Oversee all aspects of accounts receivable, including billing, collections, payment posting, and reconciliation.
Communicate with teams within the facilities regarding admissions processes to ensure proper collections
Supervise and support business office staff, ensuring efficiency, accuracy, and accountability in all AR functions.
Monitor aging reports and implement effective collection strategies.
Ensure proper documentation and timely submission of claims to all third-party payers.
Serve as the subject matter expert for Medicare, Medicaid, and Managed Care billing guidelines and requirements.
Oversee the entire Medicaid Billing process in the state of Connecticut displaying expertise in entering Admissions in Assessment Pro, Denials, Pay starts, Redeterminations, Applied Income Verifications and Medicaid Pending Applications.
Coordinate with clinical and admissions teams to verify coverage and ensure proper pre-authorizations.
Review and resolve denials, rejections, and appeals in coordination with billing staff and payers.
Manage monthly revenue close process and prepare AR-related financial reports for executive leadership.
Conduct regular AR meetings and provide performance feedback and training to team members.
Maintain compliance with federal and state regulations, including HIPAA and SNF-specific financial regulations.
Support audits, both internal and external, and ensure accurate documentation and follow-through.
