This position is hybrid out of Pennsauken, NJ. Training will be in person full time.

POSITION SUMMARY:

To work collaboratively and cross functionally with teams, both internally and externally to achieve BAYADA Home support, billing, collections, trending, and reporting functions.

MINIMUM QUALIFICATIONS:

• Exemplifies characteristics of The BAYADA Way: compassion, excellence and reliability.
• Four (4) year college degree.
• Demonstrated record of strong interpersonal skills.
• Demonstrated record of goal achievement.
• Prior health care and home care experience is a plus.
• Competence in basic PC skills required to perform job functions.

PRIMARY RESPONSIBILITIES:

• Spend majority of time performing the collection activity processes of denial management, credit accounts
• Receivable management, and aged accounts receivable management.
• Consistently meet performance metrics.
• Manage caseload as needed in the department.
• Apply experience and skills to complete assigned work within own area of expertise.
• Work within standard operating procedures and/or methods.
• Work with a moderate degree of supervision.
• Open new accounts and follow-up within Collection Office policy and procedure guidelines.
• Review EOB’s for appropriate payments within 30 days of receipt. Review denials and underpayments and compare to the referral file for proper authorization and payment rates.
• Contact bill.to party to resolve underpayments and denials.
• Coordinate with service offices and promptly advises of significant payment issues and insurance benefit changes, especially policy terminations. Inform service office of rate and discount discrepancies.
• Inform supervisor of difficult collection issues and patterns of non-payment. Advise of required billing changes.
• Advise supervisor of computer-generated inaccuracies or required program changes.
• Review accounts monthly with emphasis on potential quarterly bad debt reserve amounts and large accounts.
• Review Billing and Payment Histories for accurate payment and discount posting. Perform transfers as necessary.
• Update client file with new and corrected information. Documents all collection activity in the Bears client file clearly and concisely.
• Organize work according to highest priority.
• Prepare refunds, as necessary.
• Assist team members in collection actions on an as needed basis.