Administrative Specialist - Full-time

p style="text-align: center;"span style="font-size: 14.0pt;"EATON COUNTY HEALTH amp; REHABILITATION SERVICES/span/p p style="text-align: center;"span style="font-size: 14.0pt;"JOB DESCRIPTION/span/p p style="text-align: center;"nbsp;/p p style="text-align: justify;"nbsp;/p p style="text-align: justify;"strongspan style="font-family: 'Times New Roman',serif;"TITLE:/span/strongspan style="font-family: 'Times New Roman',serif;" Administrative Specialist strongSTATUS: /strongNon-Exempt /span/p p style="text-align: justify;"nbsp;/p p style="text-align: justify;"strongspan style="font-family: 'Times New Roman',serif;"DEPARTMENT: /span/strongspan style="font-family: 'Times New Roman',serif;"Administration strongREPORTS TO:/strong Reimbursement Director/span/p p style="text-align: justify;"nbsp;/p p style="text-align: center;"strongspan style="font-family: 'Times New Roman',serif;"Job Summary: /span/strong/p p style="text-align: justify;"nbsp;/p pspan style="font-size: 12.0pt;"Ensures timely and accurate accounts receivable and billing functions while working closely with the outside billing company, Reimbursement Director, and CEO./span/p p style="text-align: center;"nbsp;/p p style="text-align: center;"strongspan style="font-family: 'Times New Roman',serif;"Principal Duties and Responsibilities:/span/strong/p p style="text-align: justify;"nbsp;/p pspan style="font-size: 12.0pt;"Performs the following duties listed and others as required to improve the functions of the AR Department. Duties and responsibilities may be modified at any time./span/p p style="text-align: justify;"nbsp;/p ul li style="line-height: 115%;"span style="font-size: 12.0pt; line-height: 115%;"Responsible for verifying and entering Medicaid therapy authorizations into CHAMPS./span/li li style="line-height: 115%;"span style="font-size: 12.0pt; line-height: 115%;"Responsible for entering into CHAMPS admissions and discharges for Medicaid residents. /span/li li style="line-height: 115%;"span style="font-size: 12.0pt; line-height: 115%;"Responsible for coordination of completing the Level of Care Determination for Medicaid residents through completing the LOCD audit and reviewing CHAMPs./span/li li style="line-height: 115%;"span style="font-size: 12.0pt; line-height: 115%;"Works with DHS, residents and families complete and submit Medicaid applications and annual renewals in a timely manner./span/li li style="line-height: 115%;"span style="font-size: 12.0pt; line-height: 115%;"Works with DHS, residents and families complete the Home Maintenance Disregard (HMD) as appropriate. /span/li li style="line-height: 115%;"span style="font-size: 12.0pt; line-height: 115%;"Responsible for coordinating with the DHS to complete Long Term Care Financial reviews for new admissions and residents requesting to stay for long term care./span/li li style="line-height: 115%;"span style="font-size: 12.0pt; line-height: 115%;"Responsible for ensuring payments of Medicaid patient pay amounts and related collection activities./span/li li style="line-height: 115%;"span style="font-size: 12.0pt; line-height: 115%;"Responsible for maintaining a "real time" census in the billing system, including entering new admissions, discharges, room and payor changes, etc./span/li li style="line-height: 115%;"span style="font-size: 12.0pt; line-height: 115%;"Resolves resident/family members Medicaid related billing questions./span/li lispan style="font-size: 12.0pt;"Provide coverage of Administrative Services positions for lunch breaks, vacation time, etc. including but not limited to answering phones and waiting on customers/vendors./span/li lispan style="font-size: 12.0pt;"Responsible for checking, responding and communicating via emails daily./span/li /ul ul lispan style="font-size: 12.0pt;"Familiarize with "Stop amp; Watch", sending alerts, charting behaviors./span/li lispan style="font-size: 12.0pt;"Complete monthly in-services and attend face to face in-services as required./span/li /ul ul lispan style="font-size: 12.0pt;"Coordination of 360 Care and answering family/resident questions related to such./span/li lispan style="font-size: 12.0pt;"Performs other duties and related work as required. This is not an exhaustive list./span/li lispan style="font-size: 12.0pt;"Reviewing monthly statements/span/li lispan style="font-size: 12.0pt;"Collection Calls/span/li lispan style="font-size: 12.0pt;"Assisting residents/responsible parties with understanding their statements/span/li /ul p style="text-align: center;"nbsp;/p p style="text-align: center;"strongspan style="font-family: 'Times New Roman',serif;"Working Conditions:/span/strong/p ul li style="text-align: justify; tab-stops: list .5in;"span style="font-family: 'Times New Roman',serif;"Nursing home setting. /span/li /ul p style="text-align: justify;"nbsp;/p ul li style="text-align: justify; tab-stops: list .5in;"span style="font-family: 'Times New Roman',serif;"Lifting up to 25lbs. when needed./span/li /ul p style="text-align: justify;"nbsp;/p ul li style="text-align: justify; tab-stops: list .5in;"span style="font-family: 'Times New Roman',serif;"Bends, lifts, carries, pushes and pulls various equipment or residents occasionally throughout the work day. Extended, unusual or mandated working hours when required./span/li /ul p style="text-align: justify;"nbsp;/p p style="text-align: center;"strongspan style="font-family: 'Times New Roman',serif;"Qualifications:u/u/span/strong/p p style="text-align: justify;"nbsp;/p p style="text-align: justify;"span style="font-family: 'Times New Roman',serif;"Ability to comprehend instructions, organize time and complete tasks with minimal supervision. Ability to adapt to frequent changes in routine. Competent with personal computers, spreadsheet software, standard office equipment (fax, copier, postage machine, etc.), multi-line phone system, etc. Knowledge of accounting/bookkeeping practices to process charges, generate medical bills and accounts for payment accurately./span/p p style="text-align: justify;"nbsp;/p p style="text-align: justify;"strongspan style="font-family: 'Times New Roman',serif;"Experience:/span/strongspan style="font-family: 'Times New Roman',serif;" Three years or more of related experience. /span/p p style="text-align: justify;"nbsp;/p p style="text-align: justify;"strongspan style="font-family: 'Times New Roman',serif;"Education:/span/strongspan style="font-family: 'Times New Roman',serif;" High school graduate or equivalent. College level courses desirable. Certification preferred and/or desire to obtain certification/associates./span/p p style="text-align: justify;"nbsp;/p p style="text-align: justify;"strongspan style="font-family: 'Times New Roman',serif;"Physical Requirements:/span/strongspan style="font-family: 'Times New Roman',serif;" Must be able to lift up to 25 lb. when needed. Bends, lifts, carries, pushes and pulls various equipment or residents throughout the work day. This position requires the ability to perform the essential functions described. These functions are not limited to the following requirements. Reasonable accommodations will be made to otherwise qualified applicants unable to fulfill one or more of these requirements. /span/p