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Director of Finance

Bronx, NY

Posted: 06/14/2019 Employment Type: Full Time Industry: Accounting/ Finance Job Number: A Pay Rate: $140,000 to $150,000 /year

Our client, a well-renowned long-term care facility in Bronx, NY is looking for a Director of Finance to join their Managed Long Term Care (MLTC) division. The ideal candidate will be a Director of Finance or Finance Manager who has experience working for a similar healthcare facility, and is knowledgeable in accounting health plans and Medicare.

The Director of Finance will assume the following responsibilities:

  • Supervises data entry of new member's information in Capitation Billing System.
  • Enters disenrollments in Capitation Billing System.
  • Processes monthly Medicaid Billing.
  • Applies weekly Medicaid remittance in Capitation Billing System.
  • Processes and prepares weekly Denial Report for the Social Services Department.
  • Supervises process of weekly rebills on denied claims.
  • Works with Social Work and Clinical Operations to identify and resolve problems.
  • Prepares "Claims Invoices" for the Entitlement Dept. to give to the State for Denied Claims.
  • Updates documented changes in member's information in Biiling System.
  • Processes capitation refunds/credits and maintain Master Refund/Credit Excel Worksheet.
  • Prepares monthly invoices for doctors for A/P Department for payment.
  • Maintains monthly AR Aging Report.
  • Prepares monthly AR Reconciliation.
  • Processes monthly FIDA billings and enrollment reconciliation.
  • Processes monthly ISNP billings and enrollment reconciliation.
  • Prepares monthly "Return of Capitation " reports and chairs the bi-weekly meeting.
  • Works with Claims Department to verify vendor payments as needed.
  • Prepares A/P invoices sent to HHAR A/P Department for payment.
  • Works with Director of Analytical Reporting to respond to various audits (OMIG, OIG, OSC, etc..)
  • Prepare the monthly Rosters and Revenue Worksheet (MLTC, FIDA and ISNP).
  • Prepare the monthly AR Reconciliation/Due from/Due to Accounts (MLTC, FIDA and ISNP).
  • Prepare monthly FIDA and ISNP Direct Care Expense Worksheet forwarded to VP of Finance.
  • Works with SVP of Finance to certify monthly ISNP roster in HPMS.
  • Assists VP of Finance with monthly financial closing, including monthly journal entries.
  • Analyses and prepares Due to Medicaid account monthly.
  • Analyses and prepares Due from Medicaid account monthly.
  • Supervises monthly billings, monthly statements, and processing of receipts for surplus.
  • Maintains monthly Medicare P2P and CGDP worksheets for FIDA & ISNP Plans.
  • Performs other duties as needed.

David Lutz
Recruiter

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