Business Office Manager

St John Neuman Center for Rehab and Healthcare -

Job Description - Business Office Manager

QUALIFICATIONS :

Must be able to understand and communicate in the English Language.

Healthcare billing and collection experience with nursing home receivable which includes Medicaid and Medicare Part A & B, HMO's

Experience with Medicaid Applications

Strong organization skills including the ability to prioritize and manage multiple tasks in a dynamic environment

Strong analytical skills; ability to quickly identify problems and find effective solutions

Strong written and oral communication skills

Ability to work and produce results under pressure

Fundamental knowledge of accounting practices and agency reimbursement programs

JOB DESCRIPTION AND RESPONSIBILITY

Contact all necessary departments to retrieve data for updating Census relating to recent admissions and / or discharges.

Distribution of daily Census to all necessary department.

Processing of Medicare Part A & B claims.

Processing of Hospice Billing.

Troubleshoot any problem claims e.g., denied payments, incorrect data, etc.

Prepare / Process of Private Pay Resident Billing Statement.

Prepare / process Privately insured, e.g., co-insurance, Aetna, BlueCross / Blue Shield) resident Billing Statement (s) Monthly

Update Medicare tracking form pertaining to Bad debts (as need for Cost Reporting analysis)

Prepares and distributes (on a monthly basis) a completed Census to all vendors (e.g., Acculabs, Gerimedix etc)

Maintenance of resident files (e.g., retiring of files for past residents)

Assists, when needed, in posting Cash Receipts.

Assists in any other function within the department at the discretion of the Business Director.

Follow all safety and security procedures with entrance doors.

Contacts administration department heads and senior leadership in a timely manner to inform of facility problem or emergency.

Notifies administration promptly of any department of health official visits.

Interact with client and facility staff with professionalism in all facets of customer service

Escalate growing balances and / or unresolved time sensitive issues

Ensure facilities are operating according to procedure and compliance

Participate in team meetings, committees, and / or conference calls

Other responsibilities may include training of new Medical Billing Trackers

Demonstrates courtesy to residents, visitors and co-workers.

Maintains residents’ confidentiality

Demonstrates ability to work with others.