SNF/LTC - Client Data Specialist

Job Summary: The role's primary responsibility is to be a part of the Revenue Cycle process team. Facilitating Richter's policies and procedures to maintain accurate census and payer demographics for successful billing for multiple client assignments.

Responsibilities:

• Performs maintenance and reconciliation of daily census
• Evaluates client demographics and payer set up reviews
• Communicates daily with clients to ensure retrieval of census reporting
• Reviews appropriate system dashboard and/or reports daily to reconcile census, past period adjustments, resident rates, and payer trees for proper set up (coinsurance, patient liability, etc.)
• Identifies, verifies, and resolves Insurance and authorizations required for timely billing within the appropriate systems
• Escalates census, demographics, and payer issues with management and client
• Research payer source, set up and contract information for client assignments as needed
• Enters ancillaries via data entry/import of Pharmacy, Lab, XRay, Oxygen and Medical Supplies
• Reconcile ancillary invoices to census, addressing discrepancies and ensuring appropriate charge capture
• Runs month end reporting for all revenue captured prior to month end close
• Manage Month End Task Tracker and Ancillary Tracker per facility on month end checklist
• Participates in daily team huddle and individual touchpoint with Associate Manager/Manager
• Performs other duties as assigned

Qualifications:

• High School Diploma required, College degree preferred
• Three to Five years experience in client/patient Intake
• Must possess an extensive knowledge of payers and insurance companies
• Ability to understand demographics, ancillary reporting, and insurance payments
• Possesses strong organizational and follow up skills
• Strong critical thinking skills
• Possess a high degree of attention to detail and best practice as it relates to client data
• Possess basic computer literacy skills, including Microsoft Excel and Word
• Experience working within CRM and EHR software preferred but not required

Requirements:

• Must be able to remain in a stationary position for long periods of time, including neck rotation and sitting for long periods of time
• Constantly operates a computer and other office productivity machinery
• The ability to communicate information and ideas so others will understand. Must be able to exchange accurate information in these situations.
• Must be able to lift 30 lbs.