Business Manager Jobs

About The Position

Requirements

• Business Administration or a related field is preferred.
• Experience in a billing or supervisory capacity in the business office of a hospital, nursing home, or other related healthcare facility is preferred.
• Knowledge of skilled nursing home regulations, procedures, laws, and guidelines pertaining to long-term care is preferred.
• Ability to read, write, speak, and understand English.
• Ability to make independent decisions when circumstances warrant.
• Ability to deal tactfully and patiently with personnel, residents, family members, visitors, government agencies and personnel, and the general public, including in difficult situations.
• Ability to relay information concerning a resident’s condition and to communicate business office matters and information concerning residents or employees.
• Leadership and supervisory skills and willingness to work harmoniously with and supervise other personnel.
• Ability to follow oral and written instructions successfully.
• Ability to cope with the mental and emotional stress of the position and work to task completion despite frequent interruptions.
• Must not pose a threat to the health and safety of others in the workplace.
• Must meet facility health requirements, including medical and physical exams and checking immunity status for various infectious diseases.
• Must be able to move intermittently throughout the workday and bend, stoop, kneel, crouch, perform overhead lifting, and make other common physical movements as needed.
• Must be able to assist in evacuating residents during emergencies.
• Must accept call-backs during emergency conditions and be willing to work beyond normal 9-to-5 hours and weekends or holidays when necessary.
• Must complete all assigned training and skills competency requirements as a condition of employment.
• Must comply with facility policies, procedures, standards of business conduct, ethics requirements, and applicable state and federal regulations; compliance is a condition of employment and a factor in performance appraisal.

Nice To Haves

• Business Administration or a related field.
• Experience in a billing or supervisory capacity in the business office of a hospital, nursing home, or other related healthcare facility.
• Knowledge of skilled nursing home regulations, procedures, laws, and guidelines pertaining to long-term care.

Responsibilities

• Plan, develop, organize, implement, evaluate, and direct the facility’s overall financial operation and related programs and activities.
• Report facility financial performance at least monthly, and more often as needed, to the Administrator and the Board of Managers, Directors, and/or governing body as directed.
• Identify key financial performance indicators with the Administrator and department heads, establish a system to monitor them, and evaluate results to determine appropriate leadership or management actions.
• Develop and implement Business Office processes for billing, collections and accounts receivable, accounts payable, patient trust, liability notices, general ledger, business and payroll taxes, purchase orders, cash flow, and other business transactions.
• Ensure Business Office procedures comply with regulatory requirements, including bed-hold notice requirements.
• Develop and implement payroll accounting processes, including accounting functions related to employee benefit or retirement plans and insurance accounting required by the Family and Medical Leave Act.
• Produce monthly facility income statements and prepare financial records and cost reports for submission to authorized government agencies as required.
• Use Excel, Word, Adobe, and other electronic reporting formats; maintain capital expense and fixed asset depreciation schedules.
• Review and interpret monthly financial statements and provide relevant information, reports, and recommendations to the Administrator and governing bodies.
• Ensure monthly billing is completed on time using the facility’s accounts receivable software and that billing checks and balances are followed, including daily census balancing and Medicare triple checks before billing.
• Maintain working knowledge of the facility’s financial software; develop and monitor accounts receivable; and report delinquent accounts and proposed solutions to the Administrator.
• Develop and maintain written policies and procedures governing the facility’s accounting functions.
• Maintain working knowledge of state long-term-care Medicaid, Medicare Parts A, B, and C, and private long-term-care insurance programs.
• Coordinate pre-admission financial evaluations and payer-source identification with the Admissions Office.
• Lead and coordinate financial meetings with department heads to monitor budget compliance and implement corrective action when necessary.
• Lead biannual budget development with department heads, complete and analyze monthly financial reports, make financial projections and recommendations to the Administrator, and develop yearly facility budgets with the Administrator.
• Develop positive relationships with residents, employees, and family members, and promote effective communication and customer service.
• Supervise Business Office personnel, evaluate their performance with Human Resources, address behaviors inconsistent with facility goals, and support recruitment in coordination with Human Resources.
• Ensure admissions staff behavior aligns with facility financial goals.
• Facilitate, serve, attend, or participate in facility committees as needed; participate in QAPI or facility assessment activities and assigned performance-improvement work.
• Learn about and teach others regarding CMS initiatives affecting facility finances, including value-based purchasing programs, SNF-VBP, SNF-QRP, Quality Measures, and Payroll Based Journal reporting.
• Collaborate with interdisciplinary team members, consultants, and others to identify opportunities to enhance residents’ financial services or resolve issues.
• Promote teamwork, mutual respect, effective communication, positivity, and active problem solving.
• Stay informed about developments in the skilled nursing sector, related support services, regulations, business practices, and other matters that may affect the facility’s financial health.
• Review accounting deficiencies identified during survey inspections, develop a plan of correction, and provide a written copy to the Administrator.
• Promote safe work practices, safety rules, and accident prevention procedures.
• Treat residents with dignity and respect; protect residents’ rights; follow facility policies, business conduct standards, and applicable regulations; maintain confidentiality of protected health information; and report noncompliance, confidentiality breaches, retaliation, discrimination, and allegations of resident abuse, neglect, exploitation, mistreatment, or misappropriation as required.
• Protect residents from abuse and cooperate with investigations; report occupational exposures and work-related injuries or illnesses; follow infection-control procedures; participate in life-safety and emergency drills and training; and fulfill assigned emergency-plan responsibilities.
• Complete assigned training and skills competency requirements.
• Communicate with medical and nursing staff and other departments, relay information concerning business office matters and residents or employees, and accept call-backs during emergency conditions.
• Work to task completion despite frequent interruptions; work beyond normal 9-to-5 hours and weekends or holidays when necessary; and assist in evacuating residents during emergencies.