<p>Summary of Duties</p> <p>Responsible for the coordination and administration of facility Business Office functions including billing, collections, and maintenance of resident financial records. Provides residents and sponsors with information regarding payment source, accounts, charges and/or account status.</p> <p>Essential Job Functions</p> <ol> <li> <p>Determines residents' level of care and payment source and communicates such to Central Billing Office (CBO), family/sponsors, and appropriate management staff.</p> </li><li> <p>Gathers information and submits application to Medicaid for eligibility determination.</p> </li><li> <p>Processes admissions/discharges on all Medicaid residents into the LTC (State System), completes required forms upon admission/readmission and maintains Medicaid resource amounts.</p> </li><li> <p>Collects, record and document information regarding all activity occurring on an account including posting/processing of ancillary charges, resident charges, and late charges in resident accounting system.</p> </li><li> <p>Reconciles daily resident census, update electronic billing systems and forwards information to required parties.</p> </li><li> <p>Maintains all resident files to ensure that required documentation is filed properly. Purges paid out resident files consistent with retention guidelines.</p> </li><li> <p>Collects payments, or if necessary, makes financial arrangements at time of admission on amount due according to established policy. Forwards all information on deposits to CBO for proper posting.</p> </li><li> <p>Consults with admissions representative in the admission of residents regarding financial arrangements including insurance verification and certification.</p> </li><li> <p>Determines if an account is potentially uncollectible and forwards information to CBO.</p> </li><li> <p>Submits paperwork to Social Security on residents for which resident representatives fail to pay resource amount to ensure payment is received on account monthly.</p> </li><li> <p>Submits requested information for monthly Medicaid audit.</p> </li><li> <p>Coordinates efforts with residents/resident representatives in enrollment in a drug plan as needed. Communicates with pharmacy to ensure correct billing on drugs.</p> </li><li> <p>Manages resident trust fund.</p> </li><li> <p>Supervises and manages front desk personnel and reception functions as assigned.</p> </li><li> <p>Performs other duties and responsibilities as directed, including any special projects.</p> </li></ol> <p>Education and Experience</p> <p>Bachelor's degree in Accounting, Business Administration, or related field preferred. Experience may be considered in lieu of degree. Minimum of two (2) years' experience performing business office functions in a healthcare setting required. One (1) year of supervisory experience preferred.</p>