Business Office Manager (71473)

Responsibilities

• Responsible for the overall management of business office activities.
• Covers coordination with the Central Billing Office on managing insurance payments, including private, Medicare, Medicaid and other managed care; managing refunds for accounts receivable, and maintaining appropriate logs and reports.
• Ensures the financial systems are accurate, efficient, and in accordance with professional accounting practices and governmental regulations.
• Manages insurance payments of Medicare, Medicaid, private insurance, HMOs and hospice billing; verifies payor source; posting payments to various systems; ensures critical deadlines are met.
• Maintains monthly logs for outstanding admission packets, new admissions, verifications and pending cases; maintains Medicaid Pending and Pending admission log.
• Implements and monitors the facility’s established system for receiving, depositing, withdrawing and accounting for resident funds and ensures that resident funds are available for the resident or their authorized representative in accordance with established procedures; conducts monthly audit to ensure process is followed.
• Completes Census Report by status for the previous business day(s), and the Action Summary Report.
• Reconciles Census with Clinical and Admissions; ensuring daily balancing by each payer type daily and verifying that total census is correct.
• Obtains face sheet from admissions and verifies accuracy; Inputs Resident Master information into the accounts receivable system; Updates as necessary.
• Aids in preparing reports for tracking cost reimbursement in relation to census days.
• Generates Transactions (once all changes have been made in PCC) to update the system.
• Maintains resident files for all new admissions (for readmissions, places paperwork in the existing chart).
• Maintains copies of resident trust fund agreements and other legal documents pertaining to trust accounts.
• Attends and participates in staff meetings, departmental head meetings, and other center meetings and sits on required committees.
• Gathers A/R ancillary charges; Inputs ancillaries, adjustments, cable charges and beauty and barber charges into computer system; Files ancillary charge slips; Compares amounts on charge slips and credit notices with rate and charge schedules.
• Maintains updated billing manuals.
• Performs other duties, responsibilities and activities may change or assigned at any time with or without notice.

Qualifications

• Associates Degree in Business or Accounting fields; and/or experience in business office operations in long term care or healthcare related field, preferred.
• Possess effective communication skills to maintain positive relationship with residents, families, staff, physicians, consultants, providers, and governmental agencies, their representatives and the community.
• Current knowledge of local, state and federal guidelines and regulations