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SalaryMedically Home operates a decentralized care model for patients with serious, complex or high-risk illnesses in partnership with health systems to safely care for their patients at home, across the care continuum, including hospital-level care. Medically Home provides health systems with all that is needed to safely care for patients, including the clinical protocols, reimbursement model, platform technology, and fulfillment of all the clinical services required in the home through partners. Clinicians and patients broadly prefer this model over traditional care; both clinical and financial outcomes are improved as compared to traditional care.
Objective of the Position
The Senior Revenue Accountant/AR Analyst will be an integral member of the company’s Finance team. This position is responsible for gathering claims data, validating of claims against patient details, performing data mining, utilizing excel and complex formula and module to perform validation and data analysis on a day-to-day basis. This role requires exceptional detail-oriented and advanced excel skills to ensure the accuracy and completeness of the billing and avoid any errors or duplicates.
Reports to: Senior Manager, Accounts Receivable
Location: Remote
Essential Duties and Job Responsibilities:
Review contract terms with internal team and determine the billing elements for each customer
Gather all the relevant transactions from accounting system, claims database, patient data, and payroll data and consolidate the information for billing purposes
Prepare a workbook that summarize all billable transactions with details as well as summary
Perform a detailed monthly billing reconciliation related to pass through revenue and identify all billable items and non-billable items and determine for appropriateness
Generate and update patient list for all customers and consolidate the list with creation of macro or run a script on a weekly basis
Create formula to validate claims against patient name, MRN, date of service and customer name
Set up calculation to determine the revenue amount based on the dependents such as average length of stay, different percentage of revenue at different level, and etc.
Follow up with AP for any claim issues and ensure the charges are processed timely
Ensure the check and balance for the details and summary for all claims billed to our customers
Categorize transactions details by type and calculate program fee and all other charges accurately
Follow up with customer account leads to resolve any issues and apply customer credits
Determine and prepare monthly AR revenue accrual for the month end close
Record customer billing to NetSuite
Review and manage AR account balances for timely collections
Communicate with Account Leads regarding on invoice issues and payments
Conduct a monthly invoice meeting review with CFO and other executives
Maintain and document current processes
Analyze simple to complex problems and assist team with solutions
Work directly with Executives/Account Leads/Project Leads on data integration as we automate our revenue cycle management process
Support the implementation of the development of a more streamlined billing process along with the other departments/project leads
Skills and Qualifications:
Ideal candidate must be enthusiastic, self-motivated, detailed and number oriented. The ideal candidate should be prepared for ability to problem solving and working collaborative with other teams as they relate to the role and in a rapidly growing company.
BA in Accounting/Finance or Business Administration, MBA desirable
Minimum of 5 years Accounting, Finance, or administrative experience essential
Advanced excel and analytical skills – able to create complex formula and model
Experience with complex data and multiple steps billing process
Strong time management
Supervisory experience preferred
Experience in health care industry/patient claims preferred
Excellent communication skills
Highly motivated, proactive, and efficient
Robust organizational and problem-solving skills
Experience with accounting systems; NetSuite strongly preferred
Willing and able to adapt to a high energy, fast paced environment
Consistent with Medically Home’s values of serving our patients, customers and team members, Medically Home has implemented a vaccine policy consistent with those commitments.? Therefore, all MH team members are required to be vaccinated against COVID-19, have their 1st booster against COVID-19 as well as seasonal influenza.
At Medically Home, we are committed to creating a diverse and inclusive environment. If you are excited about this role or about our company’s mission but you aren’t sure if your past experience ticks all the boxes in this job description - apply anyway. You might just be the right candidate for this or other opportunities in our organization.
Medically Home is an equal employment opportunity employer and is committed to maintaining a non-discriminatory work environment. Medically Home does not discriminate against any employee or applicant for employment on the basis of race, color, religion, sex, national origin, age, disability, veteran status, marital status, sexual orientation, gender identity, or any other characteristic protected by applicable federal and/or state law.
