Senior VP of Field Accounting and Managed Care - American Senior Communities LLC

SUMMARY OF POSITION FUNCTIONS

Provides leadership and guidance to all American Senior Communities entities as related to Business Office functions and cash flow. Maintains the cash flow, oversees collections, validates all state, federal, local, and American Sr. Communities procedures are being followed. This position will also oversee the Managed Care Team -who provides Prior Authorizations to the Field, along with doing all paperwork to maintain our 3^rd party payer’s enrollment & updates (Medicaid, Medicare & Insurance contracts) and keeping our System for Award Management (SAMs) updated that is required for our VA/VCA contracts. 

ESSENTIAL POSITION FUNCTIONS

• Assists ASC Regional Team for each property to ensure all accounts are in the correct collection phase this includes working with Business Office personnel and facility leaders to ensure all accounts will be collected.
• Assists with Accounts Receivable and Delinquent Reports evaluation.
• Assists and provides on-going training for all Business Office personnel on their job duties including Kronos, Ulti, Matrix, CORE MMIS, Medicare software & Ascend. Along with Data Serv, accruals, and various Insurance portals.
• Maintains knowledge of Industry compliance to ensure all properties follow the state, federal, and local guidelines as it relates to resident and employee matters.
• Provides continual training to the Regional Team & ASC Properties on changes happening in the industry.
• Participates in administrative staff meetings.
• Participates in Industry updates to maintain current knowledge of Skilled Nursing Facility requirements including any State, Third Parties, and property specific information.
• Establishes relationship with FSSA personnel, Medicaid Personnel & Insurance leaders & their provider support personnel to ensure they understand our needs.
• Actively participates in our association (IHCA) & their sub committees.
• Works closely with Compliance Team -to ensure expectations are met.
• Provides back-up for ASC Regional Team & Sr VP of Field Accounting as needed.
• Completes Industry audits and compliance issues: dealing with government entities and programs mandating a significant number of audits, reviews, and annual compliance issues, including assistance with Cost Report preparation, annual surveys, ES audits, Myres & Stauffer audits, and additional accounting firm reviews.
• Conducts financial reviews for compliance & accuracy. Works with Accounting and Finance department on all receivable and revenue related matters.
• Reviews all contracts prior to property or Home Office approval to ensure compliance regulations are met. Reviews rates, terms and obligations to ensure property and industry compliance including insurance and service providers.
• Oversees collections of all Third Party receivables and private pay for all ASC entities.
• Validates all resident and employee files are in agreement with state, federal, and local laws.
• Validates all funds collected by properties.
• Serves as a resource for all Third-Party and family member questions.
• Validates census collection and recording procedures are being followed.
• Ensures Resident Trust and petty case accounts are reconciled at least monthly.
• Assists RVPs in all financial reviews.
• Assists Home Office Accounting department in preparation of financial statements and questions.

REQUIREMENTS

• Bachelor’s degree is required, preferably in the field of Business, Accounting or Health Care.
• Ten to twelve years of accounting or Leadership experience, preferably in a Long-Term Care setting working with Medicare and Medicaid.
• Extensive knowledge of Medicare & Medicaid.
• Extensive knowledge of Insurance practices & requirements
• Willingness to attend seminars & conferences to continue education.  Could require occasional travel due to distance -must be willing to fly.

What’s in it for you?   Benefits and perks include:

• Unlimited Paid Time Off (PTO) and holiday pay 
• 401(k) retirement plan options
• Medical, vision & dental insurance with Telehealth option
• Medical and dependent flexible spending accounts
• Paid training, skills certification & career development support
• Lucrative employee referral bonus program
• Tuition assistance and certification reimbursement*
• Continued education opportunities through statewide institutional partnerships
• Employee assistance program & wellness support
• Retail, food & entertainment discounts and so much more

About American Senior Communities

Compassion, Accountability, Relationships and Excellence are the core values for American Senior Communities. These words not only form an acronym for C.A.R.E., they are our guiding principles and create the framework for all our relationships with customers, team members and community at large.

American Senior Communities has proudly delivered patient centered care since the year 2000, with a long history of excellent outcomes.  As partners in senior care, we are not just doing a job, but following a calling.

We are an Equal Opportunity-Affirmative Action Employer – Minority / Female / Disability / Veteran and other protected categories.

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c) Home Office