; does not blame others.
3. Business in Initiative - Identifying what needs to be done and doing it before being asked or before the situation requires it.
4. Interpersonal Awareness - Notices and accurately interprets what others are feeling, based on their choice of words, tone of voice, expressions, and other nonverbal behaviors.
5. Stress Management - Controls his/her response when criticized, attacked or provoked.
6. Building Collaborative Relationships - Shows an interest in what others have to say; acknowledges their perspectives and ideas.
7. Fostering Teamwork for Employees - Listens and responds constructively to other team members' ideas.
8. Customer Orientation - Talks to customers (internal or external) to find out what they want and how satisfied they are with what they are getting.
9. Attention to Communication - Expresses and provides factual information, both orally and in writing, to convey clear and concise information.

Education & Skills

3+ years of experience in long term care billing is preferred but not required. Medical Billing Certification is preferred but not required. This position requires high organization, regularly taking initiative, and strong ability to learn and efficiently use computer programs such as cloud-based databases, Microsoft SharePoint, Excel & Word, email systems, and a variety of other programs. Position also requires being able to professionally and effectively communicate with a variety of generations and levels of understanding of billing processes and funding sources. This position must display our core competencies on a regular basis that meets or exceeds expectations.

EOE

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