Qualifications

1. High school diploma preferred with college courses in accounting2 Computer experience (Microsoft Word and Excel)3.

Experience in a long-term care setting.

Recruiting of qualified experienced Patient Accounts Managers will be an ongoing effort.

It is the goal of FutureCare to recruit and maintain a staff of individuals who have a knowledge base of Medicare/Medicaid and the Medicaid qualification process.

Through training and Regional oversight the Patient Accounts Managers will develop and hone skills enabling them to grow within the corporate structure.

The Director of Patient Accounting must approve all potential hires.

Salaries for Patient Account Managers must be approved also and may be adjusted as the market changes.

Corporate personal will be included in the evaluation and will aid in the determination of salary increases.

Responsibilities: Duties and responsibilities of this position include, but are not limited to the following daily, weekly and monthly tasks and assignments: Admissions and Census· Attend morning department head meeting to discuss resident admissions/discharges.

· Attend daily Interdisciplinary Treatment Plan meetings to discuss resident care plans for Medicare Part A residents.

· Send out Medicare Denial Notices as necessary to meet time requirements.

· Access Medicare Common Working File to determine Medicare Part A coverage and available days for prospective Medicare Part A admissions.

Input, review and maintenance of various demographic information into computer, including admission data, insurance verification, and daily cash receipts.

· Review all admission paperwork, contracts, etc. for appropriate signatures and completion to ensure future collections.

· Maintain daily electronic census worksheets in coordination with home office.

Eligibility & Collections· Ensure timely and accurate completion and submission of all State Medicaid (Maryland, DC & New York) Forms (ie 257, 259, and 1728s) to appropriate agency (Delmarva and Department of Social Services-DSS)· Coordinate obtaining Doctors signatures on required medical documentation to substantiate Medicaid Levels· Set up and direct meetings with residents and/or families to assist with necessary paperwork, meetings and overall completion of Medical Assistance application process· Follow up with families on required paperwork, meetings and pending items through the Medical Assistance Application process· Prepare and issue all private and resource collection letters to residents, families and responsible parties in a timely manner· Prepare timely, accurate and complete collection notes on all contacts made with residents, families and responsible parties related to any and all collection efforts· Track annual Re-determination (recon) datelines for Medical Assistance residents, contact families to ensure required documentation is submitted timely to DSS, and obtain verification of submission of data from resident and/or family· Prepare all Re-determinations (recons) for residents for which facility is rep-payee to ensure timely completion and filing· Review status of all pending cases with Department of Social Service (DSS) staff at least every two weeks · Address, Review and Update all pending issues in the Medicaid Pending Tracking Log on a weekly basis· Coordinate problem resolution in conjunction with Corporate Billing Specialist, Regional Patient Account Manager and Administrator for all billing questions presented by residents, families or responsible parties· Address, Review and Update all pending issues in the Private/Resource Tracking Log not less than every two weeks· Prepare Patient Account History Balances as needed upon request· Track outstanding Private Pay and Resource amounts and follow up with collection calls, letters, discharge notices and attorney information· Prepare for, and present collection status to Regional Patient Account Manager, all open accounts on a monthly basis· Prepare patient refund requests for review by Regional Patient Account Manager on a weekly basis· Prepare receipts for deposit to on a daily basis.

· Reconcile bank deposits to the facility receipt book on a daily basis Resident Funds RFMS· Prepare, transfer and reconcile the Resident Trust Funds on a monthly basis· Be available to residents in accordance with the Resident Trust Fund Policy to distribute funds· Provide copies of Resident Fund Petty Cash account activity, and Care Cost Account check stubs to Corporate Staff Accountant not later than the 2nd business day of the following month· In cases where other staff is assigned to handle RFMS, act as a backup to cover during vacations, absences, etc.

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