Full-Time Patient Account Specialist for the Collage Nursing and Homecare Program at Collage Nursing and Home Care Partners

Collage Rehabilitation PartnersJob Description Position Title: Patient Account Specialist Reports To: Program Director FLSA Status: Exempt Job Summary This position is responsible for admissions processes as well as accounts receivable functions including billing and collections for Collage Rehabilitation Partners. Essential Duties & FunctionsReceives and answers phone calls and emails regarding referrals admissions or claims inquiries Gathers data and information to determine availability of funding and the possibility of funding approval Ensures that appropriate information is sent to individuals making requests and disseminated appropriately to Collage team members After receiving clinical recommendations develops single case agreements that align with physicians orders and submits to payer for approval. Negotiates any discounts and prompt pay arrangements under direction of Program Director and secures written authorization from the funder In the admissions process maintains frequent contact with anyone that can assist in securing final admission commitment Keeps program up to date on potential clients and admission status and provides critical funding information to program admissions team prior to admission Communicates regularly with marketing staff regarding intakes admissions and referral sources. Sets up the patient folder in the appropriate drive according to protocol and relays any special instructions to the Program Director Director of Nursing Nurse Supervisor Clinical Liaison and Staffing Coordinators. Sets up patient in electronic medical record prior to admission Collects and submits required documentation to the funder/referrer within designated time frame (typically weekly). Maintains documentation and timely collection of housing agreements and payments informing pertinent staff of lease timelines Serves as a resource to program staff for funding and approval issues that may arise while a client is part of the Collage system. Collects and processes claim information. Posts insurance/client information and manages accounts. Submits claims and follows up with insurance carriers on unpaid or rejected claims; resolves issues as needed and resubmits claims.Answers client inquiries on account status and charges. Communicates to the AR team and Program Director issues or concerns regarding the accuracy and completeness of the medical documentation and billing information received. Reviews billing generated for accuracy Rebills and/or re-submits invoices related to collection matters including submission of private account statements. Performs monthly analytical procedures of billed charges special instructions and general ledger posting reports to ensure completeness and accuracy. Establishes new client billing set up in accounting and billing systems as clients admit and discharge from programs. Completes insurance verification as needed. Assists in preparing credentialing applications as needed by programs related to payer contracts and billings. Follows HIPAA guidelines in handling client information. Handles other duties as assigned. Education & Experience Requirements A high school diploma and three to five years of related work experience or college courses in Accounting Finance or Business Administration is required. An associates degree is preferred. Knowledge of accounting software Microsoft Office including strong Excel skills are required. Experience working with behavioral health software or similar systems is a plus. Must be detail oriented have a solid math aptitude and excellent organizational skills. Competence in planning time management and excellent communication skills are required. Physical Requirements & Working Conditions Regularly required to communicate both orally and in writing; occasionally required to speak on the telephone for extended periods of time. Frequently required to sit; occasionally required to bend stoop kneel stand and walk. Regularly required to use hands to type grasp handle or feel; reach push or pull with hands and arms; and talk or hear. Specific vision abilities required include close vision color vision and ability to adjust focus. Regularly required to demonstrate a high degree of attention to details quality standards and accuracy. Must have the ability to handle and organize multiple priorities and deadlines. Must have the ability to travel up to 5% of the time spent working in this position. Must have the ability to occasionally lift and or move 10 lbs. or more. Collage has determined that all staff are at risk for exposure to potentially infectious materials based on the duties entailed in working with clients or in an office setting. This position has been classified as a role within the organization that may incur occasional occupational exposure based on the jobs duties and responsibilities. The physical requirements described here are representative of those that must be met by an employee to successfully perform the functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the primary functions.This job description is not intended to be all inclusive and employee will also perform other reasonable related job duties as assigned. Collage reserves the right to revise or change job duties as the need arises. This job description does not constitute a written or implied contract of employment.Required Experience:IC Key Skills Abinitio,Administration And Accounting,Android,Bid Management,Inventory Management,Embedded C Employment Type : Full-Time Experience: years Vacancy: 1