Business Office/Accounting Specialist

Alameda Health System•San Leandro, CA

About The Position

The Business Office/Accounting Specialist supports Fairmont’s skilled nursing business office and accounting departments. The role performs billing functions for all residents, assists with obtaining referral information and screening referrals, and helps complete the admissions process. The position also performs other related duties as required. The role screens prospective patients by verifying payer sources, assists with evaluating and accepting or rejecting residents, and may refer patients and families to other programs. It supports admission documentation and packet completion, coordinates room readiness with Nursing and EVS, and helps address patient and family concerns in collaboration with interdisciplinary team members. The position is responsible for census tracking and billing activities, including Medicare Part A and B, Medi-Cal, and Managed Medi-Cal. It also manages related documentation, eligibility verification, payer coordination, patient trust reconciliation, and business records.

Requirements

High school diploma or equivalent.
At least two years of work experience in a business office and/or accounting capacity in a long-term care setting.
Recent experience with Medicare, Managed Medi-Cal, and Medi-Cal billing.

Nice To Haves

Knowledge of business office functions in an admissions capacity.

Responsibilities

Screen prospective patients by verifying payer sources before admission; assist in evaluating and accepting or rejecting residents and referring patients and families to other programs.
Participate in tours for prospective patients.
Help resolve patient and family dissatisfactions by investigating concerns and recommending service changes in collaboration with interdisciplinary team members.
Prepare necessary documents for new admissions.
Provide and facilitate the admission packet process with residents, guardians, and/or resident representatives.
Coordinate with Nursing and EVS to ensure rooms are clean and tidy for admissions.
Track census and handle Medicare Part A and B, Medi-Cal, and Managed Medi-Cal billing.
Initiate and control PASRR forms and prepare UB-40 forms.
Control Medicare certification and recertification.
Produce the Medicare Credit Balance Report quarterly.
Prepare MC-171 admission and discharge notifications; post ancillaries and cash; produce Private Pay statements; verify Medi-Cal eligibility monthly; control Medi-Cal TARs; and work with payers on billing and collections.
Compare common working files monthly.
Complete patient trust bank reconciliations.
Manage patient business files.
Perform other related duties as required.