Family Advocate

• Meet with residents and family members upon admission to:
  • Complete the financial obligation checklist
  • Lead a financial education program to assist family members in understanding the billing process and review financial implications of stay with resident and medical and financial POA, if any.
  • Affirm or establish payer sources
  • Determine self-pay options with residents and create payment plans.
• Participate in care conferences and other care meetings to explain the financial ramifications of clinical decisions to residents and family members.
• Establish and maintain relationships with families to facilitate the collection process.
  • Complete the financial information form.
  • Enter the appropriate information in PCC.
• Assist family members, social workers, and the care team in securing Medicaid funding if needed.
  • Facilitate an action plan with Social Services to help the family secure Medicaid Funding
  • Follow-up with county social workers for application status

Billing Clerk

• Assist in daily census management process. Monitor payer profiles and assist case manager in correcting or clarifying payer set-up.
  • Using Point Click Care billing software:
    • Manage billing schedule to ensure required data is available
    • Maintain billing and responsible party records.

• Verify service dates and billing charges with managers

• Attend daily "stand-up" meetings via teleconference
  • Make note of changes that affect billing. Update
  • Prepare open list of corrective items prior to meeting
  • Request and understand census/payer changes
  • Notify care team of important financial dates and issues
• Prepare and distribute service invoices (as directed)
  • Using accounting software ensure residents, responsible parties, and government agencies receive billing invoices and statements in a timely manner
  • Reconcile and resolve questions/billing concerns from residents, responsible parties or governments brought to the department's attention
• Claims Management
  • Back up responsibilities for claims management.
    • Compile report on open claims
    • Correct rejected claims in consultation with clinical team

• Create an action plan for denied claims.

• Manage ADR notifications in conjunction with SNF administrator and clinical team.

• Collections
  • Manage Accounts Receivable aging as directed.
    • Leading Bi-weekly A/R Review
    • Establish a collections plan for selected accounts

• Using the Collections Module, facilitate the collections process
  • Work with Social Services and the administrator to plan a collection strategy
  • Perform and Monitor collections strategy
  • Report on collection strategy every week.
    • Detail report for controller and administrator
    • Summary report for CFO and COO

Successful candidates will have the training and or two years of experience in medical billing and account reconciliation. Strong written and verbal communication skills are required. Ability to have direct and clear communications with families. Must have strong attention to detail skills and practices.