Patient Access Specialist, Post Acute

Why ThedaCare? Living A Life Inspired! Our new vision at ThedaCare is bold, ambitious, and ignited by a shared passion to provide outstanding care. We are inspired to reinvent health care by becoming a proactive partner in health, enriching the lives of all and creating value in everything we do. Each of us are called to take action in delivering higher standards of care, lower costs and a healthier future for our patients, our families, our communities and our world. At ThedaCare, our team members are empowered to be the catalyst of change through our values of compassion, excellence, leadership, innovation, and agility. A career means much more than excellent compensation and benefits. Our team members are supported by continued opportunities for learning and development, accessible and transparent leadership, and a commitment to work/life balance. If you’re interested in joining a health care system that is changing the face of care and well-being in our community, we encourage you to explore a future with ThedaCare. Benefits, with a whole-person approach to wellness – Lifestyle Engagement e.g. health coaches, relaxation rooms, health focused apps (Wonder, Ripple), mental health support Access & Affordability e.g. minimal or zero copays, team member cost sharing premiums, daycare About ThedaCare! Summary : The Business Office Specialist performs data entry of information to the accounting and census systems at the senior living facility, and coordinates and completes all business office functions and tasks timely and fully. Job Description: KEY ACCOUNTABILITIES: 1. Maintains good relationships and connections with other departments and payers to allow for excellent communication and information sharing needed to complete a claim. 2. Completes claims and billing for all payers including Medicare A&B, Medicare Advantage Part A&B, HMO, MCO, PPO, Medicaid, and private pay. 3. Enters all ICD 10 diagnosis codes into the electronic medical record to allow for billing to occur. 4. Reverses ancillary charges from EPIC and posts therapy charges into nursing home claim for Medicare and Medicare Advantage residents to allow for proper billing. 5. Tracks and bills the required Medicare/Medicare Advantage No-Pay claims to CMS/FISS as required by law. 6. Monitors the aging account following delayed claims and payment. 7. Completes adjustment claims as needed throughout admissions to ensure accurate billing and accounting. 8. Coordinates accounting and maintains records of the resident trust account to ensure safe handling of resident funds and to meet the state and federal regulations. 9. Completes follow-up when payment is not received and processes collections as needed. 10. Completes month-end financial and census statements and accounting to maintain knowledge of financial operations and understand revenue status. QUALIFICATIONS: • High school diploma or GED • Two years of experience in long-term care billing and business office operations PHYSICAL DEMANDS: • Ability to move freely (standing, stooping, walking, bending, pushing, and pulling) and lift up to a maximum of twenty-five (25) pounds without assistance • Job classification has a slight chance of exposed to blood borne pathogens (blood or bodily fluids) while performing job duties WORK ENVIRONMENT: • Normally works in climate controlled office environment • Frequent sitting with movement throughout office space • Possible exposure to communicable diseases, hazardous materials, and pharmacological agents • Possible contact with aggressive residents • Use of computers throughout the work day • Frequent use of keyboard with repetitive motion of hands, wrists, and fingers Scheduled Weekly Hours: 40 Scheduled FTE: 1 Location: Peabody - Appleton,Wisconsin Overtime Exempt: No About ThedaCare ThedaCare is a community health system consisting of seven hospitals, numerous clinics and related services.We are the third largest health care employer in Wisconsin and the largest employer in the state's second largest economic market - Northeast Wisconsin - with approximately 6,800 employees. Through our 100-year history, ThedaCare has woven itself into the very fabric of the communities we serve. For our employees, ThedaCare offers an environment that not only welcomes but also encourages innovative thinking and fresh approaches to today’s health care challenges. We’ve improved the health of thousands of individuals. We know this because we track our quality and constantly seek to improve our care and services for the members of our communities. This job posting is available in other languages besides English free of charge. Please contact the ThedaCare Employment Center to make your request at 920-830-5800 and then prompt “1”. ThedaCare is an Equal Opportunity Employer. ThedaCare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, ancestry, color, religion, sex, gender identity, age, marital status, sexual orientation, national origin, medical condition, disability, veteran status, or any other basis protected by law.