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 preferred

• Must be 18 years of age

• 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:

Juliette Manor - Berlin,Wisconsin

Overtime Exempt:

No