Utilizes various software applications such as spreadsheets, relational databases, statistical applications and report mining software to assemble, manipulate and/or format data and/or reports.
Responsible for performing the revenue cycle reconciliation process to close out the nursing home systems on a monthly basis.
Analyzes remittance and self-pay payment data and defines relevant information.
Troubleshoots any issues found and makes recommendations to management to improve work flows.
Primary point of contact for third party audit requests and special projects.
Complies data requested by management to support initiatives.
Leads or participates in interdepartmental project teams for both revenue cycle and health system initiatives.
Under direction of management, oversees assignment of work to Revenue Support team and ensures that month end reporting requirements will be met.
Monitors development of monthly reports from the Reconciliation team and ensures guidance when needed.
Primary contact for 835 file updates and Information Services tickets for Reconciliation team workflows.
Analyzes department workflows to identify opportunities for improved efficiency.
Works with other teams and insurance payors to implement changes.
Provides reporting training to Revenue Support and Patient Financial Services team members.
Performs other duties assigned.
Requirements
Bachelor’s degree in Business Administration or related field required.
Three years experience in accounting, finance or healthcare preferred.
Strong analytical, computer and communication skills.
Knowledge of state and federal regulations pertaining to billing and healthcare requirements preferred.