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Position Summary

The Business Office Representative is responsible for managing the various Business Office Duties. Functions as the primary source of information on all federal, state, and payer-specific skilled nursing facilities accounts receivable and billing regulations.

+ Coordinate with Admissionsthe appropriate pay source for new admits, re-admits, Therapeutic Leaves,and Hospital Leaves.

+ Obtains and verifies newpatient’s insurance information and reporting census information asrequested.

+ Consults with residents, families,the DHHS case manager, and resident attorneys to identify appropriateinsurance plans for billing, ensures documentation is complete, and ensuresthe Medicaid approval process is acquired within the time allowed.

+ Audit Admissions, Social Services,and MDS clinical data requirements to ensure compliance with Medicare A,B, C, and Medicaid Accounts Receivable regulations.

+ Post all cash and follow-up on missing payments or short payments includingidentifying uncollectable accounts and prepare documentation tosubmit to the collection agency.

+ Verify with the MDSCoordinator timing of Level of care Determinations (LOCD). Work with MDHHSProvider Support to resolved LOCD problems.

Qualifications:

Required:

+ High School diploma

+ Three (3) years of experience in Long Term healthcare

Preferred:

+ _Associate Degree_

+ _Minimum one (1) year experience billing on UBO4_

_Equal Opportunity Employer of Minorities/Females/Disabled/Veterans_