Revenue Cycle Business Office Manager (BOM)
On-siteNorth Carolina, United States
Job Summary
Manage accounts receivable and oversee resident billing for Medicare, Medicaid, private insurance, and private pay accounts. Ensure timely claim submission, follow up on denials, and resolve rejections by analyzing errors. Prepare monthly revenue cycle reports and make daily collection calls to reconcile balances. Coordinate financial aspects of resident admissions, verify insurance coverage, and assist families with payment arrangements and statements. Maintain accurate trust accounts and ensure compliance with HIPAA and regulatory requirements. Oversee receptionist scheduling and develop efficient office workflows to support facility operations. Work in-office five days a week in a skilled nursing facility setting.
Required Qualifications
- Skilled nursing facility experience
- Minimum of 1 year of healthcare related revenue cycle experience from a Medicare, Medicaid and insurance billing perspective
- Willingness to work with residents and families to collect out of pocket co-pays
- Follow-up and seek payment on insurance, Medicare and Medicaid claims
- Work with residents to complete Medicaid pending application process based on NC State requirements
- Associate's or bachelor's degree in business administration, Accounting, or related field
- Minimum 2–3 years of experience in healthcare billing and collections in long-term care or skilled nursing
- Strong knowledge of Medicare, Medicaid, and insurance billing processes
- Strong knowledge in Microsoft and billing software
- Excellent organizational, communication, and leadership skills
- Detail-oriented with strong analytical skills
- Ability to manage multiple priorities in a fast-paced environment
- Strong interpersonal skills for resident and family interactions
- Commitment to ethical and compliant business practices
- Not a remote position, it requires the candidate to be in the office 5 days a week, except for occasional rotation for Manager on Duty hours
Desired Qualifications
- Associate's or bachelor's degree in business administration, Accounting, or related field (preferred)
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