Business Office Manger

Job Description

Job Description

Skilled Nursing Facility Business Office Manager:

The Business Office Manager is responsible for maintaining an open line of communication between the Facility and the Program Support Center (PSC) by performing clerical and financial functions as requested while maintaining compliance with all applicable laws, regulatory and organizational standards.

New Admissions:

1. Initiate contact with residents and responsible parties on admission day to obtain copies of insurance cards; contacts family to obtain if copies are not in admission packets
2. Explain and provide on-going updates on insurance coverage information and billing process
3. Obtain insurance authorization, verification, and precertification.
4. Add Funding Coverages
5. Enter all Outpatient therapy demographics and insurance information
6. Verify part B insurance payors for the Therapy department

Account Management:

1. Collect payments
2. Complete daily deposits and cash journal
3. Manages petty cash
4. Verify statements from Medical Vendors are correct, code, and forward to A/P
5. Review aging for credit balances
6. Provide insurance information to ancillary providers
7. Enter Ancillary charges in Vision (Lab, X-ray, pharmacy, transportation, etc.)
8. Provide copies of claims, EOB's, and other needed information to Rehabcare or Insurance Company for ADR's

Resident Trust Account:

1. Set-up RTA in Vision for new residents
2. Assist residents with their personal spending accounts; making deposits, provide cash withdrawals or writing checks
3. Ensure posting to accounts and reconcile monthly
4. Enter Hair Care and Television Charges into Vision
5. Inform beautician of account status weekly
6. Submits monthly status report on Medicaid Residents to Administrator
7. Check payers on Case Mix Report quarterly

Medicaid Tracking:

1. Conduct Medicaid Assessments at the 20 day mark
2. Educate the resident/family on requirements to apply for Medicaid; assists with process as needed
3. Assist with scheduling/rescheduling appointments for Medicaid applications, as well as sending information to Representatives at Medicaid.
4. Monitor private pay residents and when Medicaid will be needed
5. Submit MAP-24 and/or Level Of Care to Medicaid
6. Enter Medicaid 552's and prior authorization into Vision
7. Track progress of Applications by checking website for approval
8. Send requests to Social Security to move direct deposit to CCC
9. Have forms completed for CCC to become responsible payee
10. Assist with pending Medicaid

Qualifications:

Required Education: High school diploma or general education degree (GED)

Preferred Education: Associate or bachelor’s degree in business administration or accounting

Required Experience: 1 year experience working in a skilled nursing facility (SNF), in addition to administrative/clerical/accounting

Preferred Experience: 2 years’ experience in billing or accounting in health care; insurance transactions and Medicare/Medicaid reimbursement systems

Benefits:

• Competitive Pay

• Paid Vacation, Sick Days and Holidays

• Medical, Dental and Vision Insurance

• Comprehensive Wellness Program with Incentives

• Paid Group Term Life Insurance

• Voluntary Life Insurance

• Short-Term Disability

• Employee Assistance Program

• 401(k) and 403(b)

• Education Assistance

• Free Parking

• And much more

Christian Care Communities, Inc. is strongly committed to the principle of diversity and providing an equal employment opportunity in all terms and conditions of employment. All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion, gender, national origin, disability, age (40 and over), genetic information, or any other characteristic protected by federal, state or local law.

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