Lead Long Term Care Account Associate

Lead Long Term Care Account Associate

The Lead Long Term Care Account Associate maintains, prepares and processes billing records and bills for CentraState Healthcare System affiliates.

Responsibilities

• Prepares and submits bills according to individual payor requirements.
• Reviews appropriate literature in order to stay informed of issues and developments in the field.
• Makes suggestions for software improvements.
• Reviews system generated data for accuracy and makes corrections as needed.
• Maintains accurate records of dollars and accounts billed by payor.
• Provides additional information requested by payors including Medical Records, Medicaid claim correction forms and claim adjustment forms.
• Posts allowances or adjustments to accounts according to payor contracts and / or System policy.
• Prepares monthly statements for resident / resident payment balances.
• Prepares accurate bank deposits for Personal Needs Accounts.
• Sends adjusted bills with balance due to responsible payor or patient / resident as appropriate, following established procedure.
• Manages PNA in accordance with the Medicaid waiver program requirements.
• Maintains a cash receipts journal for all cash deposits.
• Brings unresolved issues to the attention of the Supervisor or Administrator.
• Investigates and responds to patient billing questions received by mail, phone, or in person in a timely manner.
• Demonstrates compassion and understanding when communicating with residents and / or family members.
• Identifies and records software or hardware problems and contacts the vendor for resolution.
• Maintains detailed daily facility census activity data and submits to appropriate regulatory agencies and facility staff.
• Reviews charges for reasonableness and researches questionable or late charges with appropriate departments.
• Prepares accurate reports and statistics as assigned by Coordinator.
• Coordinates, locates and organizes accounts and other documentation for internal, payor and other audits as requested.
• Maintains a resident file for resident billing purposes.
• Monitors accounts and Accounts Receivable reports to identify accounts which require follow-up, adjustment, rebilling, refund, etc and perform indicated duties.
• Actively participates in the collection of delinquent resident accounts by making phone calls, sending notices, etc.
• Advises Resident A / R-Supervisor of delinquent accounts promptly.
• Identifies resident balances which are eligible for placement with an attorney or collection agency and provides documentation to Resident A / R Supervisor.
• Provides information to residents and / or responsible party regarding Medicaid waiver program information and low and moderate income housing requirements.
• Communicates with regulatory agencies to effectuate prompt Medicaid enrollment.
• Notifies appropriate parties as changes related to Medicaid eligibility occur; including income changes and verification of information.
• Posts routine and exceptional charges based on information provided by clinical staff and outside vendors promptly and accurately.

Qualifications

About Us

CentraState Healthcare System, in partnership with Atlantic Health System, is a fully accredited, not-for-profit, community-based health system dedicated to providing comprehensive health services in central New Jersey. Beyond offering a wide range of advanced diagnostic and treatment options, CentraState is committed to being a valuable health partner, focusing on disease prevention, promoting healthy behaviors, and helping individuals of all ages live well.

Located in Freehold, CentraState includes a 284-bed acute-care hospital, a dynamic health and wellness campus, two award-winning senior living communities, a charitable foundation, and convenient satellite health pavilions. These pavilions offer primary care, specialty physician practices, and access to outpatient services such as lab work and physical therapy.

CentraState is proud to be among the less than two percent of hospitals nationwide to earn Magnet designation for nursing excellence five times. Additionally, it has been recognized as a Great Place to Work-Certified Company by Great Place to Work for four consecutive years.

Joining CentraState means becoming part of a pioneering healthcare facility committed to high-quality, patient-focused care. We invite you to make a difference in our community and advance your career with us. We support our employees with work / life balance initiatives, tuition assistance, career advancement opportunities, and more.

Discover why our employees love their jobs and being part of the CentraState family!

CentraState Health System offers a competitive and comprehensive Total Rewards package that supports the health, financial security, and well-being of all team members.

What We Offer :

Compensation Range : $19.50 - $31.20 per hour

The compensation above reflects the established range from CentraState Healthcare System (CSHS) for this position at the time the job was posted. CSHS considers many factors to determine compensation, including education, experience, skills, licenses, certification, and training. As such, team member compensation may fall outside this range.

The benefits outlined also reflect CSHS' policy at the time of posting. Benefits as are made available to other similarly situated team members of CSHS, although participation is at all times in accordance with and subject to the eligibility and other provisions of such plans and programs. CSHS may modify its benefits plans or programs at any time.

CSHS is proud to comply with all pay equity and pay transparency laws.