About The Position
The Business Office Manager will oversee a variety of financial and reimbursement functions in a skilled nursing facility. This role involves managing financial processes, assisting residents and families with understanding coverage and payment requirements, and ensuring compliance with company, payer, and regulatory standards. The position requires strong technical skills in billing and reimbursement, as well as excellent interpersonal skills to communicate effectively and compassionately with residents, families, and the interdisciplinary team.
Requirements
- Previous business office, billing, reimbursement, or accounts receivable experience in a skilled nursing or long-term care setting
- Experience with RFMS
- Experience with PointClickCare (PCC)
- Experience with Medicaid pending applications and follow-up
- Knowledge of Medicare and Medicaid coverage
- Knowledge of private insurance coverage
- Experience with Hospice billing and coverage
- Experience with private pay accounts receivable
- Experience with collections
- Experience with NOMNC processes
- Experience with bank reconciliation
- Experience with Accounts Payable processes
- Experience with resident and family financial communication
- High school diploma or equivalent
- Strong understanding of skilled nursing billing and payment
- Proficient in Microsoft products computer skills
- Previous experience in a long-term care or other healthcare facility
- Ability to read technical procedures
- Ability to read and comprehend policy and procedure manuals
- Ability to effectively present information and respond to questions from managers and employees
- Ability to solve practical problems
- Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form
- Knowledge and experience with RFMS, PCC, Microsoft preferred
Nice To Haves
- Knowledge and experience with RFMS, PCC, Microsoft
Responsibilities
- Managing RFMS processes and requirements
- Completing and tracking Medicaid pending applications
- Managing private pay accounts receivable
- Following up on outstanding balances and performing collections
- Meeting with residents and families to explain Medicare coverage, Medicaid coverage and pending applications, private insurance coverage, hospice coverage, private pay responsibilities, and changes in coverage and financial responsibility
- Preparing and managing NOMNCs (Notices of Medicare Non-Coverage) as required
- Completing bank reconciliations
- Serving as backup for Accounts Payable
- Monitoring resident accounts and identifying issues requiring follow-up
- Communicating with insurance companies, hospice providers, residents, responsible parties, and other payors
- Maintaining accurate documentation and financial records
- Partnering with facility leadership and the interdisciplinary team regarding financial and coverage concerns
- Assisting residents and families through the Medicaid process and following applications through determination
- Helping ensure business office processes meet company, payer, and regulatory requirements
- Performing additional business office responsibilities as needed
Benefits
- Health benefits
- Paid time off
- 401(k)
- Employee Stock Purchase Program
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
High school or GED
