Business Office Representative

Business Office Representative – McLaren Health Care

The Business Office Representative is responsible for managing the various Business Office duties. Functions as the primary source of information on all federal, state, and payer‑specific skilled nursing facilities accounts receivable and billing regulations.

• Coordinate with Admissions the appropriate pay source for new admits, re‑admits, Therapeutic Leaves, and Hospital Leaves.
• Obtain and verify new patient’s insurance information and report census information as requested.
• Consult with residents, families, the DHHS case manager, and resident attorneys to identify appropriate insurance plans for billing, ensure documentation is complete, and ensure the Medicaid approval process is acquired within the time allowed.
• Audit Admissions, Social Services, and MDS clinical data requirements to ensure compliance with Medicare A, B, C, and Medicaid Accounts Receivable regulations.
• Post all cash and follow up on missing payments or short payments, including identifying uncollectable accounts and preparing documentation to submit to the collection agency.
• Verify with the MDS Coordinator timing of Level of Care Determinations (LOCD). Work with MDHHS Provider Support to resolve LOCD problems.

• High School diploma
• Three (3) years of experience in Long Term healthcare

• Associate Degree
• Minimum one (1) year experience billing on UBO4

Equal Opportunity Employer of Minorities/Females/Disabled/Veterans

• Schedule:
  
  Full‑time
• Requisition :
• Daily Work Times: 8am‑4:30pm
• Hours Per Pay Period: 80
• On Call:
  No
• Weekends:
  No

Mid‑Senior level

Full‑time

Health Care Provider

Hospitals and Health Care