Overview

Job purpose

Collaborate with the facility business office to ensure that all facility residents have a billable payer source and that the facility can collect all monies due.

Duties and responsibilities

1. Verify payor source for all residents to ensure that payment will be forthcoming

– Enter daily census received from facility into Veripay

– Gather all relevant New Resident Information and document in Veripay

– Research all available systems to confirm resident source of payment

– Confirm initial/updated authorizations and co-pays

– Ensure timely submission of levels of care and relevant forms

2. Facilitate Medicaid Pending application process

– Obtain asset and income information

– Validate resident eligibility

– Review Medicaid application provided by facility

– Follow through on application process until approval obtained

3. Communicate with biller to ensure coordinated efforts on activities

– Instruct biller of changes to payers and billing information

– Investigate and resolve issues to ensure a continuous and billable payer source

– Coordinate collection of due patient liability

4. Collaborate with facility administration to obtain all payment due

– Coordinate weekly meetings with BOM to ensure continuous payor source for every resident

– Coordinate collection of continuous due patient liability

5. Review reports to monitor activity

– Maintain office system to support tracking of efforts (documentation of progress in Veripay)

– Prepare agings to keep supervisor informed of all outstanding balances

6. Other duties as assigned

Qualifications

A successful individual in this role will:

–          Preferably possess a familiarity with Medicare/Medicaid processes.

Specific requirements:

–          Able to prioritize and meet deadlines

–          Attentive to detail

Skills needed: computer skills