This position is responsible for gathering and entering information related to the payer status of patients from the facility, or from the responsible party.
Ensure that census paperwork is received from the Nursing facility.
Ensure that the census is entered into the operating system accurately and is valid coverage.
Review paperwork and verify completeness and of intake process focusing on payer verification and selection.
Ensure effective coordination and communication between the local pharmacy and the Central Billing Center.
Ensure the smooth dissemination of information relative to Revenue Management to the pharmacy/site and Omnicare customers.
Work Medicaid Pending reports from i-Astral and the operating system to ensure timely application of Medicaid coverage.
Improve account identification on Medicaid Application Pending (MAP).
Work and partner with other internal departments to resolve issues.
Participate in training session or conference calls to further C2W ADT management knowledge
C2W ADT Workflow grid is cleared daily for all assigned facilities
Follow all applicable government regulations including HIPAA.
Participate in projects and/or meeting as designated by management.
Other duties as assigned; job duties may vary by location.
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