What are the responsibilities and job description for the Financial Advisor - Nursing Home position at Effingham Health System?
Job Type
Full-time
Description
JOB SUMMARY
Under the general direction of the Director of Business Services and Business Services Manager , the Nursing Home Financial Advisor will perform accurate / timely filing of initial insurance claims and secondary claims, follow up of claims not paid to assure payment to the hospital and / or affiliated entities to maintain adequate cash flow and accounts receivable balance, in accordance with JCAHO, federal, state, and local guidelines, organizational and departmental policies and procedures. Communicates with medical staff, other departments, and outside agencies while maintaining confidentiality. Position requires self-motivation, creativity, and capabilities to function in a semi-autonomous role within a fast-paced and dynamic environment.
STANDARDS OF PERFORMANCE
- Manage billing office workload to assure accuracy and timeliness of claims processing and maintain proper cash flow and Accounts Receivable balance
a) Submit primary and secondary claims daily
b) File appeals timely
c) File Medicaid applications and follow up timely
d) Process patient / insurance refunds timely
e) Post patient / insurance payment daily
f) Enter department charges daily
g) Work Age Trial Balance report monthly
Requirements
Minimum Level of Education : Education level equivalent to completion of high school.
Formal Training : Skill and experience in planning, organizing, implementing, facilitating, verbal and written communications. Must possess basic typing skills such as; the ability to manage cash and give change and use proper telephone etiquette.
Licensure, Certification, Registration : None required. CPAR preferred. Formal classes in Medical Office Procedure and Nursing Home billing are helpful.
Work Experience : Two years of billing / collection experience in the healthcare field. Intermediate computer skills with word processing and spreadsheet capabilities.
