Associates Degree required or the equivalent combination of education and experience of 3 years in a long term/skilled care administrative setting.
Must possess knowledge of long term/skilled care financial processes and regulations.
Possess superior customer service skills.
Demonstrates proficiency in computer software programs such as Word, Excel, Power Point, Visio, VSS Pro and Internet use.
Above average ability to communicate effectively verbally and in writing.
Demonstrates high degree of ability to effectively handle sensitive, emotional, and high stress situations.
Demonstrates considerable initiative and ability to work independently, has superior organization skills and attends to details.
Ability to communicate verbally in a clear, articulate manner whether in person or on the telephone.
Must possess a team orientation for goal achievement.
SPECIFIC DUTIES
Supports the Mission, Vision, and Values of Munson Healthcare.
Embraces and supports the Performance Improvement philosophy of Munson Healthcare.
Promotes personal and patient safety.
Uses effective customer service/interpersonal skills at all times.
Works together with Munson Health Care and its partners to provide superior quality care and promote community health.
Acknowledges safety is a self-responsibility. Knows physical requirements of the job and works within those guidelines. Performs job duties safely at all times, utilizing learned body mechanics and lifting techniques. Plans actions to promote safety. Reports any unsafe situation/equipment according to hospital procedure.
Acts on behalf of the McReynolds Hall Leadership Team and MHC OMH, and as such, is responsible for representing the organization and the facility in a positive manner. The nature of this position's organizational contacts requires a high degree of pleasantness, diplomacy, and discretion. This position may be the first contact which others have with the organization or facility and may influence first impressions. Performs all functions and activities with the highest level of professionalism, confidentiality and with tact.
Maintains staff schedules including day to day schedule changes, compensation, attendance monitoring and related reports.
Maintains LTC staff education and certification records including new employee orientation, Healthstream and CPR. Coordinates with McReynolds Hall Leadership Team, HR, Staff Development and staff regarding requirements and record keeping ensuring compliance with regulatory requirements.
Verifies current status on all insurance requirements for SNF/Acute, including Qualified Inpatient Stays, days of coverage, supplemental or Medicaid insurance coverage. Obtains prior authorization for inpatient care and maintains records of authorization in STAR. Maintains appropriate records of contracts.
Responsible for completion and coordination of FANS.
Coordinates insurance coverage for Long Term Care and skilled residents, including Champs admission process. Prepares contract for long term care and skilled admissions. Meets with residents, patients and/or power of attorney to review and complete contract. Maintains records of admissions.
Completes and documents monthly insurance verifications. Partners with MHC Patient Accounts team to communicate any adjustments to be made, including Medicaid payment amounts due and discounts for private pay.
Monitors patient/resident accounts. Posts payments and makes bank deposits. Prepares and distributes monthly statements.
Completes insurance audits and appeal processes as required.
Coordinates responses and data collection for insurance and other healthcare providers. This may include ongoing verification of data for accuracy and adjustments as needed. Maintains records of therapy minutes for each LTC resident receiving skilled care and reports as needed to care team.
Interfaces and corresponds with conservators, durable power of attorney or resident/patient regarding balances and payments on accounts. May interact with Probate Court and families applying for Medicaid.
Participates in ongoing learning opportunities to maintain skills and knowledge of current requirements.
Prepares and distributes correspondence/communication in an accurate, professional and effective manner including correspondence, forms, tables, charts, schedules, etc. often confidential in nature. Composes letters and memorandums.
Answers telephone consistent with department standards. Effectively responds to questions and directs appropriately to department/individual to insure timely and quality response.
Keeps abreast of computerized technological advances and provides training on systems as applicable.
Types, distributes and communicates policies, procedures, guidelines, regulatory requirements, as requested.
Coordinate the procurement of non-clinical supplies for the Long Term Care department. Coordinate efficient operation of the office, order supplies, maintain manuals, and perform other relevant duties.
Other duties as assigned.