Business Office Manager Healthcare
$31,200–$31,200 year
On-siteMystic, Connecticut, United States
Job Summary
Plan, organize, and implement all accounts receivable functions in accordance with federal, state, and local regulations while ensuring accurate billing and collections. Review new admission payers for eligibility, maintain accurate daily census, and oversee Medicaid renewal applications to ensure timely coverage. Monitor accounts receivable aging reports, execute corporate mandatory collection steps, and process all cash receipts and deposits daily. Prepare and submit financial reports, audits, and resident account statements while managing Resident Trust Accounts to maintain compliance with T19 resource limits. Maintain resident confidentiality and privacy throughout all interactions. This role requires 3-5 years of experience in long-term care billing and collections, proficiency in Point Click Care or similar EHR systems, and working knowledge of Medicare and Medicaid laws.
Required Qualifications
- Completion of secondary education
- Ability to read
- Ability to perform mathematical calculations
- Ability to write in a legible manner
- Ability to follow oral and written directions in English
- Experience in Point Click Care or other EHR and Billing systems
- Experience with RFMS or other Resident Trust systems
- Experience with electronic claims management systems
- Attention to detail
- Good follow through skills
- Ability to prioritize multiple tasks
- Innovation and ability to find creative ways to service the variety of residents' needs
- Customer focus
- 3-5 years experience in long-term care billing and collections
- Working knowledge of State Medicaid and Medicare law
- Working knowledge of third party insurance
- Patience
- Tact
- Positive attitude toward residents, family members, state and federal agencies and other staff
- Cooperation in assisting others
- Ability to work as a team
- Ability to effectively listen
- Ability to provide positive feedback
- Approach of continuous improvement (Quality Assurance/Performance Improvement)
- Resident care as the primary focus
- Ability to build relationships with staff, residents, family member, vendors, and consultants
- Ability to ensure customer and staff satisfaction
- Ability to motivate all staff members
- Ability to maintain an approach of continuous improvement
- Ability to review all new admission payers for eligibility
- Ability to advise pre-admission of payer concerns
- Ability to coordinate with the care team
- Ability to coordinate with Resident/family members to plan for coverage in advance of payer change
- Ability to oversee the Medicaid application process
- Ability to ensure responsible party is providing timely information to the LTC unit at DSS office
- Ability to maintain accurate daily census including all residents and their payors
- Ability to report census to all departments on a daily basis
- Ability to participate in all facility meetings related to billing and potential payor changes
- Ability to communicate all information related to payor changes to the appropriate departments
- Ability to monitor and oversee Medicaid renewal applications
- Ability to ensure continual coverage
- Ability to ensure necessary spendown is done timely
- Ability to organize, prepare, and submit all billings accurately and by deadlines
- Ability to monitor accounts receivable aging reports ongoing throughout the month
- Ability to follow through on past due accounts
- Ability to ensure all appropriate action is taken to avoid bad debt
- Ability to utilize corporate mandatory action steps for collection on past accounts
- Ability to make notes in software system on past due accounts indicating action taken
- Ability to communicate all concerns related to payment timely to the Administrator
- Ability to communicate to legal counsel
- Ability to communicate to Corporate VP of AR
- Ability to open and process mail received daily
- Ability to deposit and post all cash receipts (including cash, checks, EFT and credit card payments) on a daily basis
- Ability to track and monitor all Medicare ADRs and CMA Appeal Requests
- Ability to ensure timely submission to the Corporate Clinical Reimbursement Director
- Ability to prepare, review and submission of financial reports and audits to all appropriate regulatory agencies
- Ability to prepare, review and submission of financial reports and audits to Administrator
- Ability to prepare, review and submission of financial reports and audits to appropriate corporate staff
- Ability to manage the Resident's Trust Accounts
- Ability to ensure Resident's allowance and appropriate level of petty cash is available
- Ability to apply Income to facility timely
- Ability to reconcile bank accounts to ledgers monthly
- Ability to maintain T19 resource limits
- Ability to ensure Resident accounts are not overdrawn at any time
- Ability to maintain resident confidentiality and privacy
- Knowledge of and compliance with the Residents' Bill of Rights
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