Insurance Assistant Jobs in California (NOW HIRING)

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Mercy Retirement and Care Center

Oakland, CA

The shift for this role pays $30 to$32 an hour

Do you thrive in an environment where meaningful work happens every day? Do you want to make a difference in the lives of older adults?

Mercy Retirement & Care Center has been at the forefront of senior care for more than 150 years. Situated on our lush campus in Oakland, we provide assisted living, memory care, skilled nursing and rehabilitation services to meet a variety of healthcare needs. We provide exceptional, person-centered care that enhances the quality of life for our residents.

Our Culture of Excellence is built on a foundation of respect, integrity, and a commitment to the well-being of both our residents and our team members. We foster a collaborative and supportive environment where innovation and compassion drive everything we do.

Our Billing Assistants:

• Ensures all interactions with residents, their families, vendors, and team members are conducted with high professionalism, promoting positive experiences.
• Supports the maintenance of accounting records and ledgers, ensuring monthly reconciliations and transactions comply with organizational standards and confidentiality requirements.
• Maintain familiarity with current guidelines for Medicare, Medi-Cal, HMO plans and long term care insurance.
• Assist as a back-up for Admissions on Pre Authorizations and Verifications of benefits for all insurances/payers. Second check of common working file/ medi-cal upon admission.
• Complete benefit verifications and authorizations for part B/managed B/outpatient therapies.
• Run monthly Medi-Cal eligibility verification.
• Work with residents/families on Medi-Cal redeterminations.
• Complete necessary Medi-Cal TARs and bed-hold authorizations.
• Verify and update demographics and census/rates in PCC for new move-ins.
• Update and Maintain census changes for AL, MC and SNF in PCC.
• Complete monthly long-term care insurance filings for residents that are paying for that service.
• Manages accounts and incoming payments in accordance with financial policies, ensuring accurate and timely processing.
• Sort and distribute incoming mail accordingly.
• Distributes and manages bills, ensuring efficient banking and deposit procedures. Enters ancillary charges.
• Offers assistance to residents with billing inquiries, aiding in the resolution of billing concerns.
• Attend daily stand-up for SNF, weekly PDPM meetings and Monthly triple check.
• Communicate closely with Transforming Age AR Team to ensure accuracy in PCC and billing and provide necessary information for month end close, monthly billing and payments, and claim follow up and support.
• Verify resident available days/ verify continued authorizations.
• Provide support and assistance to NHA and ED as requested.
• Complete and assist with inputting daily payroll time correction sheets. Process Payroll bi-weekly for skilled. Assemble daily skilled payroll report packets and upload them to shared drive.
• Input contract hours (Agency/Registry for LNs/CNAs) into On Shift.
• Run skilled daily payroll reports including but not limited to meal penalties, missed punched and overtime.
• Promote the Mission, Vision and Values of Transforming Age in all areas of responsibility, and demonstrate commitment to Culture of Excellence and strategic goals.
• Perform other duties as assigned

What you need to succeed:

• High school diploma or equivalent.
• Experience in SNF billing and accounts receivable a plus.
• Knowledge of payroll processes and DHPPD.
• Knowledge of or ability to quickly learn about Medicare, Medi-Cal, HMO plans and LTC.
• Excellent interpersonal and communication skills, ability to work well with staff and external constituents.
• Strong organizational skills to capture and share accurate information in a fast-paced environment.
• Exercise caution and respect confidentiality while handling sensitive information and transactions.
• Demonstrate excellent interpersonal and communication skills, collaborating effectively with staff and external stakeholders.
• Ability to maintain confidential and meticulous records, ensuring accuracy and integrity.
• Display exceptional organizational skills and meticulous attention to detail.
• Proficient in Microsoft Office Suite or related programs, and other accounting systems. Ability to learn systems quickly.
• Ability to multitask effectively, managing multiple responsibilities