- Review financial and insurance information to determine admission eligibility.
- Verify primary and secondary insurance coverage, including Medicare, Medicaid, Managed Care, and commercial insurance.
- Complete financial clearance documentation accurately and efficiently.
- Obtain insurance authorizations and eligibility information when required.
- Educate residents and families regarding insurance benefits, co-pays, deductibles, NAMI responsibilities, and payment expectations.
- Assist residents and families with Medicaid applications and financial documentation.
- Maintain accurate financial information within the electronic medical record and other required systems.
- Coordinate with Admissions, Business Office, Managed Care, and interdisciplinary departments to ensure timely financial clearance.
- Review daily census reports and assist with occupancy reporting.
- Complete Managed Care documentation and required financial reports.
- Scan and maintain financial documents in the electronic medical record.
- Communicate significant financial or insurance concerns to leadership promptly.
- Assist with Medicare and Managed Care benefit verification as needed.
- Participate in departmental meetings, committees, and quality improvement initiatives.
- Provide exceptional customer service to residents, families, referral sources, and internal departments.
- Perform additional duties as assigned.
Compliance
- Maintain compliance with:
- HIPAA Privacy and Security Rules
- Facility policies and procedures
- Protect confidential resident financial information
- Excellent customer service and communication skills.
- Strong organizational and multitasking abilities.
- Ability to prioritize work in a fast-paced environment.
- Computer proficiency, including Microsoft Office and electronic medical record systems.
- Strong analytical and problem-solving skills.
- Ability to maintain confidentiality and professionalism.
- Spanish-speaking candidates are encouraged to apply.
- High School Diploma or equivalent required.
- Bachelor's degree preferred.
- Previous experience in healthcare, admissions, financial counseling, insurance verification, Medicaid, or patient financial services preferred.
- Knowledge of Medicare, Medicaid, Managed Care, and commercial insurance plans preferred.
- Nursing home or long-term care experience is highly preferred.
Compensation: $25.82 - $32.27 per hour
Additional Details :
ArchCare cares for people of all ages and faiths where they are most comfortable and best able to receive it - at home, in the community and in nursing homes. As the Continuing Care Community of the Archdiocese of New York, we see enhancing the lives of our elders and others who need extra help to stay healthy and live life to its fullest as more than just a job. To us, it's a privilege and our calling.
We are proud to be Certified™ by Great Place to Work®, a testament to our commitment to fostering a positive, supportive, and inclusive workplace culture.
Benefits/Perks:
- Includes accrued vacation days, sick days, and holidays.
- Participation in 403 (b)
- Voluntary Benefits: Short Term Disability, Life Insurance, Cancer Insurance, Pet Insurance
- Discounted membership: Plum Benefits
- Pay for work-related eligible commuter expenses with pre-tax dollars
