Position Description Responsible for the overall management of business office activities in accordance with current applicable federal, state, and local standard guidelines and regulations, and as directed by the administrator. Responsible for coordinating with the Central Billing Office on managing insurance payments, including private, Medicare, Medicaid and other managed care; managing refunds for accounts receivable, and maintaining appropriate logs and reports, not limited to, resident funds, census records, and case accounts. Principal Responsibilities Manages all business functions including but not limited to accounts receivable, accounts payable, resident trust funds and other assigned duties. Ensures the financial systems are accurate, efficient, and in accordance with professional accounting practices and governmental regulations. Manages insurance payments of Medicare, Medicaid, private insurance, HMOs and hospice billing; verifies payor source; posting payments to various systems; ensures critical deadlines are met. Ensures timely receipts of all payments. Notifies residents and families of their financial obligations upon or prior to the time of admissions and obtains proper documentation of each newly-admitted resident's financial obligations- distributed, signed and filed. Makes monthly phone calls to responsible parties regarding missing payments; submits Medicaid applications and completes timely follow up on pending cases; enters admission packets into the electronic system within 7 days of admission. Maintains monthly logs for outstanding admission packets, new admissions, verifications and pending cases; maintains Medicaid Pending and Pending admission log. Implements and monitors the facility's established system for receiving, depositing, withdrawing and accounting for resident funds and ensures that resident funds are available for the resident or their authorized representative in accordance with established procedures; conducts monthly audit to ensure process is followed. Ensures that reports of all transactions and balances of each resident's funds are reviewed and signed at least quarterly and as required by regulations; and all records relating to resident unsure in an orderly, professional, and secure manner. Tracks Census for accuracy; Balances statistical report, census worksheet, and accounts receivable system census reports; Balances to 24-hour nursing report; Adjusts Accounts Receivable and Statistical Reports, when necessary. Completes Census Report by status for the previous business day(s), and the Action Summary Report. Reconciles Census with Clinical and Admissions; ensuring daily balancing by each payer type daily and verifying that total census is correct. Obtains face sheet from admissions and verifies accuracy; Inputs Resident Master information into the accounts receivable system; Updates as necessary. Assists in preparing reports for tracking cost reimbursement in relation to census days. Performs payer verifications and enters all recurring charges on the A/R profile. Generates Transactions (once all changes have been made in PCC) to update the system. Obtains information from admissions and assures accuracy and completeness. Maintains resident files for all new admissions (for readmissions, places paperwork in the existing chart). Maintains copies of resident trust fund agreements and other legal documents pertaining to trust accounts. Attends and participates in staff meetings, departmental head meetings, and other center meetings and sits on required committees. Gathers A/R ancillary charges; Inputs ancillaries, adjustments, cable charges and beauty and barber charges into computer system; Files ancillary charge slips; Compares amounts on charge slips and credit notices with rate and charge schedules. Maintains updated billing manuals. Other duties, responsibilities and activities may change or assigned at any time with or without notice. Management Responsibilities Develops organizational strategies by contributing information, analysis, and recommendations to strategic thinking and direction; establishing functional objectives in line with organization objectives. Establishes operational strategies by evaluating trends, establishing critical measurements; determining production, productivity, quality, and customer-service strategies; designing systems; accumulating resources; resolving problems; implementing change. Develops financial strategies by estimating, forecasting, and anticipating requirements, trends, and variances; aligning monetary resources; developing action plans; measuring and analyzing results; initiating corrective action; minimizing the impact of variances. Human Resource Responsibility Accomplishes human resources strategies by determining accountabilities; communicating and enforcing policy and procedures; implementing recruitment, selection, orientation., training, coaching, counseling, disciplinary, and communication programs; planning, monitoring appraising, and reviewing job contributions; planning and reviewing compensation strategies. Conducts continuing education programs and special in-service training to direct reports. Recruits, interviews, hires, and trains facility personnel. Completes evaluation of performance of direct reports at least once annually and makes recommendations for performance improvement plans for employees who fail to meet company expectations. Promotes and maintains pro-active, positive employee relations programs. Maintains frequent, daily, informal interaction and provides positive feedback to staff while they are working; Maintains open door policy in dealing with staff. Communicates and enforces company standards on counseling, disciplinary action, granting time-off, calling off-duty employees and/or transferring employees to cover staffing, assigning employees to specific work tasks, training, orienting, interviewing and screening prospective employees, disciplining employees who violate policies, adjusting complaints, evaluating performance, rewarding, approving time off and overtime, and attending to other supervisory duties as required. Manages the performance management process within the facility; coordinates with human resources department on employee compensation for merit within Company pay guidelines. Coordinates terminations of staff for performance related issues or for unethical behavior. Follows-up on all complaints of sexual harassment, as appropriate. Attends and participates in all Human Resources Workshop. General Responsibilities Attends and participates in scheduled training, educational classes, and meetings to maintain current certification as applicable; Attends and participates in in-service training as mandated by regulatory agencies and company policy. Adheres to work schedules in completing and performing assigned tasks; completes all assigned tasks in a timely manner as instructed by the direct supervisor. Meets acceptable center attendance requirements; notifies facility before late arrival to or absence from work according to established center policy. Cooperates with other facility personnel to ensure that services can be adequately maintained to meet the needs of residents; creates and maintains an atmosphere of warmth, personal interest, and positive emphasis, as well as a calm environment. Adheres to established employee policies. Adheres to established dress code. Customer Service Responsibilities Models customer service principals throughout the center and promotes appreciation of our customer's needs with every employee. Communicates customer discharge objectives and expectations to center department heads and team as it relates to business office. Serves a liaison between resident and/or responsible party and community care agencies. Presents professional image through appearance, behavior and speech. Residents Rights Understands, upholds and promotes the rights of the residents. Ensures residents can exercise rights without interference, coercion, discrimination, or reprisal from the facility. Ensures protected health information is kept confidential. Ensures resident concerns/complaints are responded to with tact and urgency. Reports allegations of resident abuse, neglect and/or misappropriation of resident property. Coordinates effective communication with Residents and Companions by assuring all arrangements for providing interpreters and/or other auxiliary aids and services needed by Residents and Responsible Party are made. Safety and Sanitation Follows established safety policies and procedures. Identifies and corrects safety hazards; reports safety concerns as required. Observes safety needs of residents as indicated in care plan. Wears and/or uses safety equipment and supplies when indicated and properly trained to use. Demonstrates job-specific knowledge of fire and disaster preparedness during drills or actual situations. Qualifications Highschool Diploma required. Associates Degree in Business or Accounting fields; and/or experience in business office operations in long term care or healthcare related field, preferred. Possess effective communication skills to maintain positive relationship with residents, families, staff, physicians, consultants, providers, and governmental agencies, their representatives and the community. Current knowledge of local, state and federal guidelines and regulations Maintain neat, well-groomed and professional appearance

Job Type:

Full-time Pay:

From $18.00 per hour

Benefits:

Dental insurance Health insurance Life insurance Paid time off Vision insurance

Education:

Associate (Preferred)

Experience:

Utilization review: 1 year (Preferred)

License/Certification:

RN License (Preferred)

Work Location:

In person