Business Office Assistant

SOLHEIM LUTHERAN HOME•Los Angeles, CA

5d•$25 - $27

About The Position

The Business Office Assistant supports Solheim Senior Community by assisting with resident billing, insurance eligibility and authorizations, payment follow-up, account updates, and preparing records for audits. The role is full-time, day shift, Monday through Thursday, in Los Angeles, California.

Requirements

High school graduate or equivalent.
Knowledge of Microsoft Excel, Microsoft Word, and PointClickCare (PCC).
Familiarity with copiers, fax machines, and other office equipment.
Desire and ability to work with ill, aged, and disabled persons.
Ability to read, write, speak, and understand English and communicate accurately with residents and staff.
Ability to follow written and verbal directions in English.
Ability to maintain appropriate confidentiality and privacy.
Ability to interact professionally with customers, including ill, aged, and disabled persons, and coworkers, individually and as part of a team.
Ability to handle multiple tasks and adapt favorably to changing priorities.
Ability to make appropriate judgments, decisions, and solve problems in a timely manner and within the context of the situation.
Ability to prioritize tasks effectively.
Ability to respond effectively to emergency and/or crisis situations.
Ability to take initiative and be a self-starter.
Ability to understand and comply with Federal, State, and local regulations.
Fire Card.
Annual PPD.
Annual physical.

Nice To Haves

Business office, billing, or insurance experience preferred.

Responsibilities

Fax private-pay invoices to long-term care insurers.
Email private-pay invoices to residents’ responsible parties.
Access the Medi-Cal website and print eligibility responses.
Verify changes in residents’ Medi-Cal health plans and Share of Cost.
Enter updated resident account information in PointClickCare (PCC).
Update the Dual Eligibles Excel file with changes in Share of Cost, bed holds, and health plans.
Update the Medicare Excel file.
Print reports, including detailed census and payer setup information.
Identify residents who need new long-term care authorizations.
Request authorizations from Medi-Cal long-term care insurers and update PCC with authorization numbers and approval dates.
Compile therapy logs, UB-04 detail reports, pharmacy and laboratory invoices, medical supply lists, face sheets, Notices of Medicare Non-Coverage (NOMNC), managed care authorizations, and Triple Check forms for the Triple Check Audit.
Enter charges in PCC.
Follow up on payments from insurance companies.
Organize resident files in preparation for audits.
Adhere to payroll policies and properly use the timekeeping system.
Maintain regular and consistent attendance.
Adhere to Solheim’s Compliance Plan and HIPAA regulations.
Perform other duties as assigned.