SUMMARY
Performs accounts payable and accounts receivable functions necessary to process Medicaid room and board invoices received from facilities.
ESSENTIAL FUNCTIONS
- Prepares Rapid Payment Advices and Retro billing according to established procedures.
- Processes facility invoices or Rapid Payment Advices received by email, mail, and fax according to established billing and accounts payable procedures.
- Ensures facilities are reimbursed according to contract agreements or Rapid Payment Advice terms.
- Ensures Rapid Payment Batches are sent to Accounts Payable according to established timeline.
- Performs monthly follow-up of Medicaid room and board accounts and maintains Days in A/R within ranges established by the Chief Financial Officer.
- Establishes and maintains professional customer service relationships with the billing staff at facilities.
- Works collaboratively with Provider Relations Managers to identify and resolve billing, payment, and contracting issues with facilities.
- Assists Provider Relations Managers with in-services to facilities regarding billing and payment procedures for Medicaid room and board.
- Assists patients and families and facilities with billing and payment issues.
- Assists with developing and improving the Medicaid room and board process, with emphasis on the Rapid Payment Advice process.
- Completes special assignments/projects and other duties as assigned by the Reimbursement Team Leader.
- Demonstrates effective Service Excellence skills according to agency guidelines.
- Performs identified back-up functions as assigned by supervisor.
QUALIFICATIONS, EDUCATION, EXPERTISE AND KNOWLEDGE
- Two (2) years' or more experience with processing accounts payable and accounts receivable or comparable accounting work experience (preferably in a healthcare environment).
- Two (2) or more years' experience with electronic medical records preferred.
- Experience with Medicaid programs and eligibility requirements preferred.
- High School diploma.
- Proficient in Microsoft Word, Excel, and Outlook.
- Must demonstrate strong customer service and communication skills.
- Flexibility to work both independently and in a team environment.
- Ability to multi-task and work under pressure to meet deadlines.