Managed Care Revenue Cycle Support - CommuniCare Corporate

Managed Care Revenue Cycle Support

CommuniCare Health Services is a fast-growing provider of long-term care with over 128 facilities located in six states. CommuniCare is dedicated to our goal of creating Caring Communities where staff, residents and families join hands to overcome their daily challenges.

CommuniCare is currently recruiting an experienced team member to assume the position of Managed Care Revenue Cycle Support Specialist.

Experience in Point Click Care and Clearinghouses preferred.

This position is responsible for supporting the Corporate and Field Revenue Cycle team. The AR Specialist may work with multiple departments at the home office and in the field. This position reports to the Corporate Director of Managed Care AR Support (CDMCARS) and will interact directly with the Division & Regional Revenue Cycle team.

Job Duties

• Manage and reporting of Clearinghouse
• Provide back up support to Corp. Revenue Cycle Software Support (Point Click Care) 
• Develop Quick Reference Guide tools for Clearinghouse and PCC Tips
• Perform data pulls for external and internal auditors
• Review Write Offs for appropriateness
• Assist in importing Write Offs when approved
• Review PCC Payer set up requests prior to sending to CDMCARS approval
• Assist with EFT by collaborating with Cash Reconciliation Specialists
• Set up ERA as requested by Revenue Cycle team
• Ability to extract data from OCC on payer and identify potential issues
• Assist with claims projects in collaboration with Revenue Cycle team

Qualifications

• Experience in Point Click Care and Clearinghouses preferred
• Proficient in Microsoft Office / Excel /Smartsheet
• 3-5 years strong business office cash reconciliation & accounting
• Bachelor or Associates Degree in accounting preferred
• Long term care experience preferred
• Point Click Care / Quadax Software required
• Ability to effectively communicate with internal and external customers, both verbal and written
• Effectively work with team members, facility and regional associates
• Ability to work independently and make independent decisions when circumstances warrant such action
• Strong task management and organizational skills, understanding priorities
• Displays a high degree of confidentiality
• Ability to develop and provide analytical reports

Benefits

CommuniCare offers a supportive working environment, competitive wages, PTO plans, and a menu of benefit options from life and disability plans to medical, dental, and vision coverage from quality benefit carriers. We also offer 401(k) with employer match and Flexible Spending Accounts.

About Us

A family-owned company, we have grown to become one of the nation’s largest providers of post-acute care, which includes skilled nursing rehabilitation centers, long-term care centers, assisted living communities, independent rehabilitation centers, and long-term acute care hospitals (LTACH). Since 1984, we have provided superior, comprehensive management services for the development and management of adult living communities. We have a single job description at CommuniCare, "to reach out with our hearts and touch the hearts of others." Through this effort, we create "Caring Communities" where staff, residents, clients, and family members care for and about one another.