Accounts Receivable Specialist

Position Summary:

The Accounts Receivable Specialist maintains accounts receivable records for the Eskaton skilled nursing communities. The position performs billing and collection functions for all third party payer classes (Medicare, Medi-cal, HMO and commercial insurance). Submits accurate and timely filing of claims to ensure total percent of receivables over 90 days old is maintained at 15% or less. Completes timely follow up on all third party accounts to safeguard against bad debt exposure. Processes all payments, charges and refunds on a daily basis. Completes the month end close process to ensure revenue is properly recorded. Provides customer service to internal and external customers.

Position Responsibilities include:

• Enters ancillary charges received from the community weekly. Coordinates with the Business Office Manager at the community to ensure all charges are entered prior to month end close.
• Reviews statements from outside vendors (X-ray, Lab and Pharmacy) and requests adjustments for all charges for custodial patients. Reviews invoices for accuracy and forwards to accounts payable within two days of receipt.
• Prints charge calculation billing exceptions report each week and resolves billing exceptions in Matrix.
• Posts payments to the system daily. Prints deposit listings and balances the total posted to the system to the bank deposit receipt.. Accurately distributes payments to the appropriate dates of service paid.
• Works denials on explanation of benefits and ensures denials are appealed or re-billed within 10 business days from receipt.
• Notifies the community of any checks returned from the bank within 2 days of receipt. Posts canceled checks and NSF fees in the month they are received.
• Balances total deposits for the month to cash posted to the system by using the deposit spreadsheet, community deposit summary and reconciling totals to system bank deposit listing.
• Verifies all charges and cash batches are fully allocated prior to printing patient statements.
• Reviews patient statements for accuracy and notifies the community when statements are ready to print by the third business day of each month. Coordinates with Business Office Manager to resolve any corrections or updates to the statements.
• Performs other duties as assigned.

Qualifications

Education:

High School graduate or G.E.D.

Training and Experience:

Experience in Medicare, Private Insurance, Medical billing, credit and collection procedures, accounts receivable management, basic accounting.

Job Knowledge:

Knowledge of all types of billing, including: Medicare, , Managed Care; government and third-party payors rules and regulations. Ability to work well with people in a confrontational environment and the ability to maintain confidentiality is essential.

The final candidate must successfully pass Eskaton’s post offer, pre-employment testing which includes a criminal background check, drug test, COVID test, TB screen test and health screen.

Eskaton is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, gender identity, sexual orientation or protected veteran status.