Job Description

Job Description

Job Description

Job 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. For Hearthstone and Lutheran Home.
• Gathering of payments to send to CBO to be applied to patient accounts throughout the month. This includes insurance payments and private pay payments.
• 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. This includes gathering appropriate backup such as receipts and GL codes to charge for multiple departments.
• 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.
• Working with families on the transition from Private Pay to Medicaid/Benevolent Care by gathering all the necessary information and waling them through how the process works.
• 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

Qualifications:

• Previous office management experience in LTC strongly preferred
• PCC (Point Click Care) 2 years minimum required
• Strong organizational, communication and multitasking skills Business Office Liaison
• Bachelor's Degree or equivalent with medical billing experience

Experience:

• PCC: 2 years (Required)
• Business Office Management: 3 years
• Long-term care: 3 years (Required)

Richter is an equal opportunity employer. We are committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other characteristic protected by applicable federal, state, or local law.

All Richter employees agree to be bound by applicable company policies, including confidentiality, security, appropriate standards of conduct, etc., which are customary and standard across most companies for compliance and the assurance of a safe and productive work environment. This offer is contingent upon the successful completion of a background check and drug screening. Further details will be provided to you soon.

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