Facility: GSS National Campus
Location: Sioux Falls, SD
Address: 4800 W 57th St, Sioux Falls, SD 57108, USA
Shift: 8 Hours – Day Shifts
Job Schedule: Full time
Weekly Hours: 40.00
Starting Rate: $17.50
This is a challenging yet very rewarding position. The core hours are Monday through Friday from 8:00 to 4:30, with one night until 5:00pm
Provides consultation, recommendations, training, oversight and support to skilled nursing locations on the entire Medicaid pending collection process, including providing support to residents and a resident’s responsible party, when necessary. Assists with appeals when a resident’s application has been denied multiple times, collect on balances that Medicaid does not cover and determine when to engage an attorney.
**Working remotely may be an option. Manages the Medicaid pending collection process for specific regions and/or states. Manages the Medicaid renewal/recertification process when a resident loses SNF Medicaid benefits. Provides consultation, recommendation and training to specific regions and/or states on the Medicaid pending process. Monitors aging’s.
Identifies trends for the specific regions and/or states and implements action plans. Identifies accounts needing to be sent to a third party and follow-up on those accounts in a timely manner. Provides subject-matter expertise. Accountable for complying with all related laws, regulations and company policies.
Demonstrates the ability to work with Microsoft Office products such as Word, Excel and Outlook.
Associate degree required or four years’ experience in a related field in place of a degree. Bachelor’s degree preferred.
Minimum of one year collection experience in healthcare and preferably long-term care required.
Knowledge of third party payers in a skilled nursing facility setting (Medicare A and B, Managed Care insurance, Medicaid etc.) preferred. Knowledge of Federal Medicaid regulations, knowledge of how to verify assets and locate/perform SKIP trace functions preferred. Knowledge of the Fair Debt Collection Process Act preferred.
Sanford Health offers an attractive benefits package for qualifying full-time and part-time employees. Depending on eligibility, a variety of benefits include health insurance, dental insurance, vision insurance, life insurance, a 401(k) retirement plan, work/life balance benefits, sick leave and paid time off. To review your benefit eligibility, visit https://sanfordhealth.jobs/benefits .
Sanford is an EEO/AA Employer M/F/Disability/Vet. If you are an individual with a disability and would like to request an accommodation for help with your online application, please call 1-877-673-0854 or send an email to email@example.com .
Sanford Health has a Drug Free Workplace Policy. An accepted offer will require a drug screen and pre-employment background screening as a condition of employment.
Job Function: Revenue Cycle
Req Number: R-73161