Business Office Manager - Clifton View Senior Living

S    SUMMARY: The primary purpose of your job position is to direct all business office affairs of the facility using generally accepted accounting principles, including accounting, payroll, business office, purchasing, billing and reimbursement, credit and collections, and other financial matters as directed by the Administrator

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.

• Keep abreast of current Medicare/Medicaid regulations governing admission/discharge requirements of health care facilities.

• Abstract information from records as authorized/required for insurance companies, Medicare, etc.

• Verify insurance coverages

• Analyze admissions to determine the correct payor source and expected reimbursement rates

• Obtains and mails invoice copies for customers, as requested

• Researches and processes customer claims of invoice payment

• Researches and processes chargebacks, returns, and bad checks

• Monitor and collect accounts receivables. Report delinquent accounts to the Director of Finance or Administrator.

• Answers account receivable phone inquiries and follow up

• Calls and/or mails correspondence to customers as necessary to update accounts

• Assists with related special projects, as required

• Maintains the General Resident Accounts

• Verifies patient insurance and communicates with Pharmacy to ensure proper payor sources

• Completes and mails Medicare Cut letters to the appropriate party

• Enters Private Pay Monthly Charges

• Assists with Outpatient Billing

• Completes daily payor census

• Completes various forms and worksheets such as Rep payee, MA and PA 162 worksheets, MA change forms, and Credit balance report

• Follow established resident fund accounting procedures. Provide each resident with a quarterly accounting of his/her funds managed by the facility.

• Monthly Correspondence with various insurance companies to ensure payment

• Collections

• QIO Appeals

• Ensure that resident admission contracts are signed and appropriately filed.

• Perform functions of computer/data processor as necessary.

• Perform secretarial functions as necessary or directed.

• Communicate with suppliers/vendors concerning errors or questions on invoices.

• Forward invoices to appropriate department personnel for approval for payment.

EDUCATION and/or EXPERIENCE Must have an Associate’s Degree or Bachelor’s Degree in Accounting or Business Administration with a major in Accounting from an accredited college or university.