Business Office Manager

Facility Business Office Manager

The Business Office Manager is responsible for the day-to-day coordination of Resident census, Billing, and Trust to ensure regulatory billing compliance, efficient and maximized collection of Private (Applied Incomes, Private Coinsurances) receivables, assist with submission, track and resolve Medicaid Pending applications, accurate reporting of billing and cash collection activity, and ensuring full compliance of the Resident Funds ledgers at all times. Perform Month End reconciliation of Census/Revenue, Accounts Receivable, and Cash/Banking and provide GL export to Accountants, coordinating any reconciling items for financial reporting.

Recommended Minimum Position Qualifications

3-5 years of billing and collections in a long-term healthcare environment, including management or supervisory responsibility.

Excellent team building and leadership skills are required.

Must have thorough knowledge of Medicare, Medicaid, Pending, Applied Income, and Managed Care reimbursement regulations.

The ability to handle multiple priorities; possess strong communication skills and have ability to work well in a high-pressure environment.

Good working knowledge of Excel, Word, Outlook, and billing/eligibility software solutions: Point Click Care, Esolutions, RFMS

Essential Duties and Responsibilities

Prepare, process and maintain facility census to include reconciliation to Midnight Shift Report, enter payer changes and adjust payer information and revenue accordingly, following NHCA guidelines.

Forward census activity to CBO Specialist daily including retro-active changes via Financial Alert Form

Track and review all Admissions Financial Folder documentation immediately upon admission; resolve issues with appropriate staff per NHCA guidelines.

Prepare daily deposits received at facility

Non-AR Related cash, Private, Private Coinsurance, Applied Income monies - post and complete cash log per NHCA guidelines.

AR Related Commercial, Commercial Coinsurance, and any Medicare/Medicaid related monies received at facility are to be deposited daily and back up forwarded to CBO Specialist for posting.

Prepare and post daily deposits for Resident Trust Account, reconcile monthly, close accounts for discharged residents, follow up on outstanding checks, and all other responsibility per NHCA guidelines.

Provide reports and analysis and attend meetings as requested by Regional AR Manager, Administrator, Corp. A/R Director.

Scan all documents for Medicare, Medicaid, Managed Care billing and coordinate with CBO Specialist when census, authorization, etc entries are complete and ready for billing.

Review Consolidated Invoices (SNFCB.com) and forward approved invoices with appropriate pricing to CBO Specialist for posting to Resident Accounts

Return non-approved invoices to vendor with Analysis Report

Coordinate immunization billing logs with Nursing Dept monthly and forward to CBO Specialist for PCC entry and billing

Perform Triple Check and coordinate with CBO Specialist when all corrections are made

Reconcile, process and report month end close per NHCA Month End Close procedures

Coordinate and oversee A/R Assistant as applicable; delegate new tasks as needed

Handle resident and family inquiries

Generate and submit statements per following:

Private Pay (R&B plus ancillaries) Statements

i. Monthly billing in advance (20th of month) due 1stof each month

ii. Follow up beginning 10th of month and as appropriate for non-response

iii. Private conversions – provide statement upon receipt of Medicare denial letter (24-48 hours prior to 1st day Private Pay)

iv. Follow up new admission and conversion payments immediately upon admission or 1st day of Private Pay

v. Meet with Administrator at least weekly to discuss outstanding debts and determine action

vi. Track initial statement, along with each collection letter in an open Private collection file for use in potential legal/collection proceedings or bad debt submissions

Applied Income Statements

i. Monthly billing in advance (10th of month) due 5thof each month

ii. Follow up beginning 5th of month

iii. Coordinate budget revisions as needed with worker and resident/family member

iv. Meet with Administrator at least weekly to discuss outstanding debts and determine action

v. Track initial statement with attached copy budget, along with each collection letter in an open Applied Income collection file for use in potential legal/collection proceedings or bad debt submissions

Private Coinsurance

i. Submit statements within 48 hours of receipt of Medicare, or denial of other insurance remittance (notification received from CBO Billing Specialist)

ii. Follow up beginning in 10 days and as appropriate for non-response

iii. Track initial statement with attached copy of remittance and UB04, along with each collection letter in an open Private Coinsurance collection file for use in potential legal/collection proceedings or bad debt submissions

Medicaid Pending

i. Maintain NHCA standard Medicaid Pending Tracking

ii. Submit “Informational Only” statements monthly indicating the private R&B rate

iii. Address problem/high risk accounts with Administrator, Regional AR Manager, and Collection team, following up through resolution

iv. Reclass appropriately upon approval and alert CBO Billing Specialist

v. Address denied applications immediately; ie coordinate appeal, obtain private payment, refer to Collections team, etc.

Report collection activity/status weekly with Administrator and for monthly A/R Reviews and requests per Regional A/R Manager, Administrator or Corp. Director of A/R.

Job Type: Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Medical specialties:

• Geriatrics

Work Location: One location

Salary : $44,500 - $56,300