Business Office Representative

Responsible for assisting in the operations of the HAMC Business Office keeping in focus the department's mission and goals. This job deals primarily within the functions of patient accounts/insurance.

• High school graduate or equivalent required.
• Associate Degree in Business or Office Practice, or one year experience in hospital admitting or billing is preferred.
• 1-2 years experience in office setting preferred.

• Hardwiring Excellence – responsible to know and adhere to evidence based leadership to achieve excellence.
• Professional attitude, leadership role and team member abilities. Maintains a positive professional role throughout the facility and community.
• Accountability for Safety
• Safeguarding the privacy and security of protected health information (PHI) in any form including electronic, written or oral.

• Responsible for billing all Nursing Home and Swing Bed accounts.
• Reviewing the monthly bills--separating self pay and Medicaid bills, sending out self pay bills, submitting Medicaid claims to the state, assisting in filing insurance claims.
• Monitoring residents that are applying for medical assistance working with the Social Services Dept in this process.
• Preparing, submitting, and following up on Medicare Swing Bed claims. This includes Medicare demand bills.
• Following up on and keeping records of resident intake conferences.
• Maintaining records, sending proper notifications, and follow-up regarding residents classification under the Case Mix Program.
• Monitoring changes in Consolidated Billing regulations and working with Business Office Manager to implement timely changes as needed.
• Responsible for billing all Hospice accounts.
• Filing the Notice of Eligibility (NOE) in a timely manner.
• Reviewing monthly bills and submitting claims to appropriate payer
• Working accounts, handling patient inquiries, keeping the financial class of all accounts up-to-date, and collection on accounts.
• Handling patient/resident inquiries either in person, through the telephone, the mail, or from third party payers.
• Performs all duties as assigned by the Business Office Manager.

Work is performed in an office environment. Contact with employees, physicians, visitors, patients, and residents. Possible contact with communicable diseases through the public due to the admission/reception area contacts.

Requires standing or sitting, bending, stooping, or stretching. Requires the ability to use office equipment such as telephone, computers, calculator and other business office equipment. Must have the ability to lift approximately 35 pounds. Requires eye-hand coordination and manual dexterity. Requires the ability to distinguish letters and symbols. Requires vision and hearing corrected to normal range.