Applications are submitted online until the position is filled and/or the posting is closed. After reviewing this job announcement, please click on the link at the bottom of the page to apply online. A resume is required with the application. Further instructions on submission of documents are available in the online application. A resume may not be substituted for an application.

Under the direct supervision of the Business Office Manager, the incumbent prepares, submits, and monitors transactions and processes of the residents’ trust funds, the billing and collection of nursing facility services, and the payment of certain facility invoices.  Work is performed in accordance with Federal, state and local standards, guidelines, and regulations that govern Long Term Care (LTC) and Skilled Nursing Facilities (SNF).

• Performs Medicare, Private Pay, HMO, Commercial Insurance, and PA Medicaid billing processes of a nursing facility.
• Maintains accurate facility census data, including resident admissions, discharges, transfers, hospital stay dates, and leaves of absence; uses on-line billing claim systems, such as Florida Shared System, Navinet, and PROMISE.
• Applies cash receipts to resident accounts and submits to the Business Office Manager for data review and quality control.
• Records charges and adjustments to resident accounts.
• Identifies past due accounts by using an accounts receivable aging report; performs collection procedures on past due accounts.
• Maintains accurate billing documentation and reports within department systems, applications and/or paper and electronic files.
• Organizes the month-end closing process of the billing cycle.
• Reviews closed accounts, makes necessary adjustments, and creates payment vouchers; performs retroactive billing, corrections of rejected claims, and adjustments to paid claims, as necessary.
• Makes recommendations to the Business Office Manager for increasing efficiency and improving facility cash flow.
• Assists the Business Office Manager with daily business office duties, as directed; assists the Business Office Manager with covering other business office duties during vacations and other short-staff situations.
• Performs related duties and tasks as required and directed by the Business Office Manager or others.

• Laws, regulations, and guidelines pertaining to finance and accounting.
• Office, accounting, bookkeeping, and medical practices and procedures.
• Medicare and Medicaid billing regulations, HIPAA regulations, and PA Medicaid eligibility requirements.
• Principles and practices of billing, claims and denials, and accounts receivable management.
• The complex requirements of managing care level changes and benefits exhaustion.
• Revenue leakage mitigation strategies.

• Microsoft Office Suite.
• Electronic Medical Records (EMR) and Electronic Health Records (EHR).

• Work independently with general supervision.
• Establish and maintain effective working relationships with internal and external stakeholders, residents, and patients.
• Creatively solve problems using critical thinking and logical reasoning ability.
• Interpret and adhere to facility programs, goals, objectives, policy and procedures.
• Organize and monitor multiple priorities, handle a heavy workload, meet deadlines and production standards, and adjust to change.
• Recognize and understand the special needs of facility residents and patients. 
• Achieve quality results and satisfy metrics requirements with demonstrated precision and attention to detail.
• Function effectively in a highly regulated, dynamic, fast-paced environment.
• Maintain professionalism by demonstrating ethics and integrity, especially with sensitive and confidential information.
• Communicate effectively, both orally and in writing.