Position Summary: The Regional Financial Consultant (RFC) provides consultation and support to the facility in the collection process of patient services revenue.
Essential Position Duties:
- Review and analyze account receivable, aging and weekly cash flow reports. Coordinates and monitors plans with facility staff.
- Supports facility with resolving specific billing questions, problems and or difficult claims.
- Coordinates routine account receivable management calls and or aging reviews no less than monthly with each facility.
- 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.
- 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.
- Reviews monthly accounts receivable balance sheet account issues and works with the facility to fix issues and improve cash posting process.
- Reviews and approves refunds.
- 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.
- 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.
- Reviews the resident trust reconciliation monthly and completes a quarterly resident trust audit. Coordinates improvement plan with the facility.
- 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.
- Provides assistance to Administration on special projects to the extent resources/priorities permit.
- Participates in the interviewing of Business Office personnel. Provides evaluation information as requested. Makes staffing recommendations for facilities as warranted.
- 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.
- Respond to revenue questions from accounting during close.
- Provides training to Admissions as needed related to insurance verification and set up in PCC.
- Fosters and maintains a strong positive working relationship with fellow employees, including accounting, operations, marketing, human resources, etc.