Regional Business Office Manager

1 month ago

Chicago, United States ALIYA Healthcare Consulting Full time

**Come join our AMAZING corporate support Team**

**ALIYA Healthcare is a skilled nursing facility company located in the Chicago area.**

**Our goal is to raise the bar on quality care and provide a positive customer service environment.**

**Regional Business Office Manager Benefits**:

- _BONUS Opportunity Available_
- Next Day Pay Available
- Flexible Scheduling
- Tuition Reimbursement
- Medical/Dental/Vision Coverage
- 401K
- And Many More..

***Job Summary**

Responsible as the Regional Business Office Manager to direct all business office activities within the facilities closely working with the BOM Team, human resources, and admissions.

**Business Office Responsibilities**
- Utilize Medicaid Pending Checklist (attached.)
- Maintain financial files on all residents and ensure all documentation is completed as necessary.
- Enroll Medicaid and Medicaid Pending residents in direct deposit for all income types through RFMS upon admission.
- Log into RFMS daily to run Direct Deposit Status report, verify resident statuses are accurate.
- Verify responsible party in PCC has a complete address and phone number for statements and collection calls upon admission.
- Assign residents into a billing category: Mail statements or Do Not Mail statements upon admission.
- Utilize Resident Financial folder checklist (attached.)
- Act as a liaison between Corporate Office and family members for all billing related questions.
- Update Corporate Office on all Public Aid changes including admissions, discharges, payer changes, and income changes.
- Upload all changes and supporting documentation to PCC resident profile Misc Tab under Financial/Business Office category.
- Notify corporate bookkeeper, facility administrator, Medicare specialist, Anzhelika Shatrov and Rehab Care of any Medicare denials.
- Follow Medicare Denial ADR process (attached.)
- Rerun Medicare (ZirMed) and Medicaid (MEDI) Eligibilities monthly for all dual eligible residents (those that have both Medicaid and Medicare numbers)
- Make weekly collection calls to families for private pay, resident liabilities and any other outstanding accounts.
- Utilize AR aging report in PCC (PCCàReportsàAR Aging (New))
- Make notes in the resident file under Collections Tab to track progress.
- Discuss progress of collection call on a weekly call with Anzhelika Shatrov.
- Notify facility administrator of any issues or IVDs that need to be issued
- Make monthly collection calls to insurance companies, as guided by the corporate office.
- Complete Medicaid Redetermination forms with all required supporting documentation immediately upon receipt.
- Complete Social Security Representative Payee report immediately upon receipt.
- Attend Medicare Meetings to verify days remaining, secondary insurances, long term resident plans, etc.
- On the 1st of each month verify accuracy of Monthly Detailed Census in PCC and fax to Lab, Pharmacy, Xray Companies.
- On the 1st of the month review RFMS reconciliation report; reconcile trust.
- On the 1st of the month check in with facility attorney on the status of accounts and IVDs
- On the 15th of each month re-run Medicare Verification for all Medicare residents on current caseload
- On the 1st of each month review Rehab Care therapy bill and verify services billed match services provided by Rehab Care
- Once a year, submit income changes to corporate office for all Social Security income changes (typically notifications arrive between December and February)

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