Business Office Assistant/Medi-Cal Biller - Laguna Hills Health and Rehabilitation Center

Availability: Monday - Friday 8:30a-5:00p

POSITION SUMMARY

The purpose of your job position is to assist in the accounting and billing functions to ensure timely and accurate collection of accounts receivable while complying with federal, state and local standards that govern the facility, and as directed by the Business Office Manager or Administrator.

The Business Office Assistant will work cooperatively with all departments. They will treat each resident with kindness, dignity and respect. They will be committed to always doing the right thing.

ESSENTIAL DUTIES AND RESPONSIBILITIES  

        Assisting the Business Office Manager with daily functions of the accounting department

        Completing HMO billing

        Processing invoices for payment on a timely basis

        Verify invoices received for quantity, prices and discounts

        Obtaining required authorizations for all services received

        Billing all payers timely according to the schedule provided on the monthly AR Calendar-Medicare, HMO, Medicare Advantage, Managed MediCal, MadiCal/Cal-Optima, Workers Comp, Commercial payers and patients and/or patient representatives

        Timely follow up on all outstanding accounts to ensure facility goals are met in DSO, Bad Debt and collection percentages

        Protecting PHI per HIPAA guidelines

        Abiding with all facility policies and procedures including not disclosing user ID codes and passwords

        Other tasks as assigned

Every effort has been made to identify the essential functions of this position. However, it in no way states or implies these are the only duties you will be required to perform as directed by management. The omission of specific statements of duties does not exclude them from the position if the work is similar, related, or is an essential function of the position.

REQUIREMENTS   

Education / Licensure  

        High school diploma or GED

        Accounting and business classes a plus

 Qualifications / Experience   

        Minimum 1 year of experience in bookkeeping or accounting principles for skilled nursing

        Knowledgeable of Medicare and Medi-Cal procedures preferred

        Proficient and accurate with data entry and 10-key calculator 

        Proficient usage of accounting software and Excel

        Must be able to read, write, speak and understand the English language

        Collecting privaate/SOC, rep payee applications and small claim courts

        Knowledge on private accounts and collections

 Working Conditions  

        May encounter frequent interruptions

        May be involved with residents, family and government agencies

        May be necessary to assist in the evacuation of residents during emergency situations

        May be exposed to infectious waste, diseases, conditions, etc., including TB and the AIDS and Hepatitis B viruses

Physical Requirements   

        Must be able to move intermittently throughout the day

        Must be able to stand, bend and reach throughout the day

        Must be able to sit for prolonged periods of time working on a computer

        Repetitive hand motion

        Must be able to lift up to 50 lbs. on occasion

        Ability to read fine print on financial statements and invoices

 *Per California state mandate, the COVID 19 vaccine is required for this position.