PRN Business Office Manager- Riverton (56160)

Rocky Mountain Care Group•Riverton, UT

About The Position

The Business Office Manager leads, guides, and directs the healthcare facility’s financial operations in accordance with generally accepted accounting principles, applicable laws and regulations, and facility policies and procedures. The role is responsible for supporting the facility’s financial goals and fiscal health, overseeing business-office processes and personnel, and communicating financial performance and recommendations to the Administrator and governing bodies. The manager oversees billing, collections, accounts payable, patient trust, liability notices, general ledger functions, payroll and business taxes, purchase orders, cash flow, budgeting, financial reporting, and related transactions. The position works with the Administrator and department heads on financial indicators, budgets, corrective actions, and performance monitoring, and coordinates with Admissions on pre-admission payer-source evaluations. The role also supervises and develops the Business Office team, promotes effective communication and customer service, participates in facility committees and quality-improvement activities, and stays informed about regulatory and program developments affecting skilled nursing facilities. The manager works in the office and throughout the facility, may work beyond normal business hours and on weekends or holidays when necessary, and accepts call-backs during emergencies. The position includes resident-rights, confidentiality, safety, infection-control, emergency-response, and compliance responsibilities.

Requirements

Business Administration or a related field is preferred.
Experience in billing or in a supervisory capacity in the business office of a hospital, nursing home, or other related healthcare facility is preferred.
Knowledge of skilled-nursing-home regulations, procedures, laws, and guidelines pertaining to long-term care is preferred.
Ability to read, write, speak, and understand English.
Ability to make independent decisions when circumstances warrant.
Ability to deal tactfully with personnel, residents, family members, visitors, government agencies and personnel, and the general public.
Patience, tact, and willingness to deal with difficult residents, family members, and staff.
Ability to relay information concerning a resident’s condition and Business Office matters.
Leadership and supervisory skills, including willingness to work harmoniously with and supervise personnel.
Ability to follow oral and written instructions and communicate with medical, nursing, and other departments.
Ability to cope with the mental and emotional stress of the position and complete tasks despite frequent interruptions.
Must not pose a threat to the health and safety of others in the workplace.
Meet facility general health requirements, including medical and physical examinations and immunity-status checks for infectious diseases.
Ability to move intermittently throughout the workday and assist with resident evacuation during emergencies.
Ability to bend, stoop, kneel, crouch, perform overhead lifting, and perform other common physical movements needed for the position.
Willingness to work beyond normal 9-to-5 hours, accept emergency call-backs, and work weekends or holidays when necessary.

Nice To Haves

Business Administration or a related field.
Billing or business-office supervisory experience in a hospital, nursing home, or related healthcare facility.
Knowledge of skilled nursing regulations and long-term-care laws, procedures, and guidelines.

Responsibilities

Plan, develop, organize, implement, evaluate, and direct the facility’s financial operations and related programs and activities.
Report financial performance at least monthly, and more often as needed, to the Administrator and the Board of Managers, Directors, and/or governing body as directed.
Identify key financial performance indicators with the Administrator and department heads, establish systems to monitor them, and evaluate results with department heads to determine needed actions.
Develop and implement Business Office processes for billing, collections, accounts payable, patient trust, liability notices, general ledger, taxes, purchase orders, cash flow, and other business transactions.
Ensure Business Office procedures meet regulatory requirements, including bed-hold notice requirements.
Develop and implement payroll accounting processes, including accounting functions related to employee benefit or retirement plans and insurance accounting required by the Family and Medical Leave Act.
Produce monthly facility income statements and prepare financial records and cost reports for authorized government agencies as required.
Use electronic reporting tools and maintain schedules for capital expenses and fixed-asset depreciation.
Review and interpret monthly financial statements; provide information, reports, and recommendations to the Administrator and applicable governing bodies.
Ensure timely monthly billing using facility accounts-receivable software and ensure required billing checks and balances are followed, including daily census balancing and Medicare triple checks before billing.
Maintain working knowledge of the facility’s financial software and develop and monitor accounts receivable; report delinquent accounts and proposed solutions to the Administrator.
Develop and maintain written policies and procedures governing facility accounting functions.
Maintain working knowledge of state long-term-care Medicaid, Medicare Parts A, B, and C, and private long-term-care insurance programs.
Coordinate pre-admission financial evaluations and payer-source identification with the Admissions Office.
Lead financial meetings with department heads to monitor budget compliance and implement corrective action when needed.
Lead biannual budget development with department heads; analyze monthly financial reports; make recommendations and projections to the Administrator; and develop annual facility budgets with the Administrator. May present projected budgets with the Administrator to the Board of Directors.
Develop positive relationships with residents, employees, and family members, and promote effective communication and customer service.
Supervise Business Office personnel, evaluate their performance with Human Resources, address conduct inconsistent with facility goals, and ensure admissions staff behavior aligns with financial goals.
Facilitate, serve, attend, or participate in facility committees as needed, including QAPI or facility-assessment activities and assigned performance-improvement duties.
Learn about and teach others regarding CMS initiatives that affect facility fiscal health, including value-based purchasing, SNF-VBP, SNF-QRP, Quality Measures, and Payroll Based Journal reporting.
Collaborate with interdisciplinary team members, consultants, and others to identify opportunities to improve residents’ financial services or resolve issues.
Recruit qualified Business Office personnel with Human Resources and promote teamwork, mutual respect, communication, positivity, and daily problem-solving.
Stay informed about developments in skilled nursing and related services, regulations, and business practices that may affect facility fiscal health.
Review accounting deficiencies identified during survey inspections, develop plans of correction, and provide written copies to the Administrator.
Promote trust within the Business Office and across the facility, and promote safe work practices and accident prevention.
Treat residents with dignity and respect, protect residents’ rights, and comply with facility policies, standards of conduct, and applicable laws and regulations.
Maintain confidentiality of protected health information in verbal, written, and electronic communications; report noncompliance, confidentiality breaches, retaliation, or discrimination to appropriate personnel.
Report allegations of resident abuse, neglect, exploitation, mistreatment, or misappropriation; protect residents and cooperate with investigations.
Follow safety, hygiene, and infection-control practices; report occupational exposures and work-related injuries or illnesses; participate in life-safety and emergency drills and training; and perform assigned duties during emergency-plan activation.
Complete assigned training and skills competency requirements.
Communicate with medical staff, nursing staff, and other departments; relay information concerning Business Office matters, residents, and employees; and assist with resident evacuation during emergencies.