Business Office Manager

Aviva at Fitzsimons•Aurora District, CO

About The Position

The Business Office Manager is responsible for the overall business office operations of the Care Center and for ensuring internal controls are in place and operating satisfactorily to safeguard facility assets. The role maximizes cash flow and works to meet company accounts receivable targets, serving as a financial liaison between corporate departments and facility staff. The position also supports the effectiveness of audit and compliance efforts.

Requirements

  • 2–4 years of experience in healthcare billing; experience in a long-term care environment is preferred.
  • 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 delivering high-quality, person-centered care with dignity, respect, compassion, and integrity, and to embracing the company’s stated values.

Nice To Haves

  • Bachelor’s or Associate’s degree from an accredited college, specializing in business or accounting.
  • Public Notary.

Responsibilities

  • Comply with all company and departmental policies and procedures.
  • Compile, audit, and document accounting and financial data for the Care Center.
  • Maintain understanding of facility financial operations, 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 the monthly financial close, ensuring revenue and expenses are posted to the correct accounts.
  • Supervise and participate in timely and accurate monthly billing to appropriate payer sources, including Medicare, Medicaid, private, commercial, VA, hospice, and co-insurance.
  • 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 collections or write-offs.
  • 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.
  • Contact Medi-Cal workers as needed to obtain eligibility and identification cards, and 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 to ensure accuracy and timeliness; audit salary increases, retroactive pay, adjustments, paid time off, and benefits quarterly; and oversee wage and hour requirements.
  • Oversee the Resident Trust Account and ensure applicable regulations are followed; maintain accurate, ongoing resident trust fund documentation and report account activity quarterly 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 benefits
  • Dental insurance
  • Vision care
  • Paid vacation
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