Richter is a privately owned and operated company that has specialized in RCM accounting and clinical/financial consulting for our clients for over 25 years! Richter is seeking an experienced long-term care Client Data Specialist (CDS) to join us in providing care, innovations, and results to every client experience!
Objectives:
The role’s primary responsibility is to be a part of the Revenue Cycle process team. This role facilitates Richter policies and procedures to maintain accurate census and payer demographics for successful billing for multiple client assignments.
Responsibilities:
- Performs maintenance and reconciliation of daily census
- Evaluates client demographics and payer set up reviews
- Communicates daily with clients to ensure retrieval of census reporting
- Reviews appropriate system dashboard and/or reports daily to reconcile census, past period adjustments, resident rates, and payer trees for proper set up (coinsurance, patient liability, etc.)
- Identifies, verifies, and resolves Insurance and authorizations required for timely billing within the appropriate systems
- Escalates census, demographics, and payer issues with management and client
- Research payer source, set up and contract information for client assignments as needed
- Enters ancillaries via data entry/import of Pharmacy, Lab, XRay, Oxygen and Medical Supplies
- Reconcile ancillary invoices to census, addressing discrepancies and ensuring appropriate charge capture
- Runs month end reporting for all revenue captured prior to month end close
- Manage Month End Task Tracker and Ancillary Tracker per facility on month end checklist
- Participates in daily team huddle and individual touchpoint with Associate Manager/Manager
- Performs other duties as assigned
Qualifications:
- High School Diploma required, College degree preferred
- Three to Five years experience in client/patient Intake
- Must possess an extensive knowledge of payers and insurance companies
- Ability to understand demographics, ancillary reporting, and insurance payments
- Possesses strong organizational and follow up skills
- Strong critical thinking skills
- Possess a high degree of attention to detail and best practice as it relates to Client Data
- Possess basic computer literacy skills, including Microsoft Excel and Word
- Experience working within CRM and EHR software preferred but not required
Richter is an Equal Opportunity Employer.Richter does not discriminate based on race, ancestry, national origin, color, religion, gender, age, marital status, sexual orientation, disability, veteran status, or any other protected classification under the law.
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Flexible schedule
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Schedule:
- 8 hour shift
- Monday to Friday
Work setting:
- Remote
Work Location: Remote