Business Office Clerk – Full Time – Finger Lakes Center for Living


Job Title: Business Office Clerk – Full Time – Finger Lakes Center For Living

Job Description:

JOB DUTIES:

  • Census Functions:
    • Check Medicare for benefits/eligibility and days available for billing.
    • Check/call any other insurance for benefits and determine if preauthorization is needed.
    • Enter ADTs into EMR/billing system and update changes as needed.
    • Fill out any necessary paperwork for admissions, discharges, and census changes.
    • Send notifications of changes to other departments.
  • Billing Functions
    • Enter ancillary charges.
    • Verify accuracy of data and charges.
    • Bill room and board charges and physician charges electronically.
    • Mail out bills for self-pay and NAMI bills.
    • Note all activity in the billing software.
    • Follow up on outstanding self pay accounts.
    • Answer calls from residents and families regarding their accounts.
    • weekly credit balance report and refund requests.
    • Perform all rebilling to third party payers when needed.
    • Perform weekly audits on claims, admission agreements.
    • Perform audits as needed.
  • Residents Accounts
    • Record all resident personal spending.
    • Send transfer requests for payments between accounts.
    • Mail out monthly statements.
    • Write up check requests when needed.
  • Medicaid Functions
    • Complete 3559 forms for all census changes.
    • Update NAMI information
    • Review Medicaid Pending cases with Medicaid caseworkers.
  • Coding
    • Perform chart reviews for all admissions, quarterly reviews, and visits as needed.
    • Complete MDS diagnoses based on PDPM coding.
    • Review diagnoses for month end billing.
  • Other Functions
    • Maintain current knowledge of Medicare and Medicaid converge and payment procedures.
    • Scan all resident’s paperwork into the EMR system.
    • Assure HIPPA and Corporate Compliance with resident billing information
    • Perform other business office functions as needed.
    •  QUALIFICATIONS:
      • Associate’s Degree: Preferred
      • Certified Coding Specialist: Preferred
      • Medical billing: 2 years
      • EMR Experience
      • Knowledge of CPT and ICD 10 codes
      • Knowledge of PDPM coding
    • Salary: $21/hour
    • Pay commensurate with experience


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