Current jobs related to AR Analyst - Victoria, British Columbia - Regency Integrated Health Services

We are seeking a highly skilled and detail-oriented AR Analyst to join our team at Regency Integrated Health Services. As an AR Analyst, you will play a critical role in ensuring timely and accurate billing and payment processing for our patients.

• Process and manage Medicaid claims in a timely and efficient manner, ensuring compliance with regulatory requirements.
• Work closely with the CBO AR Manager to set deadlines and resolve claims rejections and denials.
• Perform daily follow-up on MCO and MCD held claims, documenting all interactions and ensuring timely resolution.
• Reconcile cash monthly for MCO and Medicaid payers, verifying all payments have been posted for the month.
• Review and analyze PCC top 5 reports and clean up for assigned facilities, including reclassing and census line corrections.
• Process appeals and reconsiderations for each resident in MCD or MCO payers for facilities assigned.
• Bill Medicaid coinsurance as required, either by BOM notification or aging review once Medicare claim has paid date.
• Communicate effectively with central billing office, field staff, and facility staff to facilitate prompt and clean claims submission.
• Maintain accurate and up-to-date billing notes in PCC for all accounts worked in MCO and Medicaid payers.
• Complete bad debt on past filing deadline receivables if required due to failure to reclass and bill timely or failure to submit clean claim within billing time frames.
• Review Medicaid residents MESAV to show service authorization, eligibility, level of service, applied income, and MCO payer type if applicable.
• Assist Business Office Managers by submitting service authorization forms as needed.
• Communicate with Medicaid Case Workers by Case Status Reports on missing or invalid information regarding residents Medicaid eligibility.
• Set up Medicaid payer trees, applied income, and level of service (RUG) in PCC on each Medicaid resident.
• Bill approved durable medical equipment to TMHP and submit refunds to the DME provider once payment is received.
• Maintain company collection goals and provide reasons for not meeting collections.
• Participate in monthly aging reviews with Business Office Manager, Regional Accounts Receivable Manager, Administrator, Regional Vice President of Operations, Vice President of Accounts Receivable, Chief Financial Officer, and Chief Executive Officer.
• Maintain proper time and attendance and possess a positive attitude and productive work environment.

• 2 years minimum Medicaid Skilled Nursing Billing Experience is required.
• Ability to work well with others as a team and have strong customer service and communication skills is required.
• High School diploma required.
• Associates Degree preferred.
• Point Click Care Software experience is preferred.
• Simple LTC software experience is preferred.

Full-Time status Monday - Friday 8:00 am - 5:00 pm

Corporate billing office is located in Victoria, Texas for training purposes then will transition to a hybrid remote schedule with potential to be fully remote.