Census Coordinator

Job Details

Description

Our Census Coordinator position offers an opportunity to be part of the Living Legends Admissions and Finance Departments.

JOB SUMMARY: Supports the revenue cycle in ensuring the daily census accurately reflects the current status, level of care, and appropriate insurance coverage and benefits throughout all transitions of care to support timely and compliant billing of the resident’s account

Responcibilities

Maintain updated of CMS Billing and Regulatory requirements for Nursing Home Skilled Nursing Facility and Long Term Care coverage and benefit determination.

Verify with Admissions and MDS Coordinators for completeness and accuracy of

• Insurance info
• Authorization & levels of care for corresponding date spans
  
  

Review PCC dashboard every morning and complete the census for

• Admissions
• Readmissions
• Discharges
• Transfers out/in
• Bed holds
• Leaves of absence
• Payer changes
• Levels of care changes
• Room changes
  
  

Confirm the information/status and dates recorded in the census is consistent with the documentation in PCC

Verify that payer trees are setup correctly including primary, secondary, tertiary insurance coverage, benefits, remaining days and payer rate.

Reconcile daily and monthly census (PCC vs Manual Daily Census Sheet from facility)

Ensure that BOM’s are monitoring PCC level of care with the help of the LOC discrepancy reports

QUALIFICATIONS: Associates degree and or a minimum of 18 months experience in addition to a combination of continued education, and/or related work experience. Demonstrated leadership skills, ability to motivate team member to reach organization goals, organized, resourceful, self-motivated, and has excellent communication skills. Must possess a good knowledge base of skilled nursing facility billing terminology and understanding of insurance coordination of benefits.