Mercy Medical Center Clinton Sr. Business Office Coord in United States
3051_4252 General Administration-4252
Expected Weekly Hours:
Performs a wide range of functions including but not limited to facility census, billing, collections, accounts receivable, the Medicaid application process, personal fund accounting and cash posting. Works to ensure the timely and accurate reimbursement for services provided to residents of the facility. Supports the overall operation and efficiency of the Business Office and works closely with Resident Responsible Parties, Mass Health Case Workers and the facility Bookkeepers at the Centralized Business Office.
Job Description Details:
PRIMARY Duties and Responsibilities:
Demonstrates, promotes and integrates the Sisters of Providence Care Centers Mission and core values by:
Being responsible for census information for all facility residents. Verifies all payer types upon admission. Maintains the census database in the Pathlinks Software System and is responsible for the complete and accurate detailed information on all admissions, discharges and census changes to provide for accurate, timely billing and reimbursement. Keeps a manual census and reports all census changes to the Central Business Office on a daily basis. Ties out the manual census to Pathlinks at month end.
Receiving all cash payments and recording the cash payments in accordance with established Business Office policies and procedures. Maintains accurate records of cash receipts. Responsible for the accurate and timely cash posting in the Pathlinks Software System for Self Pay and Patient Pay accounts. Researches credits, writes up refund requests and submits them for payment to their facility bookkeeper in a timely fashion.
Maintaining residents’ personal needs account in accordance with Federal, State and organizational regulations, to ensure proper handling of the residents’ personal funds. This includes maintaining petty cash, providing banking hours, paying bills on behalf of residents when requested, posting charges to accounts timely, sending statements of account to residents and/or responsible parties on a quarterly basis and balancing and reconciling bank statements on a monthly basis.
Being responsible for the billing and collection of all Self-Pay accounts (including coinsurance) and Patient Pay Amounts. This includes, but is not limited to, printing, reviewing and mailing statements, follow-up telephone calls and letters, meeting with families and maintaining a record of all collection efforts. When appropriate position may be required to take accounts to small claims court, pursue guardianship or work with facilities legal counsel to resolve unpaid balances. Being responsible for the tracking of all residents who are Pending Medicaid. This includes notifying the responsible party of the Patient Pay Amount due per month and the amount that will be owed if Medicaid is not granted, working with the responsible party, Mass Health Caseworker and facility Social Worker to ensure that all documentation is submitted to the state in a timely fashion. A written record of actions taken will be kept.
Sending timely notification to the appropriate SSI/Welfare office upon admission, discharge or conversion of residents through completion of the SC1 form. Coordinates with Social Services and Admissions to ensure accurate and timely processing of payment source changes.
Reviewing Mass Medicaid Remittance Advices for variances or denial codes applicable to Business Office Coordinator position and takes the appropriate corrective action. Maintains the Pathlinks Software System with updated Patient Pay Amounts and is responsible to contact Mass Health with any income changes or discrepancies.
Being responsible for accurate insurance verification information on all residents. Uses FISS DDE and the Mass Health MMIS System to verify that benefits are available and shares information with other staff as well as enters all updated information into the Pathlinks Software System. Works with Nursing and Rehab to ensure that the required Medicare information for billing is timely and accurate.
Completing any reports required by vendors to ensure they have accurate resident information.
Maintaining an up-to-date filing system for cash receipts, accounts receivable, residents’ financial information and personal needs funds to ensure ready-access to needed information.
Maintaining a close working relationship with the facility Accounts Receivable Bookkeeper to resolve census and/or billing problems. Participates in regularly scheduled AR Meetings and monthly Medicare Triple Check Meetings.
REQUIRED Knowledge, Skills, and Abilities:
Work requires a high school diploma or equivalent. Two years of facility Business Office Experience Required.
Work requires the ability to gather, interpret and analyze data.
Must possess ability to communicate effectively and a respect for confidentially.
Physical, Mental, and Visual Requirements:
Work requires proof reading and checking documents for accuracy.
Work requires the ability to operate a computer and work with Long Term Care Software, Excel and Word.
Requires working in a nursing home environment with related occupational exposures.
Flexibility in working hours due to occasional weekend/holiday coverage.
Reports to CCN Regional Manager of Accounts Receivable
May assist in the supervision of 1-5 employees in clerical or receptionist positions depending on assignment.
Trinity Health's Commitment to Diversity and Inclusion
Trinity Health employs more than 120,000 colleagues at dozens of hospitals and hundreds of health centers in 21 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.
Trinity Health's dedication to diversity includes a unified workforce (through training and education, recruitment, retention and development), commitment and accountability, communication, community partnerships, and supplier diversity.
Trinity Health offers rewarding careers in a community environment with all the advantages of working at one of the nation's largest health systems. We provide high-quality, people-centered care in 22 states through our network of hospitals, facilities, community-based services, and continuing care locations - including home care, hospice, Program of All Inclusive Care for the Elderly (PACE), and senior living facilities. If you are looking for a rewarding clinical or administrative position, you'll find exceptional career possibilities, opportunities for advancement and a job with meaning at Trinity Health.
Trinity Health employs more than 131,000 colleagues across 22 states. We honor and embrace a diverse representation of people, ideas and backgrounds. Our dedication to diversity is evident in our commitment to training, education, recruitment, retention and development, as well as community partnerships and supplier diversity.
Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences and health practices of the communities we serve and to apply that knowledge to produce positive outcomes. We recognize that each of us has a different way of thinking and perceiving our world, and that our differences not only serve to unite us, but also lead to innovative solutions.