Saratoga Retirement Community - Administrative Billing Assistant

About the role

The Administrative Billing Assistant position at Saratoga Retirement Community is a vital role within our skilled nursing facility. This position plays a crucial part in ensuring smooth operations and providing excellent service to both residents and their families.

Responsibilities

• Ensures all interactions with residents, their families, vendors, and team members are conducted with high professionalism, promoting positive experiences.
• Supports the maintenance of accounting records and ledgers, ensuring monthly reconciliations and transactions comply with organizational standards and confidentiality requirements.
• Maintain familiarity with current guidelines for Medicare, Medi-Cal, HMO plans and long term care insurance.
• Aid in the preparation of pre-authorizations and verifications of benefits for all insurances/payers.
• Complete benefit verifications and authorizations for part B/managed B/outpatient therapies.
• Run monthly Medi-Cal eligibility verification.
• Complete Medi-Cal TARs and bed-hold authorizations.
• Verify and update demographics and census/rates in PCC for new move-ins.
• Update and Maintain census changes for AL, MC and SNF in PCC.
• Manage accounts and incoming payments in accordance with financial policies, ensuring accurate and timely processing.
• Enter ancillary charges.
• Offer assistance to residents with billing inquiries, aiding in the resolution of billing concerns.
• Attend daily stand-up for SNF, weekly PDPM meetings and Monthly triple check.
• Communicate closely with Transforming Age AR Team to ensure accuracy in PCC and billing and provide necessary information for month end close, monthly billing and payments, and claim follow up and support.
• Verify resident available days/ verify continued authorizations.
• Provide support and assistance to NHA and ED as requested.
• Complete and assist with inputting daily payroll time correction sheets. Process Payroll bi-weekly for skilled.
• Run skilled daily payroll reports including but not limited to meal penalties, missed punched and overtime.
• Promote the Mission, Vision and Values of Transforming Age in all areas of responsibility, and demonstrate commitment to Culture of Excellence and strategic goals.
• Perform other duties as assigned.

Requirements

• High school diploma or equivalent.
• One year of billing experience required; experience in SNF billing and accounts receivable a plus.
• Knowledge of payroll processes and DHPPD.
• Knowledge of or ability to quickly learn about Medicare, Medi-Cal, HMO plans and LTC.
• Excellent interpersonal and communication skills, ability to work well with staff and external constituents.
• Strong organizational skills to capture and share accurate information in a fast-paced environment.
• Must have a professional attitude and presence, and demonstrate grace and persistence in delicate financial matters.
• Must have the ability to analyze and balance when to problem solve independently, and when to escalate and reach out for help.
• Exhibit reliability and extreme trustworthiness in handling sensitive information and transactions.
• Demonstrate excellent interpersonal and communication skills, collaborating effectively with staff and external stakeholders.
• Ability to maintain confidential and meticulous records, ensuring accuracy and integrity.
• Able to operate as a self-starter, and work independently with little direction.
• Able to troubleshoot and critically think through processes and issues.
• Display exceptional organizational skills and meticulous attention to detail.
• Proficient in Microsoft Office Suite or related programs, including strong proficiency in Word, Excel, and Outlook is required; proficiency in SharePoint and Teams is preferred.
• Ability to multitask effectively, managing multiple responsibilities and prioritizing tasks.

Benefits

Our community offers a comprehensive benefits package designed to support your well-being and career growth. This includes competitive compensation, health and wellness programs, retirement planning, and opportunities for professional development.

Pay

The pay for this role is between $28-36 per hour DOE.

Schedule

This role will be working on-site, splitting time at these beautiful campuses, approximately 3 days per week at the community in Saratoga, CA and 2 days per week at the community in Napa, CA which may vary based on business need.