Business Office Assistant

Solheim Lutheran Home; Los Angeles (CA); Sur place; USD 52 000 - 56 000; Plein temps

Résumé du poste

Solheim Senior Community in Los Angeles, CA is seeking a full-time Billing Specialist to assist with resident billing, insurance eligibility and authorizations, payment follow-up, account updates, and audit preparation.

The role requires a high school diploma, experience in billing or insurance, and proficiency with Excel, Word, and PCC. You will maintain HIPAA compliance and coordinate with insurers and residents in a fast-paced healthcare setting.

Qualifications

• High school diploma or equivalent.
• Experience in business office, billing, or insurance preferred.
• Proficiency with Excel, Word, and PCC.
• Familiarity with office equipment.

Responsabilités

• Process and mail private-pay invoices to insurers.
• Update resident accounts in PCC and prepare records for audits.
• Follow up on insurance payments and eligibility changes.
• Print reports and maintain accurate payer/authorization data.
• Maintain confidentiality and HIPAA compliance.

Connaissances

Communication skills

English proficiency

Multitasking

Teamwork

Formation

High school diploma or equivalent

Billing/insurance experience preferred

Outils

Microsoft Excel

Microsoft Word

PointClickCare (PCC)

Description du poste

Job Details

Job Location: LOS ANGELES, CA 90041, Position Type: Full Time, Education Level: High School, Salary Range: $25.00 - $27.00 Hourly, Travel Percentage: None, Job Shift: Day, Job Category: Health Care, Schedule Full -Time Monday - Thurs

JOB 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.

Qualifications: 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 Card
• Annual PPD
• Annual physical