LTC Billing & Office Liaison

Regionalhand; Ottawa (IL); On-site; USD 48,000 - 72,000; Full time

Job summary

Richter is seeking an experienced Office Manager to oversee billing operations for residents in long-term care, coordinating information for LTC insurance claims and guiding families through Medicaid transitions.

The role includes verifying Medicaid/resident accounts, managing cash flows, and handling inquiries from residents and families. A Bachelor’s degree with medical billing experience is preferred, along with PCC proficiency and strong organizational skills.

Qualifications

• Previous office management experience in LTC strongly preferred.
• PCC (Point Click Care) 2 years minimum required.
• Strong organizational, communication and multitasking skills

Responsibilities

• Coordinating the gathering of information for residents with LTC insurance to get claims approved.
• Working with families on the transition from Private Pay to Medicaid/ Benevolent Care by gathering all the necessary information and walking them through how the process works.
• Income verification of all current Medicaid residents and notifying of the CBO of any changes for billing purposes, monthly.
• Collections follow-up for Medicaid/ Benevolent Care patient liability and private pay residents.
• Gathering of payments to send to CBO to be applied to patient accounts throughout the month.
• Answers phone calls for residents and family members regarding billing questions for all Hearthstone and Lutheran Home accounts, throughout the month.
• Distributes petty cash for team members and residents throughout the month.
• Manages and reconciles census daily
• Manages resident trust funds using PCC and maintains confidential files.
• Manages collection of residents' accounts receivable to ensure they are collected in a timely manner.
• Organizes, evaluates and monitors business office operations to ensure these functions are performed effectively and efficiently.
• Verifies insurance coverage as needed.
• Answers phone calls for billing questions
• Process insurance premium payments for Medicaid residents out of Trust Fund.
• Processes reimbursement from Trust Fund accounts for Medicaid residents and/or family members.
• Working with families on the transition from Private Pay to Medicaid/Benevolent Care by gathering all the necessary information and waling them through how the process works.
• Processes monthly Bed Tax (Granny Tax) Report and sends to AP for payment, monthly.
• Process monthly ACH transactions in PCC
• Payer verification and follow up on denials and unverified payers
• Escalate issues and or discrepancies to Lutheran Life leadership as directed.
• Participate in scheduled department meetings and in-services.
• Other duties and projects as assigned

Skills

Strong organizational, communication

Education

Bachelor's Degree or equivalent with medical billing experience

Tools

PCC (Point Click Care)

Job description

Richter is seeking an experienced Office Manager to oversee billing operations for residents in long-term care, coordinating information for LTC insurance claims and guiding families through Medicaid transitions.

The role includes verifying Medicaid/resident accounts, managing cash flows, and handling inquiries from residents and families. A Bachelor’s degree with medical billing experience is preferred, along with PCC proficiency and strong organizational skills.