Resident Patient Account RepresentativeResident Patient Account Representative

Resident Patient Accounts Representative Fall River Health Services (FRHS) is seeking a detail-oriented and organized Resident Patient Accounts Representative to join our team.

This position plays an important role in managing resident financial accounts, billing, collections, resident trust accounts, and accounts receivable while ensuring accuracy, compliance, and excellent customer service.

The ideal candidate is comfortable working with financial information, insurance billing, government payers, and residents and families regarding sensitive financial matters.

This position requires strong attention to detail, excellent organizational skills, confidentiality, and the ability to work independently in a fast-paced healthcare environment.

What Youll Do Revenue Cycle & Accounts Receivable Process and manage Medicare, Medicaid, private-pay, Long-Term Care Insurance, and other insurance billing.Prepare and process accurate and timely monthly billing statements.Enter monthly resident charges and ancillary services to ensure accurate billing and revenue capture.Enter Medicare Part A pharmacy, ancillary, and supply charges.Process monthly no-pay Medicare claims as required.Monitor accounts receivable and follow up on delinquent accounts.Communicate with residents, families, and responsible parties regarding outstanding balances, payment arrangements, and account questions.Prepare notices and collection letters as needed.Coordinate collection efforts and refer accounts for collection services when appropriate.

Pre-Admission & Census Management Conduct financial screenings for prospective residents prior to admission.Collect and review financial information to determine available resources and appropriate payment arrangements.Maintain accurate resident census information manually and within PointClickCare.Review resident accounts and census information for accuracy and resolve discrepancies.

Resident Trust Accounts Maintain resident trust accounts in accordance with applicable regulations and facility policies.Process resident trust deposits and disbursements accurately and timely.Process monthly rent and other approved resident payments using resident trust funds.Ensure resident trust accounts are accurately balanced and reconciled.Process resident refunds and maintain and reconcile donation funds.

Reporting, Reconciliation & Compliance Prepare and provide Administration with a monthly accounts receivable aging report, including appropriate billing and collection notes.Process deposits, disbursements, and monthly financial reconciliations.Complete month-end close worksheets and related financial activities.Assist with financial audits and regulatory reviews.Maintain accurate documentation for surveys, audits, and financial reviews.Ensure compliance with applicable federal and state regulations, payer requirements, and facility policies.

Additional Responsibilities May assist with patient account functions for the Fall River Rural Health Clinic and H...