Business Office Assistant

Join a team where your growth, success, and impact are at the heart of our mission. At PureHealth, we're not just building careers; we're nurturing lifelong journeys of professional and personal development. We're committed to taking care of our community, providing unparalleled care and making a meaningful impact like nowhere else. Be part of a team that's dedicated to making a real difference in the lives of those we serve.

Unmatched Benefits & Perks:

• Tuition Reimbursement and Professional License Renewal Reimbursement
• Free CEUs
• 401k Plan
• Rewards and Recognition via CareHeroes Program (Gift Cards for Great Performance!)
• Flexible Scheduling
• Professional Career Growth

Join our team and grow with us!

Position Summary


This position is responsible for insurance/managed care billing in a fast-paced Skilled Nursing Facility environment. This position provides support to the Business Office Manager and supports the Business Office.

Essential Duties and Responsibilities

1. Responsible for billing and collections of managed care/insurance payers

2. Verifies benefits and documents proof of insurance

3. Understand the terms of managed care contracts and bills in accordance with these terms

4. Review managed care admissions daily/weekly to assure data is properly input in the accounts receivable system(s) for proper billing

5. Follow up if data is missing regarding Insurance information

6. Accurately posts all cash from daily/weekly cash reports

7. Follows up daily on receivables outstanding and responds to requests for information and denials in a timely manner

8. Maintains up to date knowledge of how to bill all commercial insurances, managed care, HMO, advantage plans, auto claims, worker's compensation claims, etc.

9. Accurately bills and collects coinsurance, copay and deductible amounts

10. Addresses and is able to effectively communicate Explanations of Benefits, co-pays, coinsurance and deductibles as it relates to each individual's plan

11. Conducts data entry for month end billing. Completes month end processes timely

12. Effectively manages time to meet deadlines

13. Direct involvement in accounts receivable collections process, including responsibility for pursuit of delinquent insurance accounts

Competencies

• Demonstrates monthly collections via goal expectation
• Demonstrates effective communication with internal and external customers
• Demonstrates organization to operate effectively
• Responses to inquiries are produced in timely manner
• Appropriately shares professional knowledge to build team performance

Pure Health Culture

Pure Health is a high-performance environment propelled by collaboration through our Teams of Excellence (T.O.E.) Program. The expectation for each team member is to engage in our complex and dynamic organization by adding value and support to fellow team members.

Work Environment

This job operates in a post-acute setting. This role requires regular walking to various locations around the facility. This role also routinely comes into contact with patients who may have contagious illnesses. Team member is expected to adhere to facility's no-smoking policy.

Physical Demands

While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires standing, walking, bending, kneeling, and stooping all day. The employee must frequently lift and/or move items over 20 pounds.

Position Type and Expected Hours of Work

This is a position in a post-acute setting that is open 24 hours a day, 365 days a year. Weekend and holiday shifts will be required

HIPAA

Team members are required to adhere to policies and procedures implementing HIPAA requirements for the privacy and security of protected health information. Team members are permitted to use and/or disclose only minimum amount of Protected Health Information necessary to complete assigned tasks. Reports all suspected violation of company's HIPAA policies or procedures to facility CEO.

Knowledge, Skills and Abilities

1. Self-directing with the ability to work with minimal direct supervision

2. Strong computer skills. Proficient in MS Applications (Word, Excel, Outlook)

3. Proficient in the English language. Excellent communication (verbal and written), customer service and interpersonal skills

4. Flexibility in responding courteously to immediate needs of internal and external customers; ability to establish priorities and maintain productivity despite numerous interruptions

5. Ability to establish and maintain a positive and professional relationship with team members, customers and visitors; cultural sensitivity and ability to relate well and effectively in diverse workplace and with a diverse customer population

6. Ability to be accurate, concise and detail oriented

7. Education or experience with accounting functions and managed care insurance accounts receivable billing and collections

8. Specialized training in Medicare and Insurance billing preferred

9. Working knowledge of third party insurers in a SNF setting

10. Understands and has worked with Zirmed and PointClickCare and/or other similar AR Financial System

11. Must have good organizational skills with attention to detail

12. Must be able to successfully prioritize workload, demonstrate initiative, and analyze situations to make sound decisions