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Pioneer Health Care Management Inc

Business Coordinator- Ashley

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Job Description

Position Summary:
Responsible for supporting business processes at the facility level including but not limited to: intake of new residents, facility support for revenue cycle activities, and maintenance of the resident trust accounts.
Core Responsibilities:
Manages facility office supplies/orders/petty cash and spend downs. Custodial Authorization Initiation/Continuation Communicates with MDHHS and resident/resident family regarding programs applicable to them. Initiates the patient/resident medical record. Reviews admission contract and required notices with residents, answers questions and obtains signatures within required timeframes. Submission of Medicaid applications/Re-determination as well as collection of supporting documents. Verifies continuing insurance coverage and financial responsibility each month for all current residents. Notifies the billing office of all discharges and provides facesheet and documentation required to support billing. Receives PPA statements for current residents from the billing office and collects payment by the statement due date. Reports PPAs collected to the billing office and deposits PPAs as directed. Interacts with the home office billing team and payers to define billing requirements and ensures prompt payment of claims. Interacts with the home office billing team and payers to define billing requirements and ensure prompt payment of claims. Initiation of Medicaid disenrollment for LTC. Maintains the resident trust accounts and documentation in accordance with regulatory requirements. Verifies AP invoices and transmits to the corporate AP office in a timely manner. Other duties as requested and assigned.
Minimum Qualifications:
High school diploma or GED required. Associates or Bachelor's Degree in Business or related field preferred. 1 year experience in a long term care setting in resident trust management, admissions, utilization review and/or accounts receivable strongly preferred.