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Business Office Manager

ABLE Associates
locationFall River, MA, USA
PublishedPublished: 6/14/2022
Full Time

Job Description

Job DescriptionBusiness Office ManagerSummary:Our client is seeking a business office manager with proven long-term nursing home and billing experience! If you are someone who has excellent leadership skills and are looking to take that next step in your career, this may be a great fit for you!What you will be doing:Administrative:

  • Assist in planning, developing, organizing, implementing, evaluating, and directing of the administrative office policies and procedures
  • Assure that all office personnel follow established policies and procedures
  • Interpret the facility's policies and procedures to personnel, residents, family members, visitors, etc., as directed by the Executive Director
  • Represent the facility at and participate in meetings as required by the Executive Director
  • Delegate administrative authority, responsibility and accountability to other responsible persons
  • Make written and oral reports/recommendations to the Executive Director concerning administrative procedures
  • Process administrative accounts payables invoices and vendor related inquiries

Billing and Billing Related:

  • Manages daily census changes (admissions, discharges, payer changes, room changes etc.)
  • Deposits checks daily into depository account and process credit cards as requested
  • Manages resident trust funds and maintains confidential files, ensures compliance with all state and federal regulations
  • Complete month end AR close and billing for all payers or coordinate billing with the corporate biller
  • Ensure timely billing of resident liability by maintaining the correct liability in PCC
  • Manage outstanding Accounts Receivable by reviewing AR aging weekly to identify potential refunds, adjustments or rebilling and communicate with the appropriate biller
  • Document all collections efforts in PCC
  • Recommends accounts for outside collection Attorney
  • Managed Medicaid pending applications timely including coordinating referral to Medicaid Eligibility Specialist or activity working the Medicaid application
  • Manage annual redeterminations for Medicaid enrollments
  • Meets with, or ensures that another staff member meets with, all residents/responsible party upon admission and throughout the stay to explain financial obligations and paperwork
  • Audits new admission files to ensure completeness and accuracy
  • Meets with, or ensures that another staff member meets with, all residents/responsible party upon discharge to explain any remaining financial obligations
  • Communicates accounts at risk to the Administrator, prepares for and attends weekly A/R review meetings, documents collection Activities
  • Attend monthly triple check to ensure Medicare A, Medicare B and Managed Care claims are accurate prior to biller submitting claims
  • Attend weekly Medicare meeting and weekly MMQ meeting

Education:

  • High School Diploma or equivalent is required
  • Associate’s degree or higher in a Healthcare setting is preferred

Schedule:

  • Monday to Friday
  • 8am to 4:30pm
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