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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 Admissions the appropriate pay source for new admits, re-admits, Therapeutic Leaves, and Hospital Leaves.

+ Obtains and verifies new patient’s insurance information and reporting census information as requested.

+ Consults with residents, families, the DHHS case manager, and resident attorneys to identify appropriate insurance plans for billing, ensures documentation is complete, and ensures the 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 including identifying uncollectable accounts and prepare documentation to submit to the collection agency.

+ Verify with the MDS Coordinator timing of Level of care Determinations (LOCD). Work with MDHHS Provider Support to resolved LOCD problems.

#LI-KH1

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_