Address
Form of work
SalaryRyze West is a community-driven Skilled Nursing and Rehabilitation organization which is located at: 5130 South Jackson Blvd Chicago, Illinois 60644. We specialize in providing a high level of care in behavioral and memory care to residents and patients in need throughout the Chicagoland and Suburban communities.
Benefits:
- Vacation and Sick time accrual
- Holiday Pay
- Competitive Wages
- On Demand Pay
- Tuition Assistance
- Medical/Dental/Vision Benefit Plan Options
- 401K Retirement Plan Options
- and many more!
Responsibilities
- Ensure that Public Aid applications are completed within 7 days of admission by coordinating with Admissions Department and family.
- Maintain financial files on all residents and ensure all documentation is completed as necessary.
- Enroll Medicaid and Medicaid Pending residents in direct deposit for all income types through RFMS upon admission.
- Log into RFMS daily to run Direct Deposit Status report, verify resident statuses are accurate.
- Apply representative payee for social security and/or change of address.
- Verify responsible party in PCC has a complete address and phone number for statements and collection calls upon admission.
- Assign residents into a billing category: Mail statements or Do Not Mail statements upon admission.
- Utilize Resident Financial folder checklist (attached.)
- Act as a liaison between Corporate Office and family members for all billing related questions.
- Update Corporate Office on all Public Aid changes including admissions, discharges, payer changes, and income changes.
- Upload all changes and supporting documentation to PCC resident profile Misc Tab under Financial/Business Office category.
- Notify corporate office of any new documentation added by emailing resident PCC# (not resident name) and the type of document uploaded to the corporate bookkeeper, and administrator of your facility.
- Notify corporate bookkeeper, facility administrator, Medicare specialist, and Rehab Care of any Medicare denials.
- Follow Medicare Denial ADR process (attached.)
- Rerun Medicare (ZirMed) and Medicaid (MEDI) Eligibilities monthly for all dual eligible residents (those that have both Medicaid and Medicare numbers)
- Apply for BCBS secondary insurance for all long term care residents with sufficient income and no secondary insurance policy upon admission.
- Make weekly collection calls to families for private pay, resident liabilities and any other outstanding accounts.
- Utilize AR aging report in PCC.
- Make notes in the resident file under Collections Tab to track progress.
- Notify facility administrator of any issues or IVDs that need to be issued
- Make monthly collection calls to insurance companies, as guided by the corporate office.
- Complete Medicaid Redetermination forms with all required supporting documentation immediately upon receipt.
- Complete Social Security Representative Payee report immediately upon receipt.
- Attend Medicare Meetings to verify days remaining, secondary insurances, long term resident plans, etc.
Requirements
- Associate Degree in Business Administration or Bachelor's Degree in Business or related field (Preferred).
- 1 years in health care financial management or Office Management. (Required)
- Experience with Public Aide/Medicaid and Medicare billing and collections preferred.
- Point Click Care (PCC) billing system experience is (preferred).
- Knowledge of Federal and State regulations for skilled nursing facilities.
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