Purpose:
Functioning within the skilled nursing facility and reporting to the facility Administrator, this position is responsible for the daily operations of the facility business office, including billing and collections for the facility?s self-pay patients.
Position acts as liaison between the facility and the central billing office promoting effective two-way communications and providing support to the central billing office under the guidance of the Manager, Patient Accounts.
Responsibilities:
Act as liaison between facility and the central billing office, promoting a steady flow of information and effective two-way communications.
Process mail received in the business office on a daily basis.
Review any invoices received to determine payment responsibility and distribute to the appropriate persons for processing.
Prepare and distribute daily census report utilizing information provided by nursing unit staff.
Maintain census information in the accounts receivable billing system, including daily input of the following: admission information including all demographic data, discharges, room changes, pay type changes, level of care changes, personal and/or hospital leaves, etc.
Perform duties in conjunction with the month-end accounts receivable close, including reconciliation of census days and input of any resident ancillary charges into the billing system on the 1st working day of each month to ensure an accurate billing generation.
Ensure compliance with established month end close deadlines.
Generate, review and mail self-pay patient billing statements in accordance with established deadlines.
Reconcile statements to the census to ensure all statements were printed.
Provide initial point of contact for patients/families with regard to all billing questions or concerns.
Refer inquiries to appropriate facility or corporate staff as necessary.
Perform appropriate follow-up on all self-pay balances to ensure timely collections, maintain healthy facility cash flows, and minimize patient accounts receivable.
Work with appropriate third-party agencies including collection agencies, legal counsel, etc.
, to resolve difficult collections matters.
Perform account audits and process appropriate adjustments within the billing system.
If collection efforts become exhausted, complete bad debt write-off forms and submit to supervisor for approval.
Participate in regular accounts receivable meetings with management and facility staff to define collection strategies and maintain open communication regarding problem accounts.
Assist with the Medicaid application process for facility patients.
Complete and process annual renewals for all facility Medicaid patients.
Meet with newly admitted residents or their families to review billing policies and communicate payment responsibilities.
Also answer questions regarding Medicare and Medicaid.
Perform insurance verification on all potential admissions, for both primary and secondary pay sources.
Print and distribute resident face sheets to appropriate facility staff.
Receive all cash payments, prepare cash receipts log, and prepare daily bank deposits for all facility bank accounts.
Forward cash documentation to the central billing office for posting.
Serve as custodian of the resident trust petty cash fund, ensuring timely reconciliation and reimbursement.
Obtain and maintain appropriate documentation for all resident fund deposits and withdrawals.
Adhere to the UPMC Health System Standards of Conduct and all applicable laws and regulations.
Maintain both yourself and your work area in a professional manner at all times.
Perform other duties in support of the facility and central billing office assigned by supervisor.
High School Diploma and one year of administrative/clerical experience required.
Strong preference for prior experience in a skilled nursing facility (SNF) business office with knowledge of Medicare, Medicaid, and third-party billing regulations.
Must have strong organizational and computer skills.
Licensure, Certifications, and Clearances:
UPMC is an Equal Opportunity Employer/Disability/Veteran
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