- 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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Business Office Manager - Wilmington, United States - Medical Facilities of America
Description
Pike Creek Nursing and Rehabilitation is seeking an experienced Business Office Manager to join our team
