Patient Accounts Manager

Doylestown, PA
Position Description:

Pine Run is a not-for-profit, continuing care retirement community owned and operated by Doylestown Hospital.  With over 40 years in business, Pine Run attracts exceptional people – both Residents and Associates.

We are currently seeking canidates for our Patient Accounts Manager position.  Reporting into our Sr. Director of Financial Services, this position will provide oversight and direction to ensure the accurate and timely completion of all billing functions for the Pine Run organization of all billing functions for the Pine Run organization, including collections efforts.

ESSENTIAL RESPONSIBILITIES:

Maintains Financial Transactions:

  1. Responsible for all billing statement processes of Pine Run residents & patients for each billing cycle as defined using ECS billing system.
  2. Responsible for coordination/input and verification of census information for all levels of care and ensuring accuracy of occupancy data on a daily basis.
  3. Reviews and coordinates input/imports of ancillary charges into ECS system for supplies, services, etc and works with various department representatives to address any concerns prior to billing.
  4. Ensures that resident statements are prepared correctly, checks figures for accuracy.
  5. Responsible for data entry into ECS for all resident related data required to complete billing for all levels of care.  This may include working with other departments to obtain required Acts as community liaison for all third-party billing with outside third-party billing agency if and when required. Ensures all necessary information needed to submit third party bills is input into ECS and provided to billing agency for each billing cycle.
  6. Responsible for providing back up assistance for verifying Medicare and Insurance benefits prior to official “acceptance” of residents and ensuring data is entered into ECS at resident move-in information.
  7. Ensures proper applications of payments to resident accounts to Participates in as a key member of the PPS (formerly Utilization Review) review committee, and takes the lead at ensure all necessary documentation and requirements are met to support the amounts billed the provider(s).
  8. Maintains appropriate documents in resident billing files.
  9. Maintains working knowledge of current resident contracts, billing rate sheets, resident handbook and Ancillary Rate Sheets.
  10. Ensure that ancillary vendor billings are received timely and processed appropriately on resident billings, regardless of payor.
  11. Ensure that weekly HC census with proper payor types are communicated to all ancillary service vendors, to allow for proper month end cut-off and billing.

     

    Reconciles Financial Discrepancies:

    1.  Provides superior customer service to residents when reviewing billing inquiries, including follow up. Processes special adjustments to resident accounts as agreed upon with Executive Director and/or Senior Director, Financial Services.

    2.  Researches and resolves questions from department managers as they relate to the processing of billing information such as ancillary charges appropriate dates of service.

    3.  Meets with the Sr. Director of Finance and/or Executive Director at least monthly to review aging and identify any potential collection issues and determine and implement actions to ensure timely collections.

    4.  Communicates collection issues to the Health Center Administrator (NHA) or Assisted Living Administrator (ALA) for follow up when necessary.

    5.  Performs follow up procedures on past due accounts, including individual contact with residents, patients and/or families and communication with attorneys and or collection agencies as individual situations warrant.

    6.  Assist residents/patients/families with Medical Assistance Application process to ensure timely filing of required documents to ensure approval and minimize bad debt risk.

    7.  Provide recommendations to Health Center Administrator, Sr. Director of Finance and Executive Director when appropriate regarding potential need to issue discharge letters for non-payment.

    8.  Monitor monthly accounts receivable DSO (Days Sales Outstanding) trends for applicable payor classes noted above, and identify reasons for variance outside accepted benchmark levels.

    Complies with Federal, State, and Local Financial Legal Requirements:

    1.  Manage Resident trust fund activity within PA Department of Health Guidelines and make appropriate entries in resident account ledger(s).

    Provides Professional and Managerial Leadership:

    1.  Contributes to team effort by accomplishing related duties as needed.

    2.  Escalates potential service issues to the NHA, ALA, Senior Director, Financial Services and/or Executive Director and/or appropriate personnel within Pine Run organization.

    3.  Directs work within clear budgetary guidelines.

    4.  Defines standards and reusable approaches within the Business Office operational  framework.

    5.  Implements new or enhanced operation procedures and policies, including quality control measures.

    6.  Identify process improvement initiatives and define standards for new processes.

    7.  Provides direction and guidance to A/R Coordinator.

    8.  Work closely with Admission staff to ensure proper financial qualification is performed for all incoming residents/patients.

    9.  Develop and maintain strong communication and interaction with Health Center Administrator, Health Center RNAC(s) and Sr. Director, Wellness Spectrum/Rehab Services on all issues related to patient billing and ensuring that we are capturing all data necessary to accurately reflect level of care provided and ability to bill for same.

    10. Participate as required with Pine Run Occupancy Management Committee.

    11. Assist with other duties as requested.

 

 

 

Required Qualifications:

Qualifications

  1. Associate Degree in Business Administration/Finance required, Accounting Degree preferred
  2. Three plus years in a CCRC Business Office performing all billing functions; three years additional healthcare billing office experience in lieu of Associate's degree
  3. Strong skills using and understanding the flow of transactions in an integrated and automated billing/Medicare accounting system, Medicare DDE system and integrated software.
  4. Working knowledge of email, Internet Explorer, Microsoft Word, and Excel
  5. Ability to maintain confidentiality and exercise extreme discretion.
  6. Excellent problem solving/judgment skills, and high level of attention to detail and accuracy
  7. Strong organizational skills, and the ability to work under pressure
  8. Strong interpersonal (verbal and written) communication skills.
  9. Ability to communicate with various levels of management
  10. Ability to work hours necessary to meet demands of the job
  11. Ability to handle and prioritize multiple tasks and meet all deadlines
Desired Qualifications:
Contact Information:
Pine Run Retirement Community
Denise Zavalis
215-340-5245
777 Ferry Road Doylestown PA

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