Job Description

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.

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