Business Office Manager

3 weeks ago

Wilmington, United States Medical Facilities of America Full time

Pike Creek Nursing and Rehabilitation is seeking an experienced Business Office Manager to join our team

  • Knowledge of the state's Medicaid application processes and procedures required
  • Strong knowledge of all Medicare and Medicaid products as well as third party insurances with knowledge of reimbursement system, allowable services and documentation required
  • One to two years' experience in business office setting is preferred in the long-term care.
  • Point Click Care and RFMS experience a plus.
  • Good interpersonal skills needed to effectively work with residents, families and outside agencies.
  • Must be organized with attention to detail
  • Must prioritize appropriately and meet deadlines
  • High comfort level to meet with residents/families to discuss and explain financial obligations
  • Completes and submits Medicaid applications accurately and timely
  • Consistent tracking and follow through on all Medicaid Pending cases including constant communication with CAO and as well as involved families and residents until final approval is received
  • Communicates to Administrator and Corporate Office updates on MA Pending cases, specifically those with identified barriers to approval, on a regular basis
  • Maintains resident financial files; prepares documents for timely submission of MA re-determinations/renewals
  • Maintains and reconciles resident trust accounts; distributes residents funds
  • Maintains facility petty cash accounts; submits accurate reports to Corporate on timely basis
  • Prepares and delivers bank deposits.
  • Performs all aspects of private pay collections including, but not limited to,sending collection letters, making phone calls, review of unpaid accounts, and appropriate follow-up with all questions related to private pay billing statements.
  • Performs and coordinates collection efforts with Nursing Home Administrator and Corporate Billing Office
  • Maintains records required by licensing agencies
  • Verification of Medicare and insurance benefits
  • Maintains and submits accurate census information as required
  • Records cash receipts in the proper company or resident account.
  • Maintains systems for recording and processing accounts payable
  • Accumulates records (PO's, Invoices, etc.) from the department managers and accomplishes the month-end closing, reporting all necessary information for the Corporate Office.
  • Maintains accurate records of payer sources, addresses, telephone numbers, etc.; explains bills to residents as necessary and maintains appropriate back-up records.
  • Participates in Triple Check process for facility with Corporate Billing Department
  • Maintains confidentiality of all information.
  • Maintains effective communication with residents, families, facility staff and Corporate Billing/Accounts Receivable and Accounts Payable Departments
  • Oversee receptionists and keep receptionist schedules weekday, holidays and weekend

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