Job Description
Position Summary Primarily responsible helping facilitate day to day operations of the Hill View Home Health Office. This position will include responsibilities related to scheduling of clinical staff in Home Health, working with EMR system to help perform billing audits, uploading documentation, faxing physician orders, submitting insurance authorization requests and other duties to keep the office running efficiently. The Assistant Business Office Manager also supports the Business Office Manager in overseeing the daily financial and administrative operations of the Skilled Nursing Facility (SNF) and Home Health agency. This position assists with billing, insurance verification, collections, resident trust accounts, and administrative support to ensure accurate reimbursement and regulatory compliance. The role requires strong knowledge of Medicare, Medicaid, managed care, and private pay billing processes within post-acute healthcare and home health settings. ESSENTIAL DUTIES AND RESPONSIBLITIES: Answering phones, receiving inquiries, and directing calls as necessary. Assist with tracking/verifying visits of PRN staff Helping maintain inventory of office supplies, toner, files, and clinical supplies Effectively communicates utilizing telephone, form letters, email, fax or internal correspondace Prepares and submits invoices for services rendered to all payers. Prepares necessary documentation as indicated. Assisting in the patient referral process, including collecting all necessary information for input into Well Sky EMR, verifying payer source and patient eligibility, verifying doctors in PECOS system, coordinating with clinical staff to schedule patient visits. Uploading and submitting documentation to request authorization for home health services Keep and track financial data used for Medicare Cost Report as well as other documentation required by CMS Utilize the Point Click Care system to generate claims for reimbursement, transmit OASIS data to CMS, perform billing audits, Utilize DDE system to track claim status and make corrections as needed Receive and review remittance advices. Track and monitor accounts receivable and follow up on any outstanding claims. Process Start of Care, Recertification, Transfers, and Discharge evaluations. Generate 485 form when required, assemble charts and update appropriate spreadsheets. Scheduling therapy/nursing visits and ensuring 30 day reassessments and supervisory visits are scheduled within compliance Tracking patients going into and coming out of the hospital Assist with Medicare, Medicaid, Managed Care, and Private Pay billing for SNF and Home Health services. Assist with monitoring and assist with insurance verification and authorization processes for new admissions. Help maintain resident and patient trust accounts, ensuring accurate deposits, withdrawals, and documentation. Review daily census reports and ensure billing accuracy related to admissions, discharges, and payer changes. Assist with collections and follow-up on outstanding balances with insurance companies, residents, and responsible parties. Ensure compliance with Medicare, Medicaid, HIPAA, and other regulatory requirements. Assist with month-end closing procedures, financial reports, and reconciliation tasks. Maintain accurate resident/patient financial records and documentation. Respond to resident and family financial inquiries regarding billing and payment arrangements. Assist with coordinating with clinical, admissions, and administrative departments to ensure accurate billing information. Assisting in the patient referral process, including collecting all necessary information for input into Point Click Care, verifying payer source and patient eligibility, verifying doctors in PECOS system, coordinating with clinical staff to schedule patient visits. Contacting payer sources who may be out of network to set up individualized agreements to help control costs for the patients Assist with keeping and tracking financial data used for Medicare Cost Report as well as other documentation required by CMS Utilize the Point Click Care system to generate claims for reimbursement, transmit OASIS data to CMS, Prepare and submit Medicare RAP’s and Final Claims, Utilize DDE system to track claim status and make corrections as needed Receive and review remittance advices. Track and monitor accounts receivable and follow up on any outstanding claims. Process Start of Care, Recertification, Transfers, and Discharge evaluations. Generate 485 form when required, assemble charts and update appropriate spreadsheets. Sitting on QAPI committee and attending all board meetings. Utilizing CASPER and PEPPER reports to help to determine what quality improvement initia