Financial Specialist Assistant / Medicaid Specialist

Working with us means being part of something special: A team that is passionate about making an impact on our patients’ lives each and every day. Unlike the typical hospital setting, our facility offers you the unique opportunity to walk alongside patients on their road to recovery from many different conditions. As you care for and help patients achieve goals and regain independence, you can form significant relationships with them and celebrate the successes they experience along the way.

We are in search of a qualified Financial Specialist Assistant :

To perform the successful and timely completion of assigned business and financial functions within the parameters established by NHS Management, LLC guidelines, state and federal regulations, and as needed to achieve the financial goals of the facility. Promote an environment that provides optimal efficiencies and superior quality of the business office.

1. Reviews, analyzes and interprets financial data to monitor progress toward established goals; identifies deterrents to success and implements improvements as necessary to enhance efficiencies and results; facilitates effective problem resolution and development of business office goals and objectives.
2. Strives for compliance with internal controls and state and federal regulations.
3. Ability to audit resident accounts, assess accuracy and collectability of accounts receivable balances, and initiate appropriate collection actions.
4. Performs assigned billing functions as directed by Financial Specialist or Administrator in the completion of all routine and other business office related tasks, including but not limited to:
5. Medicaid, Medicare and/or secondary billing
6. Assist with evaluation and selection of all potential admissions
7. Third party billing
8. Collections
9. Other accounts receivable functions
10. Responsible for the completion of the Medicaid application process and timely submission to prevent delays in the attainment of eligibility and payment.

Process to include:

1. Meeting with family and or resident to gather application materials and supporting documents.
2. Submission of the application
3. Communication and follow-up with both the Medicaid agency and resident family
4. Monitor the approval process and follow-up as necessary to completion
5. May be assigned or serve as backup in completion of the following duties:
6. Resident Trust Fund maintenance and reconciliation
7. Census maintenance
8. Maintain and reconcile office petty cash account
9. Reception, mail distribution and all other administrative duties
10. Payroll
11. Accounts payable
12. Participates in the development and successful implementation of plan(s) of improvement as indicated, recommended and/or required by Administrator, Financial Specialists, Financial Specialist Consultants, Internal Auditor, or any other corporate or regulatory compliance consultant. Communicates progress toward goals and ongoing obstacles to Administrator and facility management team, verbally and/or in writing or as dictated.
13. Complete and maintain required forms, reports, records, statistical data, financial records, reports and correspondence.
14. Establish and maintain adequate filing systems.
15. Participates in cash acceleration and any other special projects as warranted and directed by Administrator, Financial Specialist, or facility corporate management.

  Qualifications

1. Healthcare billing and collection experience preferred
2. Strong organization skills including the ability to prioritize and manage multiple tasks in a dynamic environment
3. Strong analytical skills; ability to quickly identify problems and find effective solutions
4. Must possess a strong understanding of Medicaid policies and regulations.
5. Strong written and oral communication skills
6. Ability to work and produce results under pressure
7. Ability to effectively and harmoniously interact with facility, group, and corporate management and other employees at all levels; promotes teamwork and demonstrates strong leadership skills and professionalism
8. Fundamental knowledge of accounting practices and agency reimbursement programs
9. Must be capable of maintaining regular attendance
10. Must be dependable and able to work with minimal supervision
11. Must have knowledge of office machines and equipment
12. Basic computer skills preferred
13. High school diploma or equivalent
14. Must be at least 18 years of age
15. Must be able to speak, read, write, and understand English
16. Must be capable of performing the Essential Job Functions and Physical and Sensory Requirements for All Job Functions.

EOE

The Florida Care Provider Background Screening Clearinghouse (Clearinghouse) is a first-in-the-nation enterprise system for background screening results of individuals required by law to undergo screening for employment in positions that provide services to vulnerable populations, as mandated by section 435.12, Florida Statutes .

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