Business Office Clerk

Coalinga Regional Medical Center•Coalinga, CA

4d•$23 - $24

About The Position

The Business Office Clerk supports the Business Office Manager (BOM) with the daily clerical, billing, and resident account functions of the Skilled Nursing Facility. The Clerk serves as a first point of contact for residents, families, and visitors at the business office; assists with admission paperwork and insurance verification; maintains the daily census; supports billing and collections; and assists with resident trust fund transactions under the direction of the BOM. All work is performed in accordance with the policies of Coalinga Regional Medical Center and applicable state and federal regulations. The position does not involve direct patient care. The Clerk must be able to maintain assigned work hours and have the endurance to perform tasks over long periods of work hours. Reasonable accommodations may be made for otherwise qualified individuals who can perform the essential functions with or without accommodation.

Requirements

High school diploma or equivalent.
Basic computer skills, including email, Microsoft Word and Excel, and data entry.
Strong attention to detail.
Good customer service and communication skills.
Ability to keep resident financial and health information confidential.
Ability to maintain assigned work hours and endurance to perform tasks over long periods of work hours.

Nice To Haves

One or more years of office, medical office, or long-term care billing experience is preferred.
Familiarity with Medicare, Medi-Cal, and commercial insurance.

Responsibilities

Greets residents, families, and visitors at the business office; answers phones, routes calls, and takes messages.
Assists with admission paperwork, collects insurance cards, identification, and responsible-party information, and enters resident demographic and insurance information into the system.
Verifies Medicare, Medi-Cal, managed care, and commercial insurance eligibility at admission and monthly, and reports changes to the BOM.
Maintains the daily census and reports admissions, discharges, transfers, leaves of absence, and bed holds to the BOM.
Assists with preparing and submitting claims and follows up on unpaid or denied claims as directed by the BOM.
Posts payments and receipts to resident accounts as directed by the BOM.
Prepares monthly statements for private-pay residents and tracks Medi-Cal share of cost.
Assists residents and families with Medi-Cal applications and redeterminations and tracks pending applications.
Processes resident trust fund deposits and withdrawal requests, obtains proper signatures, and maintains signed withdrawal forms in each resident’s file under the direction of the BOM.
Maintains business office files and records and scans and files documents in an organized and timely manner.
Processes incoming and outgoing mail and prepares bank deposits for BOM review.
Refers billing questions or disputes from residents and families to the BOM.
Maintains the confidentiality of resident financial and health information in accordance with HIPAA and facility policy.
Performs other duties as assigned.