About Us
McLaren Health Care is a fully integrated health network committed to quality, evidence-based patient care with locations in Michigan and Indiana. The McLaren system includes 13 hospitals in Michigan, ambulatory surgery centers, imaging centers, a primary and specialty care physician network, commercial and Medicaid HMOs, home health, infusion and hospice providers, pharmacy services, a clinical laboratory network and a wholly owned medical malpractice insurance company. McLaren operates Michigan’s largest network of cancer centers and providers, anchored by the Karmanos Cancer Institute, one of only 53 National Cancer Institute-designated comprehensive cancer centers in the U.S.
Business Office Representative
Position Summary
The Business Office Representative is responsible for managing the various Business Office Duties. Functions as the primary source of information on all federal, state, and payer-specific skilled nursing facilities accounts receivable and billing regulations.
Coordinate with Admissions the appropriate pay source for new admits, re-admits, Therapeutic Leaves, and Hospital Leaves.
Obtains and verifies new patient’s insurance information and reporting census information as requested.
Consults with residents, families, the DHHS case manager, and resident attorneys to identify appropriate insurance plans for billing, ensures documentation is complete, and ensures the Medicaid approval process is acquired within the time allowed.
Audit Admissions, Social Services, and MDS clinical data requirements to ensure compliance with Medicare A, B, C, and Medicaid Accounts Receivable regulations.
Post all cash and follow-up on missing payments or short payments including identifying uncollectable accounts and prepare documentation to submit to the collection agency.
Verify with the MDS Coordinator timing of Level of care Determinations (LOCD). Work with MDHHS Provider Support to resolved LOCD problems.
Qualifications:
Required:
- High School diploma
- Three (3) years of experience in Long Term healthcare
Preferred:
- Associate Degree
- Minimum one (1) year experience billing on UBO4
Equal Opportunity Employer
McLaren Health Care is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identification, age, sex, marital status, national origin, disability, genetic information, height or weight, protected veteran or other classification protected by law.
