Accounts Receivable Resource- Outpatient
The Ensign Group, Inc.
Accounts Receivable Resource - Outpatient
Ensign Services is looking for an experienced Accounts Receivable Resource - Outpatient to serve in our growing outpatient delivery/care model. We are committed to providing an excellent clinical experience for our patients and an amazing work environment for our employees. The primary purpose of this position is to train and assist business office managers and staff on accurate and efficient billing practices according to company and industry standards, to monitor timely collections of accounts receivable across multiple operations in various markets and to ensure exact recording of revenue transactions in locations operating in the healthcare industry.
Preferred Qualifications:
- 5+ years of Business Office Manager experience in an Outpatient Therapy Clinic (PT, OT, and/or SLP).
- Accounts Receivable billing/collection experience in an Outpatient Therapy Clinic (PT, OT, and SLP).
- Experience in multi-clinic oversight role, preferred.
- Experience with and ability to optimize NetHealth for Clinics software (or similar) is a plus.
- PointClickCare experience preferred (this may be needed as we would like this person to also help with SNF-Outpatient Accounts Receivable as warranted).
- Ability to travel.
- Able to prioritize and organize tasks at hand to meet specific deadlines.
- Proficient in Microsoft Word, Outlook, Excel, and Teams.
- Specialize in the Billing and Collections part of the revenue cycle for outpatient services with the ability to resolve claim rejections and denials in a timely manner.
- Oversight of outpatient collection trends and identify areas of improvement for SNF and outpatient clinics.
- Conduct regular follow-up on unpaid claims to ensure systems are adequate for sustainable resolution, provide education as needed.
- Knowledge of State and Federal regulations specific to outpatient therapy services.
- Strong knowledge of insurance and medical terminology.
- Knowledge of claim form HCFA 1500 and UB0-4 form (for the SNF OP).
- Knowledge of EOB interpretation, deductibles, copays and coinsurance.
- Ability to interpret contracts in relation to outpatient therapy services.
- Knowledge of health plans provider manuals, policies, and edits.
- Strong analytical skills including the ability to understand and interpret information between Federal, State, health plan and OT, PT, ST rules, regulations, policies etc.
- Strong leadership, communication, interpersonal, and problem-solving skills.
- Ability to be impactful partnering with an interdisciplinary team.
- Experience working with various health plans to ensure accurate loading of contracts into the health plan's system.
- Experience developing educational materials and providing education to a wide range of audiences.
- Ability to craft policies and procedures as well as systems to safeguard the assets related to Accounts Receivable.
Additional Information:
- Pre?employment criminal background screening required.
What We Offer:
- We are committed to providing a competitive benefits and compensation package which includes medical/dental/vision coverage, company-provided life insurance, 401(k) with company match, and sick/vacation plans.
- We also believe in supporting our employee's professional growth and development through our Learning Management System as well as training sessions and seminars.
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