Healthcare Operations & Admissions Specialist

Pioneer Health Care Management Inc; Sterling Heights (MI); On-site; USD 36,000 - 54,000; Full time

Job summary

Pioneer Health Care Management Inc. in Sterling Heights, MI is seeking a Full-Time Business Office Coordinator to support facility-level business processes, including intake of new residents, revenue cycle activities, and resident trust account maintenance.

The role collaborates with facility staff, administrators, and DON to ensure accurate admissions, payer verifications, and timely billing. A high school diploma is required, with higher business degrees preferred and at least 1 year in

Qualifications

• High school diploma or GED required.
• Associates or Bachelor’s Degree in Business or related field preferred.
• 1 year experience in a long term care setting in resident trust management, admissions, utilization review and/or accounts receivable strongly preferred.

Responsibilities

• Facility administrator will indicate Core Responsibilities for specific facility.
• Monitors referrals for resident placement in collaboration with liaisons, Administrator and DON.
• Facilitates placement and communication of new residents with facility staff.
• Initiates the patient/resident medical record.
• Communicates with MDHHS and resident/resident family regarding programs applicable to them.
• Reviews admission contract and required notices with residents, answers questions and obtains signatures.
• Verifies continuing insurance coverage each month for all current residents.
• Assists with Medicaid applications and follows up with assigned case workers until final disposition.
• Establishes PPA for each resident and enters in Matrix Care.
• Notifies the billing office of all discharges and provides facesheet and documentation for billing.
• Maintains the resident trust accounts and documentation in accordance with regulatory requirements.
• Verifies AP invoices and transmits to the corporate AP office in a timely manner.
• Other duties as requested and assigned.

Skills

Resident trust management

Admissions coordination

Utilization review

Accounts receivable

Education

High school diploma or GED

Associate's or Bachelor’s Degree in Business or related field

Job description

Pioneer Health Care Management Inc. in Sterling Heights, MI is seeking a Full-Time Business Office Coordinator to support facility-level business processes, including intake of new residents, revenue cycle activities, and resident trust account maintenance.

The role collaborates with facility staff, administrators, and DON to ensure accurate admissions, payer verifications, and timely billing. A high school diploma is required, with higher business degrees preferred and at least 1 year in