Business Operations Specialist

3 days ago


Sterling Heights, Michigan, United States Pioneer Health Care Management Inc Full time
Job Overview

Pioneer Health Care Management Inc is seeking a skilled Business Coordinator to support business processes for multiple facilities.

Key Responsibilities
  • Facility Support: Supervise and support Business Coordinators, manage revenue cycle activities, and maintain resident trust accounts.
  • Resident Placement: Monitor referrals, evaluate, and respond to resident placement in collaboration with liaisons, Administrator, and DON.
  • Admission Process: Facilitate placement and communication of new residents/patients with facility staff, initiate patient/resident medical records, and review admission contracts.
  • Insurance Verification: Verify continuing insurance coverage each month for all current residents, assist with insurance re-authorization processes, and notify the billing office of discharges.
  • Trust Accounts: Maintain resident trust accounts, document in accordance with regulatory requirements, receive PPA statements, collect/coordinate payments, and reconcile monthly.
  • Collections: Make collection calls, complete Medicaid applications when needed, attend Medicare meetings, and give residents NOMNC and ABN in the required timeframe.
Requirements
  • Education: High school diploma or GED required; Associates or Bachelor's Degree in Business or related field preferred.
  • Experience: 1 year experience in a long-term care setting in resident trust management, admissions, utilization review, and/or accounts receivable strongly preferred.

The estimated annual salary for this position is $55,000-$65,000 based on industry standards. We offer a comprehensive benefits package, including health insurance, retirement plan, and paid time off.



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