Assistant Regional Business Office Manager - EHG

Eastern Health Group is a family of skilled nursing facilities and rehabilitation centers. We are resident-centered and quality-focused! Our workplace culture is all about uplifting people. We are committed to creating a nurturing, family-like atmosphere where staff develop meaningful relationships with residents and where exceptional patient outcomes are the standard. 

We are looking for a Assistant Regional Business Office Manager to work with our Regional Business Office Manager. 

POSITION SUMMARY:

The primary purpose of the Assistant Regional Business Office Manager position is to assist the quality of resident account services at the facility; to assure resident accounts services are provided in accordance with the facility’s established policies and procedure, applicable laws and regulations, and the directions of your supervisors, who include the AR Manager, AR Supervisor and other members to whom such persons report in order to assure the highest level of resident account services is maintained at all times.

RESPONSIBILITIES:

1. Financial Management: Supervising and coordinating financial activities within the region, including billing, accounts receivable, and payroll processing. 

2. Billing and Reimbursement: Ensuring proper and timely billing of services provided to residents and managing reimbursement processes from various payers, such as insurance companies, Medicare, and Medicaid.

• Ensure your communities are implementing effective measures for timely receipts of all payments due from residents and families and, also are communicating with the facility’s bookkeeping office.
• Ensure Business Office Managers (BOM) notify residents and families of their obligations upon or prior to the time of admission and obtain proper documentation of each newly admitted resident’s financial obligations is distributed, signed, and filed.  
• Ensure BOM’S are educating residents and families on and assisting them in complying with Medicaid and Medicare requirements and verify each residents’ financial resources and ability to pay when applicable.
• Ensure BOM’s make monthly phone calls to responsible parties regarding missing payments; submit Medicaid Applications and complete timely follow up on pending cases; enter admit packets into PCC within 15 days of admission and ensure proper and pending cases.  
• The RFC will also make phone calls to ensure all missing payments are received, when attempts by the BOM are unsuccessful; will also submit Medicaid Applications and follow up to ensure they are completed within 30 days of admissions (when applicable); will submit admit pack and follow up on outstanding admit packs if needed; is responsible to review all logs received and take necessary action to get things accomplished and is also responsible to maintain Medicaid Pending and Pending Admit log for each home.
• The RFC is responsible for providing ongoing assistance and education to increase the likelihood of application approvals. In addition, it is the RFC’s responsibility to maintain communication with their BOM’s and to stay updated with each case.
• You will be responsible for overseeing the appeal process and provide education when necessary to resolve overpayment issues with SSA when applicable.

3. Compliance and Regulations: Staying up to date with relevant laws and regulations related to nursing home operations and finances. Ensuring that the facilities adhere to these regulations and that any financial practices are conducted ethically and in accordance with legal requirements.

4. Staff Management: Overseeing the administrative staff working in the business offices and providing guidance, training, and support as needed.

5. Financial Analysis: Conducting financial analysis and performance evaluations of the nursing home facilities within the region. Identifying areas of improvement and potential financial risks.

6. Interdepartmental Coordination: Collaborating with other departments within the nursing home facilities, such as nursing, human resources, and admissions, to ensure seamless communication and coordination of operations.  

7. Reporting: Preparing and presenting accounts receivable reports, operational updates, and other relevant data to senior management or corporate offices.

8. Strategic Planning: Assisting in the development and implementation of strategic plans for the region, aligning with organizational goals.

9. Risk Management: Identifying potential risks and implementing measures to mitigate financial and operational risks.

QUALIFICATIONS:

1. Education: A bachelor's degree in healthcare administration, business administration, or a related field is often preferred. 

2. Experience: Several years of experience in the healthcare industry, particularly in long-term care or nursing home management, would be beneficial. Previous experience in a supervisory or managerial role is also valuable.

3. Knowledge of Long-Term Care Regulations: A thorough understanding of the regulations and policies governing long-term care facilities in Virginia is essential. This includes knowledge of state and federal laws related to nursing homes, Medicaid, and Medicare.

4. Medicaid Applications: Experience with Medicaid applications, including knowledge of the eligibility criteria, documentation requirements, and the application process specific to Virginia.

5. Financial Management: Familiarity with financial management, budgeting, and billing processes within the context of long-term care facilities.

6. Communication Skills: As a regional manager, effective communication skills are vital for coordinating with multiple nursing homes, staff, residents, and external stakeholders.

7. Leadership Abilities: The ability to lead and motivate teams, resolve conflicts, and implement effective management strategies.

8. Problem-Solving and Decision-Making: A regional business office manager needs to be adept at analyzing complex issues, making informed decisions, and finding practical solutions.

9. Compliance and Audit Management: Experience with ensuring compliance with healthcare regulations, conducting internal audits, and addressing any potential issues.

10. Software Proficiency: Familiarity with relevant software applications used in healthcare management, such as electronic health record (EHR) systems and billing software.