Business Office Manager

Aviva at Fitzsimons•Aurora, CO

About The Position

The Business Office Manager is responsible for overall business office operations, ensuring internal control systems are in place and operating effectively to safeguard facility assets. The role maximizes cash flow and supports achievement of company accounts receivable targets, serves as a financial liaison between corporate departments and facility staff, and strengthens audit and compliance efforts. The position supports the organization’s commitment to high-quality, person-centered care delivered with dignity, respect, compassion, and integrity.

Requirements

  • 2–4 years of experience in healthcare billing, preferably in a long-term care environment.
  • At least 1 year of experience in a Skilled Nursing Facility (SNF).
  • Supervisory experience required.
  • Ability to understand and implement healthcare reimbursement, billing, and accounting principles.
  • Ability to understand, control, and track direct spending and labor budgets.
  • Commitment to consistently delivering high-quality, person-centered care with dignity, respect, compassion, and integrity, and to enriching every life touched.
  • Embrace the company values of care and compassion, community, honesty and integrity, teamwork, innovation, and safety.

Nice To Haves

  • Bachelor’s or Associate’s degree from an accredited college with a specialization in business or accounting preferred.
  • Public Notary preferred.

Responsibilities

  • Comply with company and departmental policies and procedures.
  • Compile, audit, and document accounting and financial data for the Care Center.
  • Maintain knowledge of financial operations topics, including government relations, GAAP, union provisions, third-party billing and reimbursement, internal policies and procedures, data information systems, and business relations with other facilities.
  • Supervise and participate in monthly financial close, ensuring revenue and expenses are posted to the correct accounts.
  • Supervise and participate in timely, accurate monthly billing to applicable payer sources, including Medicare, Medicaid, private and commercial payers, VA, Hospice, and coinsurance.
  • Supervise and participate in timely and accurate crossover billing.
  • Monitor and coordinate collection activity on past-due accounts to meet accounts receivable targets; review delinquent accounts, assess collectability, and recommend third-party collection or write-off when appropriate.
  • Prepare or ensure timely submission of accounts receivable review documentation and monthly follow-up reports to the corporate office and Administrator.
  • Check Medi-Cal eligibility for each Medi-Cal recipient upon admission and monthly, and contact Medi-Cal workers as needed to obtain eligibility and identification cards.
  • Obtain current Medicare, HMO, and health insurance cards or copies for billing.
  • Collect charges from Central Supply and appropriate vendor invoices, and ensure timely payment of accounts payable.
  • Oversee payroll for accuracy and timeliness.
  • Quarterly audit salary increases, retroactive pay, adjustments, paid time off, and benefits.
  • Oversee wage and hour requirements.
  • Oversee the Resident Trust Account and ensure applicable regulations are followed; maintain accurate, ongoing documentation of resident trust funds.
  • Quarterly report resident account activity to the responsible party, resident, and Administrator.
  • Ensure business records and files are accurate, complete, and up to date.
  • Conduct follow-up reviews of issues identified by financial or administrative reviews and internal audit reports.

Benefits

  • Generous bonuses
  • Growth opportunities
  • Health benefits
  • Medical insurance with prescription drug benefits
  • Dental insurance
  • Vision care
  • Paid vacation
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