Position Summary: Performs functions that result in timely, accurate billing and effective collection practices for all operations within the organization. 

Essential Responsibilities: 

Prepare private pay Medicare, Medicaid, and other insurance billings and create electronic or paper file for skilled nursing facility billing.

Communicate with residents and responsible parties regarding financial ability to pay for services and resources available.

Input data for residents regarding dates of service, pay sources, and services provided. 

Provide accurate and timely information for billing and insurance matters to residents and family members. 

Maintain, compile, and verify the accuracy and completeness of accounts receivable data. 

Create and maintain financial files and data for current and former residents.

Compile and prepare regular and special accounting reports.

Review accounts receivable weekly and perform collection activities related to outstanding balances.

Assist with budgeting, year-end audits, and year-end cost reports related to revenue and accounts receivable. 

Post resident payments to account; import electronic remittance advices.

Monitor and assist residents through Medicaid spend-down process and application for Medicaid eligibility. 

• Assumes all other position related responsibilities as assigned.

Knowledge, Skills & Abilities:

Effective written and verbal communication skills; ability to effectively discuss financial matters with residents and responsible parties.

In depth knowledge of Medicare and Medicaid databases and billing regulations for skilled nursing facilities.

Advanced keyboarding, word processing, and spreadsheet software skills. 

Advanced knowledge of billing computer applications and software. 

Effective organizational skills; must be attentive to detail.

Prior experience in collections, including letter, telephone calls, meetings, filing liens, etc.

Operate standard office equipment including computer, fax machine, copy machine, telephone, etc.

Displays a professional and business appropriate demeanor when meeting with families and/or residents.

Education, Training, Experience:

High school diploma or successful completion of GED test.

Bachelor’s or Associate’s degree in Accounting or Business Administration. 

A minimum of two (2) years medical billing or general accounting experience preferred.

Required Licenses, Registration, and/or Certifications:

• N/A

Nonessential Responsibilities:

Establish and maintain effective work relationships with staff, management, residents, Board of Trustee, resident’s families, and the public.

Maintains confidentiality in all aspects of Resthaven and its residents and employees.

Practice the highest standards of ethics, honesty, and accuracy.

Physical Demands & Work Environment: The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Physical Demands:

• The employee is required to sit; handle or feel objects, tools or controls; reach with hands and arms; climb stairs; balance; twist, turn, bend, stoop, kneel, or crouch; talk and hear. 
• The employee must be able to lift and/or move up to 30 pounds.  Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.  

Work Environment:

While performing the duties of this job, the employee is exposed to weather conditions prevalent at the time.  The noise level in the work environment is usually moderate.