Hybrid Pavilion Biller bei Appling Healthcare

Demonstrates Competency in the Following Areas:

• Completes admission paperwork for all new residents admitted to the facility.

• Maintains deposits of resident accounts and maintains copies of checks for records.

• Bills for Medicaid, Medicare, and private insurance.

• Completes pre-certifications for Medicare Advantage Plans and sends updates.

• Posts all payments, including Medicaid, and maintains copies of checks.

• Completes admission and discharge procedures on all residents, monthly.

• Completes DMA-59 for admissions to send with Medicaid applications. 

• Completes DMA-59 for resident discharges.

• Files and follows up on Medicaid applications and renewals, weekly.

• Updates census and reports to Administrator, CFO and DON daily.

• Calculates resident days for yearly cost reports and sends them to Accounting.

• Completes credit balance reports for Medicaid for the Pavilion and presents quarterly reports.

• Calculates resident days and reports monthly to the Administrator, CFO, Infection Preventionist and DON.

• Runs trial balance weekly to ensure the resident has paid liability and Medicaid/Medicare has paid.

• Maintains waiting list for referrals for back up to the Administrator. 

• Attends Medicare/Medicaid seminars regarding Nursing Home issues.

• Serves as backup for resident trust fund accounts.

• Meets with the Administrator to give updates on billing progress.

• Attends weekly Medicare meetings.

• Performs all other job-related duties as requested.

Disclaimer of Essential Job Functions:

Every effort has been made to make your job description as complete as possible. However, it in no way states or implies that these are the only duties you will be required to perform. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is a logical assignment to the position.

Education/Qualification Requirements:

1. High School Diploma or Equivalent is required.
2. Post secondary education in Book Keeping, Medical Records, and/or Billing is preferred but not required.

Experience:

1. Previous experience in a long-term care environment is preferred but not required.

EOE STATEMENT

We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.