Saratoga Retirement Community - Healthcare Billing Assistant

Join Our Upscale Retirement Community in Saratoga!

Become a valued part of our vibrant, 5-star, 94-bed Skilled Nursing Facility at Saratoga Retirement Community. We are currently seeking dedicated and compassionate team members to join our supportive and dynamic community!

At Saratoga Retirement Community, we prioritize the well-being of both our residents and staff. We foster a culture of compassion, professional growth, and mutual respectbecause when you thrive, so do those in your care!

The pay for this role is between $28-36 per hour DOE. This role will be working on-site, splitting time at these beautiful campuses, approximately 3 days per week at the community in Saratoga, CA and 2 days per week at the community in Napa, CA which may vary based on business need.

Our Administrative Billing Assistants:

• Ensures all interactions with residents, their families, vendors, and team members are conducted with high professionalism, promoting positive experiences.
• Supports the maintenance of accounting records and ledgers, ensuring monthly reconciliations and transactions comply with organizational standards and confidentiality requirements.
• Maintain familiarity with current guidelines for Medicare, Medi-Cal, HMO plans and long term care insurance.
• Assist as a back-up for Admissions on Pre Authorizations and Verifications of benefits for all insurances/payers. Second check of common working file/ medi-cal upon admission.
• Complete benefit verifications and authorizations for part B/managed B/outpatient therapies.
• Run monthly Medi-Cal eligibility verification.
• Work with residents/families on Medi-Cal redeterminations.
• Complete necessary Medi-Cal TARs and bed-hold authorizations.
• Verify and update demographics and census/rates in PCC for new move-ins.
• Update and Maintain census changes for AL, MC and SNF in PCC.
• Complete monthly long-term care insurance filings for residents that are paying for that service.
• Manages accounts and incoming payments in accordance with financial policies, ensuring accurate and timely processing.
• Sort and distribute incoming mail accordingly.
• Distributes and manages bills, ensuring efficient banking and deposit procedures. Enters ancillary charges.
• Offers assistance to residents with billing inquiries, aiding in the resolution of billing concerns.
• Attend daily stand-up for SNF, weekly PDPM meetings and Monthly triple check.
• Communicate closely with Transforming Age AR Team to ensure accuracy in PCC and billing and provide necessary information for month end close, monthly billing and payments, and claim follow up and support.
• Verify resident available days/ verify continued authorizations.
• Provide support and assistance to NHA and ED as requested.
• Complete and assist with inputting daily payroll time correction sheets. Process Payroll bi-weekly for skilled. Assemble daily skilled payroll report packets and upload them to shared drive.
• Input contract hours (Agency/Registry for LNs/CNAs) into On Shift.
• Run skilled daily payroll reports including but not limited to meal penalties, missed punched and overtime.
• Promote the Mission, Vision and Values of Transforming Age in all areas of responsibility, and demonstrate commitment to Culture of Excellence and strategic goals.
• Perform other duties as assigned

What you need to succeed:

• High school diploma or equivalent.
• 1 year of billing experience required; experience in SNF billing and accounts receivable a plus.
• Knowledge of payroll processes and DHPPD.
• Knowledge of or ability to quickly learn about Medicare, Medi-Cal, HMO plans and LTC.
• Excellent interpersonal and communication skills, ability to work well with staff and external constituents.
• Strong organizational skills to capture and share accurate information in a fast-paced environment.
• Must have a professional attitude and presence, and demonstrate grace and persistence in delicate financial matters.
• Must have the ability to analyze and balance when to problem solve independently, and when to escalate and reach out for help.
• Exhibit reliability and extreme trustworthiness in handling sensitive information and transactions.
• Demonstrate excellent interpersonal and communication skills, collaborating effectively with staff and external stakeholders.
• Ability to maintain confidential and meticulous records, ensuring accuracy and integrity.
• Ability to operate as a self-starter, and work independently with little direction.
• Ability to troubleshoot and critically think through processes and issues.
• Display exceptional organizational skills and meticulous attention to detail.
• Proficient in Microsoft Office Suite or related programs, including strong proficiency in Word, Excel, and Outlook is required; proficiency in SharePoint and Teams is preferred.
• Quickly learn and adapt to other accounting software systems as required.
• Ability to multitask effectively, managing multiple responsibilities and prioritizing tasks.