The essential functions for the AR Analyst are to bill required claims in a timely manner, filing, and ensuring that payments are received. Each AR Analyst has a monthly goal to meet.
The AR Analyst is responsible for:
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Responsible for effective communication from the central billing office to field staff and facility staff to facilitate prompt and clean claims submission for facilities assigned.
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Responsible for census for each assigned facility. This includes being familiar with payer contracts and checking census regularly to ensure revenue and residents are booked and being billed per our contracts, and payer trees are set up correctly.
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Responsible for billing all claims monthly by deadlines set forth depending on payer.
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Responsible for working claims rejections and denials in a timely manner.
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Responsible for held claims daily review and follow up as well as documentation until claims release.
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Responsible for claims follow up until payment is received on all claims for assigned facilities.
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Responsible for daily cash posting of deposits within 24 hours of receipt and reconciling check registers to verify all payments posted for the month.
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Responsible for aging review and cleanup for assigned facilities. This includes reclassing and census line corrections as identified during such reviews.
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Responsible for notifying ADR team regarding denials or additional documentation requests as identified for medical necessity or medical records requests. Claim corrections due to coding issues will be handled by the assigned biller.
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Responsible for billing co-insurance claims after receipt of primary payer payment.
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Responsible for reporting issues with specific payers to CBO AR Manager so that complaints are addressed timely and with the appropriate State departments should the need arise.
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Responsible for keeping accurate and up-to-date billing notes in PCC for all accounts worked.
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Responsible for Bad Debt completion on receivables each month.
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Maintain company collection goals and provide reasons for not meeting collections.
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Participate in monthly aging reviews with Accounts Receivable Manager and Supervisor.
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Ability to maintain proper time and attendance along with possessing a positive attitude and productive work environment.
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Any other assigned functions as needed by the department as deemed necessary by CBO AR Manager.
Qualifications:
- 2 years minimum Skilled Nursing Billing Experience is preferred.
- Ability to work well with others as a team and have strong customer service and communication skills is required.
- High School diploma required.
- Associate degree preferred.
- Point Click Care Software experience is preferred.
- Simple LTC software experience is preferred.
- Excel spreadsheets experience is required.
Schedule:
Full- Time status Monday – Friday 8:00 am – 5:00 pm
Location:
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.
Skills Required
- Two years of skilled nursing billing experience
- Teamwork, customer service, and communication skills
- High school diploma
- Associate degree
- PointClickCare software experience
- SimpleLTC software experience
- Microsoft Excel spreadsheet experience
What We Do
Regency Integrated Health Services is a Texas-based healthcare provider dedicated to supporting families through a continuum of care. They manage skilled nursing facilities and provide specialized services including therapy and rehabilitation, Alzheimer's and dementia memory support, hospice, palliative care, and home health services. Their mission focuses on providing high-quality, compassionate post-acute medical and personal care to residents across Texas.
