What are the responsibilities and job description for the Business Coordinator - Lakeside position at Pioneer Health Care Management Inc?
PIONEER HEALTHCARE MANAGEMENT
Job Description
Title: Business Manager
Reports to: Nursing Home Administrators (Multiple)
Effective Date: 11/2016 Review Date: NA
Position Summary:
Responsible for supporting business processes for multiple facilities including but not limited to: supervision and support of Business Coordinators, facility support for revenue cycle activities and collections, maintenance of the resident trust accounts.
Core Responsibilities:
Home facility specific responsibilities:
Monitors for, evaluates and responds to referrals for resident placement in collaboration with liaisons, Administrator and DON.
Facilitates placement and communication of new residents/patients with facility staff.
Initiates the patient/resident medical record.
Reviews admission contract and required notices with residents, answers questions and obtains signatures within required timeframes.
Assures that the patient/resident’s accommodations are ready prior to anticipated time of arrival.
Verifies continuing insurance coverage each month for all current residents.
Assists with insurance re-authorization processes as requested by MDS.
Notifies the billing office of all discharges and provides a facesheet and documentation required to support billing.
Verifies AP invoices and transmits to the corporate AP office in a timely manner.
Maintains the resident trust accounts and documentation in accordance with regulatory requirements.
Receives PPA statements for current residents at assigned facilities from the billing office and collects/coordinates collection of payments by the statement due date.
Makes collection calls
Trust reconciliation monthly
Completes Medicaid application when needed
Attends Medicare Meeting and gives residents NOMNC and ABN in the required timeframe.
Reports PPAs collected from all facilities to the billing office and deposits PPAs as directed.
Supports remote facilities by meeting with Business Coordinator and responsible parties to negotiate payment arrangements to bring accounts current.
Conducts periodic audits of resident trust accounts to assure compliance.
Determines when involuntary discharge proceedings and/or third party collections will be initiated due to non-payment and initiates process with Nursing Home Administrator.
Other duties as requested and assigned.
Minimum Qualifications:
High school diploma or GED required. Associates or Bachelor’s Degree in Business or related field preferred.
1 year experience in a long term care setting in resident trust management, admissions, utilization review and/or accounts receivable strongly preferred.
