Facility Reimbursement Coordinator

Location: Cleveland, OH

General Responsibility:  Performs accounts payable and accounts receivable functions necessary to process Medicaid room and board invoices received from facilities.

 Essential Functions:   

 Prepares Rapid Payment Advices and Adjustments according to established procedures.

  • Processes facility invoices or Rapid Payment Advices received by mail and fax according to established billing and accounts payable procedures.
  • Ensures facilities are reimbursed according to contract agreements or Rapid Payment Advice terms.
  • Processes Medicaid room and board charges in Accounts Payable software application for payment.
  • Performs monthly follow-up of Medicaid room and board accounts and maintains Days in A/R within ranges established by the Chief Financial Officer.
  • Establishes and maintains professional customer service relationships with the billing staff at facilities.
  • Works collaboratively with Professional Relations Coordinators to identify and resolve billing, payment and contracting issues with facilities.
  • Assists Professional Relations Coordinators with in-services to facilities regarding billing and payment procedures for Medicaid room and board.
  • Assists patients and families and facilities with billing and payment issues.
  • Assists with developing and improving the Medicaid room and board process, with emphasis on the Rapid Payment Advice process.

Other:

  • Completes special assignments/projects and other duties as assigned by the Reimbursement Team Leader.
  • Demonstrates effective Service Excellence skills according to agency guidelines.
  • Performs identified back-up functions as assigned by supervisor.

 Requirements:

 Education/Experience:

  • Two (2) years’ or more experience with processing accounts payable and accounts receivable or comparable accounting work experience (preferably in a healthcare environment).
  • Two (2) or more years’ experience with electronic medical records preferred.
  • Experience with Medicaid programs and eligibility requirements preferred.
  • High School diploma.

 Knowledge/Skills/Abilities:

  • Proficient in Microsoft Word, Excel and Outlook.
  • Must demonstrate strong customer service and communication skills.
  • Flexibility to work both independently and in a team environment.
  • Ability to multi-task and work under pressure to meet deadlines.
  • Basic knowledge of accounting.
  • Demonstrated accuracy and attention to detail.

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About Hospice of the Western Reserve
Hospice of the Western Reserve provides palliative end-of-life care, caregiver support, and bereavement services throughout Northern Ohio. In celebration of the individual worth of each life, we strive to relieve suffering, enhance comfort, promote quality of life, foster choice in end-of-life care and support effective grieving.

We Can Help

Speak with the referral team by contacting us seven days a week, 24 hours a day. Any first visit and admission can be made the first day.

Northern Ohio's Hospice of Choice

More than 1,000 Hospice of the Western Reserve employees and 3,000 volunteers live and work side-by-side in the same neighborhoods with our patients and families. We are privileged to have cared for more than 100,000 Northern Ohioans since our inception.