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Job Description
Business Office Staff
Administration Department
FLSA Classification: Non-Exempt
Reports To: Business Office Manager
Overview of the Position:
As the Business Office Assistant, your primary responsibility is to assist the Business Office Manager in all tasks assigned. You will work closely with the BOM in ensuring all billing and claims are submitted on time and are compliant with State and Federal regulations.
Essential Job Functions:
● Work in conjunction with the admissions coordinator to ensure completion of all aspects of the admission process and paperwork
● Private pay collections and follow up calls
● Complete the appropriate information in PCC for census reconciliation
● Ensure that each resident has a current payer source and payor tree setup is correct.
● Act as a liaison to the billers, forward required documentation.
● Complete non-covered services forms and maintain records for easy retrieval, forward to the billing company.
● Coordinate with Social Services regarding completion of applications, e.g. Medicaid redetermination papers and other needed documents.
● Private pay collections and follow up calls
● Ensure that physicians are completing Medicare certifications/re-certifications. MSP form auditing and tracking.
Billing Management Functions:
● Understand all aspects of the billing process for all payer types.
● Review & Mail out Private Statements.
● Post ancillary charges.
● Participate in Tripe Check for Medicare and Managed Care Billing.
● Understand the collecting process for all payers’ types.
● Communicate with Residents/Family as needed.
● Complete facility statistical reports such as monthly facility statistics, daily census, licensure reports as applicable.
● Communicate with our billing company.
● Communicate with the Social Services Office, Medi-Cal and MediCare offices as needed.
● Communicate with Insurance companies, HMOs.
● Communicate with pharmacy, laboratory, X-ray, Hospice companies.
● Participate in meetings and committees such as daily stand-up, administrative, quality assurance/quality improvement, Medicare documentation review.
Specific Requirements:
● High school diploma or equivalent.
● Knowledge of medical billing and coding processes.
● Ability to multitask in a fast-paced environment.
● Knowledge of state and federal healthcare regulations is preferred.
● Skilled Nursing Facility experience is preferred.
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