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Date Posted: 03/25/2021
Location: York, PA 17404
Company: SpiriTrust Lutheran
Job Type: Full Time

SpiriTrust Lutheran is now hiring a Corporate Director of Medical Billing and Third Party Reimbursement
For the third consecutive year, we have been certified as a Great Place to Work! 2020-2021
SpiriTrust Lutheran®delivers an array of programs and services that touch thousands of lives each day. Our name, SpiriTrust Lutheran®captures the essence of who we are and the care and compassion our amazing team delivers. It embraces our Lutheran heritage, our spirit of service, and the reality that people come to us because of their trust in us. 

We provide residential living, assisted living, personal care, memory support and nursing and rehabilitation services in six senior living communities; home care, in-home support, palliative care and hospice services; an innovative program for clinically frail adults aged 55 and older in need of nursing home level-of-care; counseling services; financial education and coaching; domestic abuse solutions; services for the deaf and hard of hearing; volunteer income tax assistance; and an array of volunteer programs.

SpiriTrust Lutheran®started in York, PA in 1951 with $9,000. Today, SpiriTrust Lutheran®is one of the leading non-profit organizations in the region. SpiriTrust Lutheran®and its program agencies and subsidiaries serve annually more than 21,000 people in 20 counties in Pennsylvania and three in northern Maryland.

At SpiriTrust Lutheran®, our employees are a highly valued resource. Their dedication, skill and commitment enable us to provide excellent service and care within our continuing care retirement communities, community outreach programs and home care services. We offer: Competitive salaries Comprehensive benefits package Education assistance Career advancement/professional growth Friendly, team-oriented environment If you are ready to join us for a rewarding career.  

Basic Qualifications
 
Education/Training:A B.S. or B.A. degree in Accounting or Business Administration required.  In lieu of educational requirement will accept combined education and related experience totaling seven years.
 
Skill(s):Speaks and understands English; proficient reading, writing, grammar, mathematics, and analytical skills; moderate interpersonal relations and communication skills; proficient PC skills; knowledge of census and billing software; knowledge of Medical Assistance/Medicare/third-party billing and reimbursement; demonstrated management and supervisory skills; and valid driver’s license.
 
Experience:A minimum of three (3) years’ related experience required.
 
 
General Responsibilities
 
Responsible for providing oversight of Medical Assistance, Medicare, third-party payor reimbursement, and private pay billing;  monitoring accounts receivable agings; supervising collection efforts and timely cash flow from receivables; performing various accounting and administrative duties; implementing strategies to achieve goals as established in the department’s annual operating plan; insuring the department’s compliance with operating standards and procedures and outside regulatory requirements; organizing the work, activities, and human resources of the department; directly supervising assigned personnel; communicating with appropriate management and staff personnel; providing periodic reports.
 
Essential Duties
 

Supports the mission and values of SpiriTrust Lutheran which is: SpiriTrust Lutheran, witnessing to the Gospel of Jesus Christ, provides exceptional health, human, and senior living services by supporting persons in achieving an optimal quality of life.

 

Interacts with residents, clients, staff, and the general public in ways that demonstrate the agency’s commitment to courtesy, service, and hospitality befitting a church related organization.

 

Provides oversight of Medical Assistance, Medicare, third-party payor reimbursement, and private pay billingas illustrated by the following:

 

Maintains an in-depth knowledge of Medical Assistance and Medicare regulations, policies, and procedures as they relate to and have impact on long term care.

 

Acts as the SPIRITRUST LUTHERAN in-house consultant regarding Medical Assistance, Medicare, and insurance billing and reimbursement issues; works with, consults, and educates SPIRITRUST LUTHERAN staff in the areas of Medical Assistance and Medicare issues, transaction processing, etc.

 

Monitors Aged Accounts Receivable Agings; implements collection systems for the agency; trains and supervises collection efforts of campus Accounting Coordinators and Assistant Accounting Coordinators, as well as Accounts Receivable Specialists.

 

Tracks and coordinates timely cash flow from receivables.

 

Ensures timely submission of accounts receivable and census information required to file annual Medical Assistance and Medicare cost reports with Corporate Controller.

 

Works in collaboration with staff and non-staff personnel to problem solve, implement new policies/procedures in order to ensure compliance with requirements and to maintain optimal efficiencies and consistencies regarding entire billing process for Senior Living campuses including private pay, third party payers, Medical Assistance, and Medicare.

 
 

Performs various accounting and administrative duties as follows:

 

Adheres to the fiscal polices, practices, and procedures as defined in the Standard Operations Manual.

 

Examines, verifies, and/or prepares a variety of financial and statistical reports in an appropriate and timely fashion.

 

As necessary, communicates (written and orally) with residents, powers of attorney, and residents’ family members.

 

Maintains the strictest confidence regarding all financial matters.

 

Attends appropriate training, in-services, etc. in order to maintain professional competency.

 

Communicates regularly, both orally and in writing, with supervisor in such ways to keep supervisor well informed regarding the ongoing responsibilities.

 

Provides direction, oversight, and supervision to the Accounting Coordinators and Assistant Accounting Coordinators at all campuses; visits campuses to provide this oversight and direction as necessary.

 

Interacts with all colleagues in ways that assist one another in the successful performance of their duties.

 

Provides support, encouragement, and direction to the individuals under his/her direct supervision; acts as a resource for staff in problem solving and properly communicates within the established chain of command.

 

Creates an atmosphere that promotes a positive and respectful work environment.

 

Implements strategies to achieve goals assigned as established in the department’s annual operating plan.

 

Abides by the current laws and organizational standards and procedures designed and implemented to promote an environment which is free of sexual harassment and other forms of illegal discriminatory behavior in the work place.

 

Identifies, prevents, and reports actual or suspected abuse, neglect, exploitation, and improper use of chemical and physical restraints, in accordance with standards.

 

Oversees team members in their timekeeping process, ensuring accurate submission of data:

 

Follows up with team members under their supervision to ensure timekeeping process is completed and submitted accurately with no errors.
Educates team members regarding requirements for timekeeping, missed punches, consequences, etc.

 

Enters department’s timekeeping data accurately and submits data within practice guidelines.

 

Evaluates data related to resources and program and makes appropriate corrective actions with team members, if necessary, to ensure compliance with all rules, regulations, and agency standards.

 

Cooperates with, participates in, and supports the adherence to all Agency standards, procedures, and practices in support of risk management and overall safety and soundness and compliance with all regulatory requirements, i.e., HIPAA, OSHA, etc.; insures that the department and all personnel adhere to the same.

 

Abides by and supports the organization’s code of conduct by exhibiting behavior that is set forth in the code of conduct.  Performs duties in accordance with the code of conduct and completes annual compliance training.

 

Organizes the work and activities of the department in order to achieve established goals; monitors the efficiency and performance of the department versus established standards.

 

Directly supervises assigned staff as follows:

 
a.   Recruits, selects, orients, and makes provisions for the proper training of staff; regularly reviews the competence and performance of this group.
 
b.   Makes certain that all relevant information is properly communicated to the group in order to give them every opportunity to perform their duties properly.
 

Organizes, schedules, and distributes work among assigned personnel.

 

Conducts regular meetings with the staff.

 
e.   Works closely with the group in implementing an effective human resource management program to insure a competent, motivated group of team members.
 
f.    Administers established Human Resources Standards of Practice and other procedures as established by agency policy.

 

Communicates with the Vice President of Support Services/Chief Financial Officer, other managers, and appropriate staff personnel in order to integrate goals and activities.

 

Provides periodic reports to the Vice President of Support Services/Chief Financial Officer and other groups as required.

 
  
EOE