The Third-Party Billing Specialist is part of the Revenue Cycle team. He/she facilitates the Richter policies and procedures to affect the accurate and timely billing and collection process of client revenue.
Richter’s culture calls for superior customer service, great working relationships with coworkers and a commitment to team problem solving and solutions.
Job Requirements:
- Complete billing and collection for all third-party payer types, with experience in Medicare, Medicaid, and Commercial billing; tasks include generate and scrub claims, document billing and collection activity within client system, perform patient account analysis, problem-solve, and complete denials management activities
- Perform Accounts Receivable management and follow-up of all outstanding accounts by prioritizing in accordance with Richter methodology
- Prioritize and manage time to accomplish project goals and expectations
- Identify and escalate issues, at-risk accounts, database errors, communication, and payers to direct supervisor
- Minimum two years of claims processing experience preferably with Skilled Nursing or Long Term Care billing
- Experience with Electronic Medical Records Software, Point Click Care, Waystar Clearinghouse, e-solutions, preferred but not required
- Possess an extensive knowledge of third party payer types, as well as laws, regulations and guidelines that pertain to healthcare providers
- Proficiency in Microsoft Office Suite
- High School Diploma , Advanced Degree preferred
Why should you choose Richter?
- We offer a competitive starting salary based on experience with excellent benefits including: Medical, Dental, Vision, 401k, Paid Vacation, Sick Leave, Paid Holidays and more!
- We are an industry leader in the post-acute care consulting sector including SNF, CCRC, Home Health and Hospice
- With our continued growth, you will have the opportunity to advance both your skill set and your career journey
- We promote from within!
- You will be provided on-going training and opportunities to expand your skill set that will increase your earning potential
- We offer a team-oriented environment and have created an atmosphere where our employees enjoy coming to work. Our turnover rate is low! A high number of our employees have been with us more than 5 and 10 years
Richter is committed to equal employment opportunity. We will not discriminate against employees or applicants for employment on any legally-recognized basis “protected class” including, but not limited to: race; color; religion; genetic information; national origin; sex; pregnancy, childbirth, or medical conditions; age; disability; citizenship status; uniform service member status; or any other protected class under federal, state, or local law.
The Cash Billing Specialist is part of the Revenue Cycle team. Richter’s culture calls for superior customer service, great working relationships with coworkers and a commitment to team problem solving and solutions.
Responsibilities:
- Receives and captures daily documents and files from multiple sources in relation to client deposits.
- Enters deposits daily into client software per guidelines (both hand-key and electronic upload).
- Uses all available information to accurately record cash transactions.
- Reviews and Posts deposit batches daily.
- Reconciles deposit related transactions against client bank activity using cash reconciliation worksheet.
- Reconciles and maintain appropriate logs in relation to cash transactions effecting target GL accounts per client specifics as required.
- Addresses internal requests for correction/reclass entries in relation to cash applications.
- Performs adjustments based on remittance activity as directed.
- Maintains a record of all cash related transactions.
- Escalates issues preventing accurate cash application to leadership.
- Participates in available continuing education in the LTPAC care continuum.
- Performs other duties as assigned.
Qualifications:
- High School Diploma or equivalent
- 2 years prior experience in Medical Cash Posting, preferred
- Strong organizational and follow up skills
- Ability to work with and meet multiple deadlines
- Working knowledge of debits and credits, required
- General knowledge of accounts receivable processes, required
- Strong critical thinking skills
- High degree of attention to detail and best practice as it relates to cash applications
- Basic computer literacy skills, including Microsoft Excel and Word
Requirements:
- Must be able to remain in a stationary position for long periods of time, including neck rotation and sitting for long periods of time.
- Constantly operates a computer and other office productivity machinery.
- The ability to communicate information and ideas so others will understand.
- Must be able to exchange accurate information in these situations.
- Must be able to lift 30 lbs.
Richter is committed to equal employment opportunity. We will not discriminate against employees or applicants for employment on any legally-recognized basis “protected class” including, but not limited to: race; color; religion; genetic information; national origin; sex; pregnancy, childbirth, or medical conditions; age; disa
The Private Pay Billing Specialist is part of the Revenue Cycle team. He/she facilitates the Richter policies and procedures to affect the accurate and timely billing and collection process of client revenue.
Richter’s culture calls for superior customer service, great working relationships with coworkers and a commitment to team problem solving and solutions.
Responsibilities:
- Performs collection efforts on all outstanding balances designated as a private pay balance in the clients’ accounts receivable system.
- Identifies issues related to census correction, cash application postings, and adjustment activity.
- Reviews and creates refund and write off adjustment batches.
- Generates and creates billing statements per established timeline identified by the client.
- Responds to resident billing inquiries including but not limited to phone calls, email interaction, and mailed requests.
- Follows all established Richter Policy and Procedures.
- Documents in clients billing system collection activity and efforts for resolution.
- Reviews delinquent accounts and generates collection letters or manual statements.
- Performs resident account analysis for validation of accurate balance.
- Escalates issues preventing collections of balances due to client representative and management staff.
- Participates in Private Pay AR calls as deemed necessary by management staff.
- Participates in daily team huddles and individual touchpoints with management staff as designated.
- Performs other duties as assigned.
Qualifications
- High School Diploma required, College degree preferred
- Minimum two years of billing and collections experience, post-acute care preferred
- Knowledgeable of Medicare and Medicaid requirements, procedures, as well as laws, regulations, and guidelines that pertain to healthcare providers
- Ability to tactfully approach team members, other staff, residents of client facilities, family members, visitors, government agencies, and the general public
- Proficient organizational and follow up skills
- Strong critical thinking skills
- Point Click Care experience preferred
- Experience working within CRM and EHR software preferred but not required
Requirements:
- Must be able to remain in a stationary position for long periods of time, including neck rotation and sitting for long periods of time.
- Constantly operates a computer and other office productivity machinery.
- The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations.
- Must be able to lift 30 lbs.
Richter is committed to equal employment opportunity. We will not discriminate against employees or applicants for employment on any legally-recognized basis “protected class” including, but not limited to: race; color; religion; genetic information; national origin; sex; pregnancy, childbirth, or medical conditions; age; disability; citizenship status; uniform service member status; or any other protected class under federal, state, or local law.
Objectives:
The primary responsibility of the role is to ensure that staff tasks are executed in compliance with Richter’s policies and procedures. The Associate Manager will provide leadership to team members and positively impact the accurate and timely billing and collection processes for Richter’s revenue cycle clients.
Responsibilities:
- Monitors daily staff activities, assigns A/R follow-up tasks, reviews daily denials management activity, ensures timely billing and claims processing, communicates clearly staff expectations, etc.
- Reviews client accounts receivables to identify payers for focused staff follow-up and assigning focused project work
- Acts as the liaison between client representatives and staff when there is a need for escalation
- Identifies staff members who are non-compliant with Richter policies and procedures and helps identify the proper action plans that will assist the staff in course correction
- Escalates and quantifies issues to the Manager when items require immediate attention, including staffing deficiencies, client workflow gaps, and any item that would require process improvement or create a risk to Richter’s process
- Works with the Manager to create a strategic plan to complete tasks of the billing specialist in the event of staff shortage or immediate need
- Meets regularly with staff to review tasks and obtain feedback to ensure understanding of workflow and areas of concerns that may require additional training
- Reviews regularly reports and dashboards to ensure that performance targets are being met
- Analyzes client data and identify trends within the revenue cycle process to provide feedback to our clients and team members
- Provides input to the Manager to assist in the creation of the Client Management letter, including an understanding of Richter activities for the prior month
- Works with senior leadership in recruiting, onboarding, and performance evaluations of team members, including testing of technical skills and ability to perform assigned tasks based on Richter processes
- Supports the development of training & job aids, utilized daily to ensure understanding of Richter processes
- Ensures skill sets are updated through continuing education in the long-term post-acute care revenue cycle industry, including seminars, articles, and reviews of payer-related updates
- Performs other duties as assigned
Qualifications:
- Associates Degree preferred
- Supervisory experience preferred but not required
- Five years of billing experience in the Post-Acute Care setting (Medical Cash- Posting)
- Three years of AR experience
- Post-acute care billing software knowledge
- An extensive knowledge of billing and collections requirements, claims procedures, regulations, and guidelines that pertain to LTPAC healthcare providers
- Ability to make decisions and communicate with team members effectively
- Must communicate tactfully with all Richter employees, residents of client facilities, family members, visitors, government agencies, and the general public
- Possess the ability to seek out new methods and principles and be willing to incorporate them into existing practices
- Must possess a high degree of attention to detail and best practice as it relates to revenue cycle management
- Computer literacy skills, including Microsoft Office
Work Location:
Richter is committed to equal employment opportunity. We will not discriminate against employees or applicants for employment on any legally-recognized basis “protected class” including, but not limited to: race; color; religion; genetic information; national origin; sex; pregnancy, childbirth, or medical conditions; age; disability; citizenship status; uniform service member status; or any other protected class under federal, state, or local law.
Objectives:
Our Regional Business Office Liaison serves as an onsite representative of Richter for our clients. The primary focus of this role is providing administrative support for our billing, AR, and collections teams.
Responsibilities:
- Coordinating the gathering of information for residents with LTC insurance to get claims approved
- Working with families on the transition from Private Pay to Medicaid/ Benevolent Care by gathering all the necessary information and walking them through how the process works.
- Income verification of all current Medicaid residents and notifying the CBO of any changes for billing purposes monthly.
- Collections follow-up for Medicaid/ Benevolent Care patient liability and private pay residents. For Hearthstone and Lutheran Home.
- Gathering of payments to send to CBO to be applied to patient accounts throughout the month. This includes insurance payments and private pay payments.
- Answers phone calls for residents and family members regarding billing questions for all Hearthstone and Lutheran Home accounts throughout the month.
- Distributes petty cash for team members and residents throughout the month. This includes gathering appropriate backups, such as receipts and GL codes, to charge for multiple departments.
- Manages and reconciles census daily.
- Manages resident trust funds using PCC and maintains confidential files.
- Manages collection of residents’ accounts receivable to ensure they are collected in a timely manner.
- Organizes, evaluates, and monitors business office operations to ensure these functions are performed effectively and efficiently.
- Verifies insurance coverage as needed.
- Answers phone calls for billing questions.
- Process insurance premium payments for Medicaid residents out of Trust Fund.
- Processes reimbursement from Trust Fund accounts for Medicaid residents and/or family members.
- Working with families on the transition from Private Pay to Medicaid/Benevolent Care by gathering all the necessary information and walking them through how the process works.
- Processes monthly Bed Tax (Granny Tax) Report and sends to AP for payment, monthly.
- Process monthly ACH transactions in PCC.
- Payer verification and follow-up on denials and unverified payers.
- Escalate issues and or discrepancies to Lutheran Life leadership as directed.
- Participate in scheduled department meetings and in-services.
- Other duties and projects as assigned.
Qualifications:
- Previous office management experience in LTC strongly preferred
- PCC (Point Click Care): 2 years minimum (Required)
- Business Office Management: 3 years (Required)
- Long term care: 3 years (Required)
- Strong organizational, communication, and multitasking skills
- Bachelor's Degree or equivalent with medical billing experience
Schedule:
- 8-hour shift
- Monday through Friday
Ability to commute/relocate:
- Reliably commute between Bloomington & Ottawa, Illinois
Richter is committed to equal employment opportunity. We will not discriminate against employees or applicants for employment on any legally-recognized basis “protected class” including, but not limited to: race; color; religion; genetic information; national origin; sex; pregnancy, childbirth, or medical conditions; age; disability; citizenship status; uniform service member status; or any other protected class under federal, state, or local law.
