SNF/LTC - Business Office Liason

Job Responsibilities:

• Coordinating the gathering of information for residents with LTC insurance to get claims approved.
• Working with families on the transition from Private Pay to Medicaid/ Benevolent Care by gathering all the necessary information and walking them through how the process works.
• Income verification of all current Medicaid residents and notifying of the CBO of any changes for billing purposes, monthly.
• Collections follow-up for Medicaid/ Benevolent Care patient liability and private pay residents. For Hearthstone and Lutheran Home.
• Gathering of payments to send to CBO to be applied to patient accounts throughout the month. This includes insurance payments and private pay payments.
• Answers phone calls for residents and family members regarding billing questions for all Hearthstone and Lutheran Home accounts, throughout the month.
• Distributes petty cash for team members and residents throughout the month. This includes gathering appropriate backup such as receipts and GL codes to charge for multiple departments.
• Manages and reconciles census daily
• Manages resident trust funds using PCC and maintains confidential files.
• Manages collection of residents' accounts receivable to ensure they are collected in a timely manner.
• Organizes, evaluates and monitors business office operations to ensure these functions are performed effectively and efficiently.
• Verifies insurance coverage as needed.
• Answers phone calls for billing questions
• Process insurance premium payments for Medicaid residents out of Trust Fund.
• Processes reimbursement from Trust Fund accounts for Medicaid residents and/or family members.
• Working with families on the transition from Private Pay to Medicaid/Benevolent Care by gathering all the necessary information and waling them through how the process works.
• Processes monthly Bed Tax (Granny Tax) Report and sends to AP for payment, monthly.
• Process monthly ACH transactions in PCC
• Payer verification and follow up on denials and unverified payers
• Escalate issues and or discrepancies to Lutheran Life leadership as directed.
• Participate in scheduled department meetings and in-services.
• Other duties and projects as assigned

Qualifications:

• Previous office management experience in LTC strongly preferred
• PCC (Point Click Care) 2 years minimum required
• Strong organizational, communication and multitasking skills Business Office Liaison
• Bachelor's Degree or equivalent with medical billing experience

Experience:

• PCC: 2 years (Required)
• Business Office Management: 3 years
• Long-term care: 3 years (Required)