Business Office Assistant

Solheim Senior Community; Los Angeles (CA); On-site; USD 42,000 - 64,000; Full time

Job summary

Solheim Senior Community is seeking a Full-Time Billing Assistant to support resident billing, insurance eligibility, and authorization workflows. You will update PCC records, print eligibility responses, and prepare documents for audits in a compliant, confidential manner.

The role requires a high school diploma or equivalent, familiarity with Excel/Word, and experience in medical billing or insurance is preferred. On-site work with standard hours Monday through Thursday.

Qualifications

• High school diploma or equivalent.
• Business office, billing, or insurance experience preferred.
• Familiarity with Microsoft Excel and Word; PCC experience desired.
• Ability to read, write, and understand English; maintain confidentiality.

Responsibilities

• Fax private-pay invoices to long-term care insurers.
• Email private-pay invoices to residents’ responsible parties.
• Access Medi-Cal website and print eligibility responses.
• Enter updated resident account information in PCC.
• Follow up on payments from insurance companies.
• Organize resident files for audits.
• Adhere to payroll policies and timekeeping systems.
• Maintain HIPAA compliance and professional conduct.

Skills

Communication skills

Multitasking

Confidentiality

Teamwork

Education

High school diploma or equivalent

Tools

Microsoft Excel

Microsoft Word

PointClickCare (PCC)

Fax/copier equipment

Job description

Schedule Full -Time Monday - ThursJOB SUMMARY: Supports Solheim Senior Community (“Solheim”) by assisting with resident billing, insurance eligibility and authorizations, payment follow-up, account updates, and preparation of records for audits.ESSENTIAL JOB FUNCTIONS:Faxes private-pay invoices to long-term care insurers.Emails private-pay invoices to residents’ responsible parties.Accesses the Medi-Cal website and prints eligibility responses.Verifies changes in residents’ Medi-Cal health plans and Share of Cost.Enters updated resident account information in PointClickCare (PCC).Updates the Dual Eligibles Excel file with changes in Share of Cost, bed holds, and health plans.Updates the Medicare Excel file.Prints reports, including detailed census and payer setup information.Identifies residents who need new long-term care authorizations.Requests authorizations from Medi-Cal long-term care insurers and updates PCC with authorization numbers and approval dates.Compiles therapy logs, UB-04 detail reports, pharmacy and laboratory invoices, medical supply lists, face sheets, Notices of Medicare Non-Coverage (NOMNC), managed care authorizations, and Triple Check forms for the Triple Check Audit.Enters charges in PCC.Follows up on payments from insurance companies.Organizes resident files in preparation for audits.Adheres to payroll policies and properly uses the timekeeping system.Maintains regular and consistent attendance.Adheres to Solheim’s Compliance Plan and HIPAA regulations.Performs other duties as assigned.POSITION REQUIREMENTS:EDUCATION/EXPERIENCE:High school graduate or equivalent.Business office, billing, or insurance experience preferred.Knowledge of Microsoft Excel, Microsoft Word, and PointClickCare (PCC).Familiarity with copiers, fax machines, and other office equipment.SKILLS/KNOWLEDGE/ABILITY:Desire and ability to work with ill, aged, and disabled persons.Willingness and ability to read, write, speak, understand English and have the communications skills necessary to provide accurate information to residents and staff.Willingness and ability to follow written and verbal direction in English.Willingness and ability to maintain appropriate level of confidentiality and privacy.Willingness and ability to interact professionally with all customers, including the ill, aged, disabled persons and co-workers, individually and as part of a team.Willingness and ability to effectively handle multiple items/tasks as required and adapt favorably to changing priorities.Willingness and ability to make appropriate judgments, decisions and problem solving in a timely manner and within the context of the situation at hand.Ability to effectively prioritize items/tasks as required.Willingness and ability to effectively respond to emergency and/or crisis situations.Willingness and ability to take initiative and be a self-starter.Willingness and ability to understand and comply with Federal, State, and local regulations.LICENSURE/CERTIFICATE/TRAINING/ANNUAL REQUIREMENTS:Fire CardAnnual PPDAnnual physical