Receptionist / Billing Clerk

EDGEWOOD ESTATES POSITION DESCRIPTION Position Title: Receptionist / Billing Clerk Reports To: Business Office Manager Accountability Objective: To assist the Business Office Manager in the maintenance and running of the Business Office.

Qualifications: Must be a high school graduate with experience in office practices, typing, filing, answering the phone, greeting the public, and accounting practices preferred.

Major Tasks, Duties and Responsibilities: 1.Responsible for answering the telephone in an professional and timely manner, screening incoming calls and directing calls to the appropriate department. 2.Greeting residents, families, and visitors to the facility in a polite and courteous manner. 3.Responsible for typing as may be required by the different supervisors as approved by the Business Office Director or the Administrator. 4.Maintains the petty cash box and receives payment as appropriate from residents, families, or employees. 5.Monitors and tracks the use of the company vehicle and keys by authorized staff members. 6.Responsible for doing Accounts Payable, which includes distributing invoices to appropriate supervisors for coding, entering invoices into the system, printing checks for payment to vendors, with appropriate filing. 7.Responsible for keeping track of cable installation and disconnection and for turning in spread sheet at first of each month to the Business Office Director. 8. Complete reviews of Medicare claims outstanding twice weekly including any necessary research or calls required to determine reason for claim errors, submitting claim corrections online or by other modes as necessary, etc. Complete documentation of steps taken daily. 9. Assist with calls to family / Medicaid etc. related to outstanding claims, payments, documents needed etc. Complete documentation of steps taken daily 10. Makes deposit of payments received by the facility which includes taking the deposit to the bank, counting vending money twice a week, and entering payments into the computer. 11. Files business office information in appropriate front office files. 12. Sorts mail to appropriate departments and/or residents daily. 13. Orders office supplies for each department. 14. Responsible for sending cards for deceased residents. 15. Responsible for updating and collecting information needed in Contracted files. 16. Completes initial new employee paperwork for all new hires and to coordinate with the department supervisors to ensure all information is provided to new employees. 17. Maintains advertising file and places help-wanted and miscellaneous ads as needed. 18. Responsible for assisting the Business Office Director with review of Accounts Receivable charges. 19. Responsible for gathering information for Medicare audits in conjunction with Medical Records and Nursing. 20. Responsible for Phlebotomy billing once a month. 21. Responsible for completing ADHC billing long and entering charges into software and Medicaid monthly. 22. Responsible for making all paper copies where outside entities require a copy of facility forms, with Administrator or Business Office Director approval (e.g., State Survey Agency, Medical Record requests, etc. ) 23. Performs other related duties as assigned by the Business Office Director and/or Administrator.

Additional Assigned Tasks - Treats all residents with dignity and respect. Promotes and protects all residents' rights. - Establishes a culture of compliance by adhering to all facility policies and procedures. Complies with standards of business conduct, and state/federal regulations and guidelines. - Follows appropriate safety and hygiene measures at all times to protect residents and themselves. - Maintains confidentiality of protected health information, including verbal, written, and electronic communications. - Reports noncompliance with policies, procedures, regulations, or breaches in confidentiality to appropriate personnel. Reports any retaliation or discrimination to HR or compliance officer. - Reports any allegations of abuse, neglect, misappropriation of property, exploitation, or mistreatment of residents to supervisor/Administrator/Abuse Coordinator. Protects residents from abuse, and cooperates with all investigations. - Reports any occupational exposures to blood, body fluids, infectious materials, and/or hazardous chemicals in accordance with facility policy. - Participates in all life safety and emergency drills and trainings. Fulfills responsibilities as assigned during implementation or activation of the facility's emergency plan. - Reports work-related injuries and illnesses immediately to supervisor. - Follows established infection control policies and procedures. - As a condition of employment, completes all assigned training and skills competency. Personal Skills and Traits Desired/Physical Requirements/Working Conditions Ability to read, write, speak and understand the English language. Must be a supportive team member, contribute to and be an example of team work. Ability to make independent decisions when circumstances warrant such action. Ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public. Must have patience, tact, and willingness to deal with difficult residents, family and staff. Must not pose a threat to the health and safety of other individuals in the workplace. Must be able to move intermittently throughout the workday. Meets general health requirements according to facility policy, including medical and physical exams and checking immunity status to various infectious diseases. Ability to work beyond normal working hours and on weekends and holidays when necessary. Ability to assist in evacuation of residents during emergency situations. Ability to bend, stoop, kneel, crouch, perform overhead lifting and perform other common physical movements as needed for the position. May be subject to falls, burns from equipment, and/or odors throughout the day; encounter reactions from dust, tobacco smoke, disinfectants, and other air contaminants. Subject to exposure to infectious waste, diseases and/or conditions which include AIDS, Coronavirus, Hepatitis B, and Tuberculosis. May be subject to hostile or emotional residents, family members, visitors or personnel. Effective verbal and written communication skills and ability to exercise judgement. Ability to maintain composure in stressful situations. Resourcefulness. Strong leadership skills. Maintain a positive attitude and possess the ability to work in stressful situations. Ability to coordinate meetings, as well as set and achieve goals. Ability to be organized and efficient. Basic computer skills. CPR licensed and trained in first aid. Compliance as a Condition of Employment and Performance Appraisal Agreement to abide by all standards, policies, and procedures of the facility, including the facility's compliance and ethics program, is a condition of employment. Compliance will be a factor in evaluating job performance. Violations, including failure to report violations, will result in disciplinary action, up to and including termination. This job description is intended to convey the general scope of the major duties and responsibilities inherent in this position. Other tasks not listed here may be assigned by the supervisor. Periodic revision may be necessary to reflect changes in expectations placed on long term care by various governmental agencies. This job description will be reviewed and/or revised annually and as needed. Individual performance will be evaluated using the following scale: 1. Unsatisfactory: Achieves results which are far less than the standards identified for the performance factors rated. 2. Needs Improvement: Achieves results which are less than the standards identified for the performance factors rated. Exhibits the potential to become a competent performer. May be new to job or need skill development. 3. Meets Standards: Achieves results which meet the standards identified for the performance factors rated. This rating is the expected level of performance. 4. Exceeds Standards: Achieves results which usually exceed the standards identified for the performance factors rated. Reasonable Accommodation Statement Consistent with the Americans with Disabilities Act (ADA) and [insert state civil rights law], it is the policy of [Facility Name] to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact [include name and/or department, telephone, and e-mail address]. STATEMENT OF UNDERSTANDING AND ACCEPTANCE: I have read and understand the preceding description of my job and agree to fulfill these and other duties as assigned within my qualifications. HIPAA Guidelines: I understand that as of April 14, 2003, HIPAA guidelines will be followed and enforced at Edgewood Estates. I should not be exposed to protected health information related to resident care and I understand that my knowledge of this protected health information should be minimum necessary information to perform my job and further questions or clarifications should be directed to my supervisor. They minimum necessary information should be limited to resident names, room numbers, and necessary billing information that will be needed to bill for services rendered.

EMPLOYEE SIGNATURE BUSINESS OFFICE DIRECTOR SIGNATURE ADMINISTRATOR SIGNATURE DATE Original in Employee file / copy to Employee