SNF/LTC - Business Office Liason

Richter•Ottawa, IL

4d•$55,000 - $60,000

About The Position

This role is responsible for coordinating the gathering of information for residents with LTC insurance to get claims approved. It also involves working with families on the transition from Private Pay to Medicaid/Benevolent Care, verifying income for Medicaid residents, and managing collections for various resident accounts. The position requires answering billing-related phone calls, distributing petty cash, managing census, resident trust funds, and accounts receivable. The Business Office Liaison will also organize and monitor business office operations, verify insurance coverage, process insurance premium payments and reimbursements from trust funds, and handle monthly reporting for Bed Tax. Additionally, the role involves processing monthly ACH transactions, payer verification, following up on denials, and escalating issues to leadership. Participation in department meetings and other assigned duties are also part of the role.

Requirements

PCC (Point Click Care) 2 years minimum required
Strong organizational, communication and multitasking skills
Bachelor's Degree or equivalent with medical billing experience
PCC: 2 years (Required)
Long-term care: 3 years (Required)

Nice To Haves

Previous office management experience in LTC strongly preferred
Business Office Management: 3 years

Responsibilities

Coordinating the gathering of information for residents with LTC insurance to get claims approved.
Working with families on the transition from Private Pay to Medicaid/Benevolent Care by gathering all the necessary information and walking them through how the process works.
Income verification of all current Medicaid residents and notifying of the CBO of any changes for billing purposes, monthly.
Collections follow-up for Medicaid/Benevolent Care patient liability and private pay residents.
Gathering of payments to send to CBO to be applied to patient accounts throughout the month.
Answers phone calls for residents and family members regarding billing questions for all Hearthstone and Lutheran Home accounts, throughout the month.
Distributes petty cash for team members and residents throughout the month.
Manages and reconciles census daily.
Manages resident trust funds using PCC and maintains confidential files.
Manages collection of residents' accounts receivable to ensure they are collected in a timely manner.
Organizes, evaluates and monitors business office operations to ensure these functions are performed effectively and efficiently.
Verifies insurance coverage as needed.
Answers phone calls for billing questions.
Process insurance premium payments for Medicaid residents out of Trust Fund.
Processes reimbursement from Trust Fund accounts for Medicaid residents and/or family members.
Processes monthly Bed Tax (Granny Tax) Report and sends to AP for payment, monthly.
Process monthly ACH transactions in PCC.
Payer verification and follow up on denials and unverified payers.
Escalate issues and or discrepancies to Lutheran Life leadership as directed.
Participate in scheduled department meetings and in-services.
Other duties and projects as assigned.