Resident Financial Liaison - Alden Poplar Creek Rehabilitation and Health Care Center

TITLE:   Resident Financial Liaison

REPORTS TO:Administrator

I.                    JOBSUMMARY

Toensurethatall referral eligibilityisverified,prior to accepting the referral and admitting the patient. The Resident Financial Liaison is responsible for notifying the resident and/or fiduciary party of their financial responsibility at the time of admission and throughout their stay at the facility.

Toensureallrequiredagreementsandformsareobtainedand properlyfilledout/signed by the appropriate parties at time of admission to ensure contract and financial compliance.

Responsible for collaborating with the Corporate Accounts Receivable team to ensure payments are being collected and contribute to the facility performance throughbelowduties,whichresultinadecreaseoreliminationofunnecessarybaddebt. Ensure that we are receiving all Social Security, Supplemental, Income, or Pension income monthly.

II.                  QUALIFICATIONS

A.                  Preferred Bachelor’s Degree in related field of study (finance, accounting, healthcare/businessmanagement) or 2+yearsofdirectexperience.

B.                  Preferredknowledgeoflong-termcare.

C.                  Communicatesappropriately,isadaptabletochangesinassignmentsand priorities, and can delegate tasks when appropriate.

D.                 Musthavetheabilitytoworkindependentlyand manageawidevarietyof contact with outside agencies with tact and discretion.

E.                  Abilitytomulti-task,meetdeadlinesinachallengingenvironment,andbeableto think analytically.

F.                   Alwaysdemonstratespositivecustomerserviceandarespectfulattitude.

G.                 TechnologyorientedandmusthaveworkingknowledgeofMicrosoftExceland Microsoft Outlook,EMRsystemswith theabilitytolearn newsoftwareand systems.

H.                 Preferredexperiencewithbenefit/eligibility portals.

I.                    Must be able to travel to multiple Alden locations or to meet with families to address concerns or secure payment.

J.                    Must be available after hours via cell phone to answer questions related to family concerns/questions.

III.                PHYSICALREQUIRMENTS

A.                  Abilitytomoveintermittentlythroughouttheworkdayandsitatadesk.

B.                  Abilitytoworkinafastpacedanddemandingenvironment

C.                  Abilitytodemonstrateemotionalmaturitytoandworkwithill,disabled, elderly, and emotional individuals.

D.                 Mustbeabletooccasionallymoveandliftsuppliesandequipment.

E.                  Beingoodgeneralhealth;besubjecttoexposuretoinfectiouswaste, diseases, and other conditions, etc.

IV.                ESSENTIALFUNCTIONS

A.                  Eligibility/Benefits Verification

1.      Prior to accepting a referral, carefully review the resident’s Skilled Nursing Facility eligibility for Medicaid/Medicare/Insurance in the Eligibilityportals.EnsurethatonlyreferralsthathaveSkilled Nursing Facilitycoverageare accepted.

B.                  Resident/Fiduciary Financial Responsibility

1.      Communicates clearly to ensure all residents/fiduciary party understand their financial responsibility, such as their monthly available income, Medicare co-insurance, or private pay portion, and the due date that their payment will be due prior to admission.

2.      Effectively collaborate with the Admission Director to coordinate financial services meetings with residents/POAs/Guardians to obtain paymentsand/oradditionalforms/financialinformationthatmaybe required for payment/billing purposes.

3.      Ensure the resident is signed up for an automatic payment (RFMS, direct debit, or an automatic credit card payment plan) either prior to admission or at the same time.

4.      Ensure all the admission paperwork is being signed/completed by the resident/fiduciary (within 72 hours of admission).

5.      Ensure that any private pay residents are informed that a 1-month depositand1-monthadvanceisdueattimeofadmission.

6.      Effectively communicating required documents for all Public Aid Pending residents, at time of admission or during stay, in order to ensure smooth application process with Medicaid Field Staff.

7.      Obtain Medicaid forms needed for Public Aid Admit Packet prior to admission.

8.      Collect income information if needed such as Social Security award letters, pension information, bank statements, etc. for all Public Aid w/Numbers and Pending Public Aid admissions.

9.      If necessary, complete all Social Security Representative Payee paperwork, such as SSA-11BK, SSA-787, SSA-4164, within 72 hours of admission. Assist in making Social Security online account if necessary.

10.  Ensure the correct billing address is in PCC for any outstanding balances acquired.

C.                  Account Changes

1.      Communicate with facility and AR department about resident account changes (payer change, signed RFMS uploaded, processing credit card payments, etc.)

2.      Ensure resident is signed up for automatic payments once there is a payer change or resident has converted from a short-term stay to a long-term stay.