Manager, Business Office-Skilled Nursing Center

Health Care District of Palm Beach County•Riviera Beach, FL

About The Position

Responsible for management of the Business Office, which includes billing, credit and collections, and the implementation of third-party payer contracts. This role also involves studying and evaluating patient financial services procedures to improve methods for efficient claims processing, prompt collections, reducing operational costs, and expediting workflow.

Requirements

Working knowledge of regulations governing SNF (Skilled Nursing Facility) billing.
Ability to maintain a working knowledge with an accurate and timely system for billing and reimbursement for all third party payers.
Ability to develop internal control safeguards over accounts receivable records and collection of cash.
Ability to manage and report daily Census.
Ability to keep abreast of compliance regulations, standards and directives regarding governmental/regulatory agencies and/or third-party payers.
Ability to implement financial policies and procedures as developed in conjunction with the District Finance Department.
Ability to establish and maintain procedures which ensure that appropriate submission, billing and payment cycle of patient accounts can be maintained.
Ability to coordinate completion and review of daily and monthly accounts receivable reporting.
Ability to ensure accounts receivable indicators meet District performance levels.
Ability to maintain regular contact with various third parties in order to resolve problems which could not be routinely handled by staff.
Ability to review and interpret prepared reports and analyses and regularly presents trends, movements and status to management.
Ability to compile and review records to determine department productivity, quality of output and cost of service.
Ability to develop methods to continually improve results.
Ability to review department performance and institute changes in techniques or procedures to improve services, safety, simplify work flow and promotes more efficient operation of the Business Office.

Nice To Haves

MatrixCare Financial facilitator and trainer.

Responsibilities

Manages the daily function of billing and collections, ensuring accounts are processed.
Manages Self Pay and Collections and serves as a facilitator.
Coordinates process development in payment posting, refund, customer services, collection, and claims processing areas.
Provides annual audit documentation to internal and external auditors.
Responsible for ensuring Medicare Bad Debt logs are sent to the District Finance Department for inclusion in the annual Cost Report.
Responsible for the management, maintenance, and submission of the Annual Quality Assurance Indigent Census to the State.
Responsible for the management, maintenance, and submission of the Monthly census reports to the State and Managed Medicaid plans.
Reviews adjustments and write-offs for appropriate documentation and reasonability to present to the Healey Center Administrator and the V.P. of Field Operations for approval.
Serves as MatrixCare Financial facilitator and trainer, managing systems software for billing, payments, and credit/collection functions. Troubleshoots problems and instructs staff on software usage.
Maintains working knowledge with an accurate and timely system for billing and reimbursement for all third-party payers. Develops internal control safeguards over accounts receivable records and cash collection.
Responsible for the administration and filing of probate caveats with the local Palm Beach County Court House concerning probate estates until outstanding accounts have been satisfied.
Participates in revenue cycle and denial management work teams.
Responsible for Healey Center Month End Close and providing all information to Corporate Finance for logging and reporting.
Manages and reports daily Census.
Keeps abreast of compliance regulations, standards, and directives regarding governmental/regulatory agencies and/or third-party payers. Ensures communication and education of such to the Social Services department, Director of Clinical Services, Healey Administration, and the District's Finance Department.
Implements financial policies and procedures as developed in conjunction with the District Finance Department. Establishes and maintains procedures to ensure appropriate submission, billing, and payment cycle of patient accounts.
Coordinates completion and review of daily and monthly accounts receivable reporting.
Ensures accounts receivable indicators meet District performance levels.
Maintains regular contact with various third parties to resolve problems that cannot be routinely handled by staff.
Reviews and interprets prepared reports and analyses, regularly presenting trends, movements, and status to management.
Compiles and reviews records to determine department productivity, quality of output, and cost of service. Develops methods to continually improve results.
Reviews department performance and institutes changes in techniques or procedures to improve services, safety, simplify workflow, and promote more efficient operation of the Business Office.
Emergency duty may be required, including working in Red Cross shelters or performing other emergency duties in response to threats or disasters.