Summary

SUMMARY: The AHD Business Office/Accounting Specialist provides support to Alameda Hospital at Waters Edge business office and accounting departments; performs billing functions for all residents at the skilled nursing facility.  Performs related duties as required.

DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: The following are the duties performed by employees in this classification, however, employees may perform other related duties at an equivalent level.  Not all duties listed are necessarily performed by each individual in the classification.

1.  Responsible for Census tracking, Medicare A and B billing and Medi-Cal billing.  Starts and controls PASS and PASSARR forms.  Prepares UB 40's.  Controls Medicare certification and recertification. Produces Medicare Credit Balance Report quarterly.

2.  Prepares MC-171 admission and discharge notifications.  Posts ancillaries and cash.  Produces Private Pay statements.  Verifies Medi-Cal eligibility monthly and is responsible for TAR control for Medi-Cal.  Works with payers for billing and collections. 

3.  Compares common working files monthly. Completed patient trust bank reconciliation and Patient trust check book. Reconciles petty cash bank and check book.  Produces petty cash box receipts and replenishes as needed.

4.  Responsible for W-9's and deposits.  Receives, sorts and distributes incoming mail – addressing mail that needs to be forwarded as needed.

5.  Work on the OSHPD report annually

6.  Manage patient business files.

MINIMUM QUALIFICATIONS:

Education: High School Diploma or Equivalent. 

Minimum Experience: Two years experience in a business office and/or accounting capacity. 

Minimum Experience: Recent Medicare and Medical insurance billing.