Business Office Assistant

Description

Summary

Ensures all ancillaries for  Medicare, Medicaid, third- and private-party billing is completed timely and accurately. Owns private pay billing contracting relationship and will continually drive for positive consistent billing and AR collection results. 

Essential Duties and Responsibilities:

Teamwork with the following and all other duties and responsibilities assigned.

Ensures all reconciliations of third party DRG payments, private payments, coinsurance and deductibles to remittance records

Generates reports on a monthly and ad-hoc basis for all discharged residents. These include, as examples, Medicare inpatient, Medicare   outpatient, Medicare outpatient settlement report for clinical lab, radiology and other Part B services. 

Contacts resident by phone or correspondence in order to facilitate proper billing, when an explanation to the resident is deemed   necessary.

Information obtained from internal sources will be evaluated for accuracy, documented, and corrected, if necessary, prior to   billing.

Corresponds with residents and/or families regarding needed insurance information

Assists in the planning, coordination, and preparation for all required audits.

Assists with filing documents, answering and returning   phone calls from residents and their families.

Ensures all private pay cash posting are correct and allocated   appropriately. 

Any additional tasks as needed. 

Other Responsibilities:

Maintains documented files on billing actions.

Assists in the development and implementation of   policies, priorities, and procedures relating to billing.

Supervisory Responsibilities

None.

Requirements

Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Education and/or Experience- Skilled Nursing Facility billing and accounts receivable collections experience preferred.High school diploma or General Education Degree (GED) is required. Office skills training and experience is preferred. Complete annual state mandated training requirements (Regular In-services as well as any external training).

Language Skills- Ability to effectively present information and respond to questions from groups of managers, residents, residents' families, external auditors, the Board of Directors, outside business contacts, and the general public.

Mathematical Skills- Ability to apply basic mathematical concepts 

Reasoning Ability- Ability to apply principles of logical thinking to a wide range of intellectual and practical problems. Ability to deal with nonverbal symbolism (formulas and graphs, etc.,) in its most difficult phases. Ability to deal with a variety of abstract and concrete variables as they relate to the financial and operational management of a senior living facility.

Computer Skills- Individual must be able to perform assigned duties by making use of integrated general ledger accounting software, email software, and spreadsheet and word processing software packages, as well as use the Internet to do job-related research.

Certificates, Licenses, Registrations None required.

Medical Screenings- A Physical and Tuberculosis testing are required annually.

Mental Abilities 

* The ability to get along with others and engage them in projects* The ability to concentrate for extended periods of time* The ability to shift focus from one task to another* The ability to prioritize tasks effectively

Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this job, the employee is regularly required to use hands to finger, handle, or feel to operate the computer keyboard or telephone or to manipulate other office equipment and supplies; talk or hear when interacting with various individuals or groups; and to place items in or get items from low drawers or shelves. The employee is frequently required to stand while conversing with various individuals; walk to meetings on campuses or to speak to employees in their departments; and sit at a desk or conference table. The employee is occasionally required to reach with hands and arms for supplies, binders, ledgers, and files. The employee must occasionally lift and/or move up to 25 pounds, such as boxes of paper, files, forms and computer or other office equipment. Specific vision abilities required by this job include: close vision, distance vision, depth perception, peripheral vision and ability to adjust focus when driving; close vision for computer and paper detail work; color vision when creating or reviewing graphs and color-coded spreadsheets or documents; distance vision when leading or attending meetings and training sessions; and ability to adjust focus from near to far and from computer to desk or while in campus hallways.

Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.While performing the duties of this job, the employee is occasionally exposed to outside weather conditions when having to go outdoors to get to the main building or across the campus; fumes from cleaning supplies and when driving; and risk of electrical shock when working with computer equipment. The employee may be exposed to airborne viruses, bacteria, and other bodily pathogens carried by residents. The noise level in the work environment is usually moderate because it is an office setting with business machines operating, phones ringing, light traffic, and people talking.
Job descriptions represent a general outline of job duties, functions, and qualifications. They are not intended to be comprehensive in nature. In addition, jobs evolve over time and therefore their description may not reflect the precise nature of the position at a given point in time.It is The Orchards policy to base hiring decisions solely on the individual’s ability to perform essential job functions. Persons with disabilities are eligible for this position provided they can perform those functions with reasonable accommodation.I have read the Accounts Receivable Specialist job description. By my signature I confirm that I fully understand and certify that I am able to perform the duties listed.

Printed Name: _______________________________________ Date:____________________

Signature: ________________________________________________________________,

,The Orchards is an Equal Employment Opportunity Employer and does not discriminate against applicants or employees on the basis of race, color, religion, creed, national origin, ancestry, disability that can be reasonably accommodated without undue hardship, sex, sexual orientation, gender identity, age, citizenship, marital or veteran status, or any other legally protected status.

As part of The Orchards team, you can help our residents experience the best service and quality care during their nursing home, assisted living, rehab and independent living stays.