Full-time Business Office Assistant/Medicaid Pending Specialist- West Valley

ROCKY MOUNTAIN CARE GROUP•West Valley City, UT

9d•Onsite

About The Position

Supports the Business Office Manager and the financial operations of the healthcare facility in accordance with generally accepted accounting principles; local, state and federal regulations, standards and established facility policies and procedures to achieve facility financial goals. This role involves assisting with planning, developing, organizing, implementing, and evaluating the overall financial operation of the facility, identifying key performance financial indicators, and developing/implementing processes for billing, collections, accounts payable, patient trust, and general ledger functions. The position requires proficiency in various software, timely monthly billing, maintaining knowledge of financial software, and assisting with accounts receivables. It also involves understanding long term care insurance programs (Medicaid, Medicare Part A, B, and C, private insurance), coordinating pre-admission financial evaluations, and supporting budget development. The role emphasizes developing positive relationships, effective communication, customer service, and promoting teamwork and a culture of compliance and safety. Additional tasks include treating residents with dignity and respect, protecting resident rights, maintaining confidentiality, reporting noncompliance and allegations of abuse, and participating in emergency drills and training.

Requirements

Ability to read, write, speak and understand the English language.
Must be a supportive team member, contribute to and be an example of team work.
Ability to make independent decisions when circumstances warrant such action.
Ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
Must have patience, tact, and willingness to deal with difficult residents, family and staff.
Must be able to relay information concerning a resident’s condition.
Must not pose a threat to the health and safety of other individuals in the workplace.
Must be able to move intermittently throughout the workday.
Meets general health requirements according to facility policy, including medical and physical exams and checking immunity status to various infectious diseases.
Ability to assist in evacuation of residents during emergency situations.
Ability to bend, stoop, kneel, crouch, perform overhead lifting and perform other common physical movements as needed for the position.
Possesses leadership, supervisory skills and willingness to work harmoniously with and supervise other personnel.
Successfully follows oral and written instructions.
Successfully relays information concerning business office matters, residents, employees or any given subject matter.
Willing to cope with the mental and emotional stress of the position.
Communicates with medical, nursing staff, and all departments.
Accepts call-backs during emergency conditions.
Works in office and throughout the facility.
Willing to work to task completion in spite of frequent interruptions.
Business Administration or related field preferred.
Experience in a billing or supervisory capacity in the business office of a hospital, nursing home, or other related health care facility preferred.
Knowledgeable of skilled nursing home regulations, procedures, laws, regulations and guidelines pertaining to long-term care preferred.

Nice To Haves

Business Administration or related field preferred.
Experience in a billing or supervisory capacity in the business office of a hospital, nursing home, or other related health care facility preferred.
Knowledgeable of skilled nursing home regulations, procedures, laws, regulations and guidelines pertaining to long-term care preferred.

Responsibilities

Assists the Business Office Manager with planning, developing, organizing, implementing, and evaluating the overall financial operation of the facility as well as its programs and activities, in accordance with generally accepted accounting principles and current state and federal laws/regulations.
Assists the Business Office Manager in identifying the facility’s key performance financial indicators and helps to establish an ongoing system to monitor these key indicators.
Assists in developing and implementing processes and systems in the Business Office to manage billing, collections (A/R), accounts payable (A/P), patient trust, liability notices, general ledger functions, business/payroll taxes, purchase orders, cash flow and all necessary business transactions using generally accepted accounting principles.
Ensures monthly billing is completed timely using facility A/R software.
Ensures facility’s billing checks and balances are followed by all team members as required by facility policy including but not limited to the balancing of the daily census, Medicare triple check prior to billing, etc.
Maintains working knowledge of all aspects of facility’s financial software program.
Assists the Business Office Manager with accounts receivables.
Reports delinquent accounts and solutions to overcome obstacles to the Administrator.
Maintains a working knowledge of the state long term care Medicaid insurance program, Medicare Part A, B and C insurance program, and private long term care insurance programs.
Ensures pre-admission financial evaluations regarding the identification of a payer source is coordinated with the Admissions Office as part of the pre-admissions process.
Supports the Business Office Manager in budget development with department heads bi-annually.
Develops and maintains positive relationships with residents, employees, and family members.
Promotes and establishes effective communication and customer service to achieve facility goals and customer satisfaction.
Facilitates, serves, attends or participates in various committees of the facility as necessary.
Understands, continues to learn, and teaches others about new CMS program initiatives affecting the facility’s fiscal health such as value based purchasing programs like SNF-VBP, SNF-QRP, Quality Measures, and Payroll Based Journal reporting, etc.
Participates in QAPI or facility assessment activities as needed, such as carrying out duties assigned as part of a performance improvement committee.
Identifies and collaborates with members of the interdisciplinary team, consultants, and others when needed to identify opportunities for enhanced financial services to the residents and/or resolve issues.
Promotes teamwork, mutual respect, and effective communication.
Promotes positivity and active daily problem solving.
Reads and stays informed regarding developments in the skilled nursing sector and associated support services, regulatory, business practices and other entities potentially influencing the facility’s fiscal health.
Promotes and encourages an environment of trust within the Business Office as well as with department heads and all facility employees.
Promotes safe work practices, safety rules, and accident prevention procedures to prevent employee injury and illness.
Treats all residents with dignity and respect.
Promotes and protects all residents’ rights.
Establishes a culture of compliance by adhering to all facility policies and procedures.
Complies with standards of business conduct, and state/federal regulations and guidelines.
Follows appropriate safety and hygiene measures at all times to protect residents and themselves.
Maintains confidentiality of protected health information, including verbal, written, and electronic communications.
Reports noncompliance with policies, procedures, regulations, or breaches in confidentiality to appropriate personnel.
Reports any retaliation or discrimination to HR or compliance officer.
Reports any allegations of abuse, neglect, misappropriation of property, exploitation, or mistreatment of residents to supervisor and/or administrator.
Protects residents from abuse, and cooperates with all investigations.
Reports any occupational exposures to blood, body fluids, infectious materials, and/or hazardous chemicals in accordance with facility policy.
Participates in all life safety and emergency drills and trainings.
Fulfills responsibilities as assigned during implementation or activation of the facility’s emergency plan.
Reports work-related injuries and illnesses immediately to supervisor.
Follows established infection control policies and procedures.
Completes all assigned training and skills competency as a condition of employment.