Va Claims Processor Jobs in Dallas, TX (NOW HIRING)

Position summary:

The Regional Account Manager will be responsible for coordinating with our skilled nursing facilities, insurance companies, and responsible parties to resolve account balances. The most essential duties are aging review, billing, collections, trust fund management, policy and procedure compliance, and customer service. This position will interface with a wide range of internal and external contacts and will foster relationships with billing team and peers. The Regional Account Manager will oversee a region of approximately 8-10 buildings. This position requires frequent travel between facilities to ensure constant contact within the designated region.

Job Responsibilities & Duties:

• Work with Business Office Managers to ensure compliance on policy and procedure;
• Communicate with VP of Revenue Cycle to ensure status of facilities and projects remain consistently updated;
• Oversee facility processes and procedures, ensuring documentation remains up-to-date and is reviewed at least annually for efficiency;
• Coordinate and assist with facility BOM with timely and accurate billing of Private Pay, VA, Medicaid and Hospice claims;
• Routine oversight and auditing of critical processes such as cash deposits and posting, Medicaid pending and application processes, census entry, ancillary posting and triple check;
• Communicate to BOM’s & Administrators areas of concern or areas of improvement and writing and delivering coaching discussions and performance improvement plans as necessary;
• Complete review of documentation and perform end of month close processes while reporting on all revenue adjustments within the month;
• Initiate account adjustments as identified, and ensure compliance on resident demographics and payer set up by auditing hard financial files and AR system;
• Ensure Resident Trust Fund compliance and work to complete zero deficiency audits;
• Experience in long-term care, with ability to demonstrate strong leadership, communication and management skills.

Benefits Include:

• Medical
• Dental
• Vision
• Basic Company Paid Life insurance
• Long Term Disability
• Voluntary Life Insurance for the Employee, Employee Spouse and Employee Children
• Short Term Disability, Cancer, Critical Illness, Accidental and Universal Life
• Employee Referral Bonus Potential Program
• Daily Pay
• Tuition Reimbursement
• Paid Time Off

Experience/Education:

• 2+ years Long Term Care Experience Required
• Bachelor’s in Accounting OR 3+ years’ SNF RAM experience (preferred)
• 2-5 years of experience in long term care Business Office environment required

Specific Requirements:

• Must possess the ability to plan, organize & complete daily, weekly and monthly requirements as calendared in a fast paced environment;
• Must live in Northern Louisiana
• Must be able to comprehend complex insurance and reimbursement information;
• Must possess the ability to make independent decisions when circumstances warrant such action;
• Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public;
• Demonstrated experience with Microsoft Excel, Microsoft Word, and the ability to learn new software programs quickly;
• Excellent verbal, written, and organization skills;
• Extensive knowledge of local, state, and federal nursing facility guidelines as they pertain to billing, collections, and fiduciary management;
• Ability to comply with Company and departmental policies and procedures.

Priority Management Group, LLC is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable Federal, State or Local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment. Management Group, LLC is an Equal Opportunity Employer that does not discriminate on the basis of actual or perceived race, creed, color, religion, alienage or national origin, ancestry, citizenship status, age, disability or handicap, sex, marital status, veteran status, sexual orientation, genetic information, arrest record, or any other characteristic protected by applicable Federal, State or Local laws. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.