Duties and Responsibilities

Administrative Functions

·Meeting with all new admissions (resident or family) to explain financial obligations

·Ensure that private pay arrangements are initiated. This includes maintaining dialog with responsible party prior to residents converting from any other payer source.

·For Medicaid pending residents, obtain information needed to file a complete Medicaid application in a timely manner

·Submit Medicaid applications in a timely manner

·Submit Medicaid recertification in a timely manner

·Follow up on any communication from Medicaid office in a timely manner

·Communicate with Medicaid caseworker on a regular basis to assure all documentation is submitted for approval.

·Maintain regular communication with the Global Billing office including copying all documentation to the Global office upon receipt and reporting all conversations with caseworkers and responsible party.

·Address income payment with residents/responsible party; obtain direct deposit and when rep payee is needed file rep payee with Social Security office

·Prepare daily bank deposits for operating and trust accounts.

·Maintain, secure, and update residents’ financial files.

·Ensure that resident distributions of quarterly Personnel Needs Allowances (PNA) statements are properly made.

·Develop and maintain a good working rapport with other departments within the Facility, to assure that patient status is up to date

·Perform other related duties as assigned by the Administrator.

Staff Development

·Serve as Facility liaison for accounts receivable issues including collection of payment within the Facility.

·Answer telephone inquiries concerning Medicaid records.Prepare written correspondence, as necessary.

·Retrieve Medicaid records when requested by authorized personnel (i.e., physicians, nurses, government agencies and personnel, etc.)

·Assure that Medicaid records taken from the department are signed out and signed in upon return to the department.

·Agree not to disclose residents’ protected health information and promptly report suspected or known violations of such disclosure to the Administrator.

·Report any known or suspected unauthorized attempt to access to residents’ Medicaid records.

·Assume the administrative authority, responsibility, and accountability of performing the assigned duties of this position.

·Collect, assemble, and compile records for committee review and prepare reports for staff and other committees, as directed.

Committee Functions

·Attend and participate in mandatory Facility in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, etc.).

·Attend and participate in workshops, seminars, etc., as approved.

Safety, Equipment and Supply Functions

·Report all unsafe and hazardous conditions, defective equipment, etc., to your supervisor immediately.

·Ensure supplies have been replenished in work areas, as necessary.

·Assure that work assignment areas are clean and records, files, etc., are properly stored before leaving such areas on breaks, end of workday, etc.

Resident Rights

·Maintain a written record of the resident’s complaints and/or grievances that indicates the action taken to resolve the complaint and the current status of the complaint.

·Report all allegations of resident abuse and/or misappropriation of resident property.

·Must adhere to all HIPAA requirements.