Qureos Mentor

Rockport Healthcare Services

<div><div><p><b>Position Summary:</b> The Regional Financial Consultant (RFC) provides consultation and support to the facility in the collection process of patient services revenue.</p>
<p><b>
 </b><b>Essential Position Duties:</b></p><br>
<p></p>
<ul>
<li>Review and analyze account receivable, aging and weekly cash flow reports. Coordinates and monitors plans with facility staff.</li>
<li>Supports facility with resolving specific billing questions, problems and or difficult claims.
</li><li>Coordinates routine account receivable management calls and or aging reviews no less than monthly with each facility.</li>
<li>Visits facility routinely throughout the month. Notifies facility staff of schedule, completes a facility site visit report and monitors the plan for improvement for identified non-compliance.</li>
<li>Validates key systems are in place that are critical to cash collections such as, but not limited to, TARS, managed care authorization tracking, weekly ACS billing, Triple Check, certs and re-certifications, follow up systems for tracking outstanding claims, etc.</li>
<li>Reviews monthly accounts receivable balance sheet account issues and works with the facility to fix issues and improve cash posting process.</li>
<li>Reviews and approves refunds.</li>
<li>Reviews and approves facility month-end close files to confirm facility is balanced prior to closing. Seeks support from the ARD if having issues. Communicates timely if a facility will be closing late.</li>
<li>Reviews submitted request to write-off delinquent accounts. Reviews collection efforts and returns write-off if opportunities to collect have not been pursued. Approves write-off and submits for additional approval or to accounting per policy.</li>
<li>Reviews the resident trust reconciliation monthly and completes a quarterly resident trust audit. Coordinates improvement plan with the facility.</li>
<li>Provides the facility Business Office staff with support in responding to audit requests including but not limited to cost reports denial reports, resident trust, reconciliation of bad debt, etc.</li>
<li>Provides assistance to Administration on special projects to the extent resources/priorities permit.</li>
<li>Participates in the interviewing of Business Office personnel. Provides evaluation information as requested. Makes staffing recommendations for facilities as warranted.</li>
<li>Coordinates Business Office employees training with available resources. Provide both initial and ongoing training in all pertinent areas with particular emphasis on billing, collection and accounts receivable management procedures.</li>
<li>Respond to revenue questions from accounting during close.</li>
<li>Provides training to Admissions as needed related to insurance verification and set up in PCC.</li>
<li>Fosters and maintains a strong positive working relationship with fellow employees, including accounting, operations, marketing, human resources, etc.</li>
</ul></div><ul><li>Participates in the Quality Management process. Supports development and implementation of improvement plans.</li>
<li>Travel as needed.</li>
</ul>
<ul><li> Follows all OSHA and safety standards , as applicable to the position and in the business location or workplace in accordance with state and federal regulations and policies and procedures.</li></ul>
<ul><li> Maintains safe and clean work area and adheres to safety standards for the healthcare professional.</li></ul>
<ul><li> Adheres to facility policy and procedures.</li></ul>
<ul><li> Adheres to established HIPAA confidentiality standards.</li></ul>
<ul><li> Provides leadership and support regarding timely reporting of financial operations compliance program concerns.</li></ul>
<ul><li> Performs other tasks or duties as assigned.</li></ul>
<p><b>
Position Qualifications:</b></p>
<ul><li> Must have a thorough understanding of patient services revenue and account receivable business processes, with the ability to impact the collection process.</li></ul>
<ul><li> Act as the liaison between the Administrative Services Company and the facility and coordinate support for the facility staff in the business office.</li></ul>
<ul>
<li>Ability to lead, plan, organize, develop, implement, and interpret the programs, goals, objectives, policies and procedures, etc. that are necessary for providing quality care and maintaining a sound business operation.</li>
<li>Ability to apply critical thinking to a variety of situations, assess business objectives, develop, implement and monitor effective business plans for improvement.</li>
<li>Ability to read, interpret and analyze financial records and reports</li>
<li>Possess knowledge of reimbursement regulations as well as laws, regulations, and guidelines pertaining to healthcare.</li>
<li>Ability to work harmoniously with other personnel and develop/maintain good personnel relations and employee morale</li>
<li>Ability to work independently, to follow instructions, and to accept constructive feedback.</li>
<li> Ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.</li>
<li>Sufficient verbal and written communication skills to perform the tasks required.</li>
<li>Strong knowledge base and skills in the use of Microsoft Office applications.</li>
</ul><h4 class="jobSectionHeader"><b>Professional Experience/Educational Requirements</b></h4>
<ul><li>Two years accounting and/or auditing experience.</li>
<li>Five years long-term healthcare experience</li>
<li>Two years experience in management, supervision and training.</li></ul></div><p></p>

Regional Financial Consultant

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Rockport Healthcare Services

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Regional Financial Consultant