Resident Billing & Compliance Coordinator

Sapphire-Center-For-Rehabilitation-and-Nursing-of-Central-Queen; New York (NY); On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

Life insurance

Paid time off

Job summary

Sapphire Center for Rehabilitation is seeking a Business Office Assistant to join the business office. The role involves meeting residents to obtain authorization forms and assisting the back office in collecting private and NAMI balances, along with general office duties for the facility.

Responsibilities include discussing insurance, payment plans, Medicaid applications, and maintaining billing records while ensuring confidentiality and effective communication with residents, families, and

Responsibilities

• Meet with residents and/or responsible parties upon admission.
• Discuss insurance information with residents and/or responsible parties.
• Discuss payment plan of copays, private pay, or NAMI based on income information collected during meetings.
• Obtain signed forms to apply for Medicaid, enroll into direct deposit, payment arrangements, and pension change of addresses.
• Prepare and submit Medicaid applications while working with patients and their families to collect required paperwork.
• Review Medicaid Pending cases with the Department of Social Services and/or NHED caseworkers.
• Report and escalate potential problem cases.
• Follow up on requests by NHED for recertifications and financial changes.
• Explain bills to residents as necessary and maintain appropriate backup records.
• Prepare and submit Rep Payee forms to SSA.
• Fill and mail Rep Payee reports.
• Verify patients’ eligibility for Medicaid.
• Process Medicaid applications, meet with families and collect required paperwork.
• Maintain necessary billing and financial information on resident files.
• Maintain resident trust accounts and reconcile balances monthly.
• Perform and coordinate all collection efforts with the nursing home Administrator.
• Maintain accurate records of payor sources, addresses, telephone numbers, etc.; explain bills to residents as necessary and maintain appropriate back-up records.
• Maintain confidentiality of all information.
• Maintain effective communication with residents, families, facility staff and business office staff members.
• General office duties as assigned.

Job description

Sapphire Center for Rehabilitation is seeking a Business Office Assistant to join the business office. The role involves meeting residents to obtain authorization forms and assisting the back office in collecting private and NAMI balances, along with general office duties for the facility.

Responsibilities include discussing insurance, payment plans, Medicaid applications, and maintaining billing records while ensuring confidentiality and effective communication with residents, families, and