Business Office Manager Healthcare

Apple Rehab•Watertown, CT
•Onsite

About The Position

Apple Rehab Watertown is seeking a Business Office Manager for its 110-bed rehabilitation and skilled nursing facility in Watertown, Connecticut. This leadership and administrative role oversees business office functions, including payer eligibility and changes, billing and collections, resident trust accounts, financial reporting, and coordination with residents, families, staff, corporate personnel, and outside agencies. The position reports to the Facility Administrator and supervises staff as designated by the Administrator. The starting pay is $70,000 per year. The Business Office Manager contributes to a collaborative, compassionate, and continuously improving workplace while maintaining resident confidentiality and observing residents’ rights. Benefits are offered to employees working 30 or more hours, and may vary by employment status and hours worked.

Requirements

  • Completion of secondary education, with the ability to read, perform mathematical calculations, write legibly, and follow oral and written directions in English.
  • Three to five years of experience in long-term care billing and collections.
  • Working knowledge of state Medicaid and Medicare law and third-party insurance.
  • Experience with Point Click Care or other EHR and billing systems, RFMS or other resident trust systems, and electronic claims management systems.
  • Attention to detail, follow-through skills, and ability to prioritize multiple tasks.
  • Ability to find creative ways to serve residents’ varied needs and maintain a customer focus.
  • Patience, tact, and a positive attitude toward residents, family members, state and federal agencies, and staff.
  • Cooperation in assisting others and ability to work as part of a team.

Responsibilities

  • Participate in department head meetings and activities.
  • Lead by example, address concerns, collaborate across departments, and encourage compassion, mutual respect, customer service, and continuous improvement.
  • Build relationships with staff, residents, family members, vendors, and consultants; motivate staff through listening and positive feedback.
  • Review payer eligibility for new admissions and coordinate coverage planning with the care team, residents, and families.
  • Oversee Medicaid applications and renewals, including timely submission of information and spend-down requirements.
  • Maintain accurate daily census and payer information, and report census to all departments daily.
  • Participate in facility meetings related to billing and payer changes, and communicate payer changes to relevant departments.
  • Prepare and submit accurate billings by deadlines; monitor accounts receivable and follow up on past-due accounts using required collection actions.
  • Document collection actions in the software system and communicate payment concerns to the Administrator, legal counsel, and corporate accounts-receivable leadership as needed.
  • Open and process daily mail; deposit and post all cash receipts daily.
  • Track Medicare ADRs and CMA appeal requests and ensure timely submission.
  • Prepare and mail resident account statements quarterly and upon request or as needed.
  • Plan and submit financial reports and audits to regulatory agencies, the Administrator, and appropriate corporate staff.
  • Manage resident trust accounts, including resident allowances, petty cash, applied income, monthly bank reconciliations, T19 resource limits, and prevention of overdrawn accounts.
  • Maintain resident confidentiality and privacy and comply with the Residents’ Bill of Rights.

Benefits

  • Scholarships and career development opportunities
  • Four weeks of paid time off
  • Seven paid holidays
  • Health insurance benefits
  • Short- and long-term disability coverage
  • Call-a-Doc/24-7 MD telephone service
  • Employee Assistance Program
  • Life insurance coverage
  • 401(k) retirement program
  • Longevity credit for dedicated service
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