New job Business Office Coordinator in Michigan

Business Office Coordinator

Company : Volunteers of America
Salary : Details not provided
Location : Michigan

Full Description


**considering only internal candidates at this time**

OBJECTIVE: To ensure that the financial functions of Senior CommUnity Care are done in a timely manner.


  • Assumes specific responsibilities relating to Billing and Accounts Receivable processing.
    • Responsible for all revenue billing, including Medicare and Medicaid.
    • Reconciles all Accounts Receivable and prepares adjustments as necessary.
    • Submits required periodic reports to Medicaid, Medicare and other third payers.
    • Reconciles monthly detailed revenue.
    • Create and mail out private pay invoices.
    • Cash Fax log.
    • Report new enrollment and dis-enrollments monthly to Peak.
    • CareKinesis – Review monthly PDE reports, and report ESRD participants.
    • Download and review 820 Medicaid payment file monthly.
    • Download and review CMS Medicare MMR file.
    • Input new participant’s financial information into Mediture.
    • Update current participants’ financial information as changes occur.
    • Report monthly census to corporate accounting manager.
    • Submit monthly RAPS reports and fix any errors reported back.
    • Complete monthly CMS Attestation with Executive Director.
    • Complete monthly Medicaid Report to State Worker.

  • Oversees specific responsibilities relating to the Medical Claims system.
  • Work with Claims vendor to submit medical claims and authorizations timely.
  • Assists in review of claim authorizations between IDT team and Claims Vendors.
  • Monitors claims reports and claims adjudications systems.
  • Verifying insurance coverage.
  • Manage provider/member data while maintaining compliance with HIPAA.
  • Run reports in EMR for submissions.
  • Download Precheck Registers weekly from Peak and assist in reviewing for accuracy.
  • Download Pend Report weekly from Peak and assist in reviewing for accuracy.
  • Assist in monthly review of IBNR report from Peak.

  • Participates in monthly calls with Claims and Pharmacy Benefit partners.

  • Assumes specific responsibilities in the preparation of month-end reports and back up, and submits month-end information to Corporate Office.

  • Assumes specific responsibility for preparation of regular Part D reporting as required by the Medicare Part D program.

  • Responsible for implementing and following all CMS Part D policies and procedures including coordination of benefits, TrOOP reporting, and PDE submittal process.

  • Completes monthly Part D reserve calculation for submittal to VOANS accounting.

  • Assist Executive Director, Director of Business Services and VOANS staff in completion of annual Part D bid.

  • Assumes specific responsibilities relating to the banking function of the facility.
  • Informs the Corporate Office of any disbursement problems such as stop payments, lost checks, etc.
  • Ensures the recording and deposit of all cash receipts.

  • Participates as a member of the PACE Compliance committee and completes Part D auditing as required by the Compliance Committee work plan.

  • Supplies statistical information to facility and corporate personnel as needed.

  • Assists with facility financial audits.

  • Assists Director of Business Services in the overall organization of the Business Office; ensures the proper filing and storage of all pertinent Business Office records.

  • Submits a brief monthly report, oral or written, to Director of Business Services concerning business office functions and expenditures.

  • Performs other duties or special assignments as directed by the Director of Business Services.


QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

  • Minimum one year of experience as a Business Office Coordinator or equivalent, preferably in a healthcare setting. Medicare and Medicaid billing experience is desirable.
  • Ability to communicate and work effectively with various levels of facility and corporate staff, participants, family members and the public.
  • Numerical ability.
  • Organizational ability.
  • Detail oriented.
  • Ability to handle interruptions on a regular basis as well as the stress associated with meeting a variety of deadlines.
  • Ability to operate computerized equipment.
  • Have a minimum of one year of experience in working with the frail or elderly population.
  • Ability to utilize computers and other electronic devices for tasks such as timekeeping, in-servicing and documentation.
  • Only acts within the scope of his or her authority to practice. Must meet a standardized set of competencies for the specific position description established by Senior Community Care and approved by CMS before working independently.
  • Ability to meet requirements as indicated in the essential job functions.

EOE M/F/Vets/Disabled

Apply Now

Source : Indded