Business Office Manager - Auburn, United States - Fingerlakes Center for Living

    Fingerlakes Center for Living
    Fingerlakes Center for Living Auburn, United States

    1 month ago

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    Description

    POSITION:
    *BUSINESS OFFICE MANAGER for Long Term Care facility**$5,000 sign on bonus*This position requires experience with Medical Billing. Long term Care billing experience preferred.

    *JOB DUTIES:

    • Management
    o Responsible for the overall operation of the Business Office.

    o Plans, directs, and coordinates activities within the department.

    o Supervising staff and proactively managing their performance by providing performance measures, feedback, appraisals and corrective actions.

    o Assures timeliness and accuracy of resident billings including; Medicare, Medicaid, and Insurances.

    o Set priorities for the department to ensure task completion.

    o Develops processes and procedures for the effectiveness and efficiency of the billing process.

    o Coordinates work activities with other supervisors to ensure smooth billing process.

    o Responsible for Month-End Close process as it pertains to Billing Revenue and Residents Census


    o Timely submission of first time claims as well as the monitoring and following up of claims not paid in a timely manner.

    o Responsible for refund process for both residents and third-party insurers.

    o Responsible for government reporting (Medicare, Medicaid, Department of Health, etc.)

    o Assures HIPPA and Corporate Compliance with the resident Billing Information.

    o Performs other related tasks as dictated by the needs of the department and/or at the request of Administration.


    • Census Functions:
    o Check Medicare for benefits/eligibility and days available for billing.

    o Check/call any other insurance for benefits and determine if preauthorization is needed.

    o Enter ADTs into EMR/billing system and update changes as needed.

    o Fill out any necessary paperwork for admissions, discharges, and census changes.

    o Send notifications of changes to other departments.

    • Billing Functions
    o Enter ancillary charges.

    o Verify accuracy of data and charges.

    o Bill room and board charges and physician charges electronically.

    o Mail out bills for self-pay and NAMI bills.

    o Note all activity in the billing software.

    o Follow up on outstanding self pay accounts.

    o Answer calls from residents and families regarding their accounts.

    o weekly credit balance report and refund requests.

    o Perform all rebilling to third party payers when needed.

    o Perform weekly audits on claims, admission agreements.

    o Perform audits as needed.

    • Residents Accounts
    o Record all resident personal spending.

    o Send transfer requests for payments between accounts.

    o Mail out monthly statements.

    o Write up check requests when needed.

    • Medicaid Functions
    o Complete 3559 forms for all census changes.

    o Update NAMI information

    o Review Medicaid Pending cases with Medicaid caseworkers.

    • Coding
    o Perform chart reviews for all admissions, quarterly reviews, and visits as needed.

    o Complete MDS diagnoses based on PDPM coding.

    o Review diagnoses for month end billing.

    • Other Functions
    o Maintain current knowledge of Medicare and Medicaid converge and payment procedures.

    o Scan all resident's paperwork into the EMR system.

    o Assure HIPPA and Corporate Compliance with resident billing information

    o Perform other business office functions as needed.


    QUALIFICATIONS:

    • Bachelor's Degree: Preferred
    • Certified Coding Specialist: Preferred
    • Microsoft Excel Required
    • Medical billing in

    LTC:
    3 years

    • EMR Experience
    • Knowledge of CPT and ICD 10 codes
    • Knowledge of PDPM coding

    Job Type:
    Full-time


    Pay:
    $60, $65,000.00 per year


    Benefits:

    • 401(k)
    • Dental insurance
    • Health insurance
    • Health savings account
    • Life insurance
    • Paid time off
    • Vision insurance

    Schedule:

    • 8 hour shift
    • Monday to Friday

    Work Location:
    In person% % %%admin%%