Business Office/Accounting Specialist

Alameda Health Sytem; San Leandro (CA); On-site; USD 38,000 - 63,000; Full time

Job summary

Alameda Health System is seeking an Accounting Specialist to support the Fairmont skilled nursing business office and handle resident billing. The role includes screening admissions, compiling enrollment paperwork, and coordinating with departments to ensure accurate billing and timely reimbursements.

The candidate will manage Medicare and Medi-Cal billing, perform reconciliations, and maintain patient trust records while supporting credit balance reporting and private pay statements.

Qualifications

• Education: High School Diploma or equivalent.
• Two years of work experience in business office and/or accounting in a long-term care setting.
• Recent experience in Medicare, Managed MediCal, and Medi-Cal billing.
• Preferred: knowledge in business office in admissions capacity.

Responsibilities

• Screens patients by verifying payor source prior to admission and assists in evaluating residents.
• Participates in tours to potential patients.
• Addresses patient/family concerns and works with the interdisciplinary team to improve services.
• Prepares all necessary documents for new admissions (admission packets).
• Coordinates with Nursing and EVS to ensure rooms are clean for admissions.
• Handles Census tracking, Medicare A/B billing, and Medi-Cal billing.
• Initiates PASRR forms and prepares UB 40s.
• Tracks Medicare certification and recertification processes.
• Posts ancillaries and cash; produces Private Pay statements; verifies Medi-Cal eligibility monthly.
• Works with payer for billing and collections.

Skills

Billing experience

Medicare/Medi-Cal billing

Census tracking

Education

High School Diploma

Tools

Medicare system

Medi-Cal system

Job description

SUMMARY

The Business Office/ Accounting Specialist provides support to Fairmont skilled nursing business office and accounting departments; performs billing functions for all residents at the skilled nursing facility; assists in obtaining referral information; screening referrals; completing admissions process; Performs relates duties as required.

DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE

• 1. Screens patients by verifying payor source prior to admission; assists in evaluating and accepting or rejecting residents; referring patient and family to other programs
• 2. Participates in conducting tours to potential patients
• 3. Assists in resolving patient/family dissatisfactions by investigating concerns; recommending changes in services in collaboration with the interdisciplinary team members
• 4. Prepares all necessary documents for new admissions
• 5. Provides and facilitates the admission packet process with resident, guardian, and/or resident representative
• 6. Coordinates with Nursing and EVS that the rooms are clean and tidy for admissions
• 7. Responsible for Census tracking, Medicare A and B billing, and Medi‑Cal/Managed MediCal billing.
• 8. Initiates and controls PASRR forms. Prepares UB 40’s.
• 9. Controls Medicare certification and recertification.
• 10. Produces Medicare Credit Balance Report quarterly
• 11. Prepares MC-171 admission and discharge notifications. Posts ancillaries and cash. Produces Private Pay statements. Verifies Medi-Cal eligibility monthly and is responsible for TAR control for Medi-Cal. Works with payer for billing and collections
• 12. Compares common working files monthly.
• 13. Completes patient trust bank reconciliation
• 14. Manage patient business files

MINIMUM QUALIFICATIONS

Education: High School Diploma or equivalent

Minimum Experience: Two years of work experience in business office and/or accounting capacity in long-term care setting

Preferred Experience: Knowledge in business office in admission capacity

Minimum Experience: Recent experience in Medicare, Managed MediCal, and Medi-Cal billing

Pay Range:

$27.54 - $45.90 / Hour

The pay range for this position reflects the base pay scale for the role at Alameda Health System. Final compensation will be determined based on several factors, including but not limited to a candidate’s experience, education, skills, licensure and certifications, departmental equity, applicable collective bargaining agreements, and the operational needs of the organization. Alameda Health System also offers eligible positions a generous comprehensive benefits program.

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