Business Office Manager

Nationwide Healthcare Services; Philadelphia (Philadelphia County); On-site; USD 65,000 - 90,000; Full time

Job summary

Nationwide Healthcare Services in Philadelphia, PA seeks an experienced Business Office Manager for our Long Term Care site to oversee Medicaid/MCA billing and resident financials. You will submit Medicaid applications, track pending cases, liaise with CAO and families, and maintain financial records, trust accounts, and petty cash while coordinating with Corporate Billing and other departments. A strong accounting background and healthcare billing experience are essential.

Qualifications

• Knowledge of Medicaid application processes and procedures.
• Strong knowledge of Medicare and Medicaid products and third party insurances; understanding reimbursement and documentation.
• Experience in business office setting preferred in long-term care or healthcare.

Responsibilities

• Meet with residents/families to discuss financial obligations.
• Submit Medicaid applications accurately and timely.
• Track Medicaid Pending cases and communicate progress with CAO and families.
• Update Administrator and Corporate Office on MA Pending cases and barriers.
• Maintain resident financial files and prepare MA re-determinations/renewals.
• Reconcile resident trust accounts and distribute funds.
• Manage petty cash and report to Corporate.
• Prepare and deliver bank deposits.
• Perform private pay collections and follow-up on billing statements.
• Coordinate collection efforts with Nursing Home Administrator and Corporate Billing Office.
• Maintain records required by licensing agencies.
• Verify Medicare and insurance benefits.
• Maintain census information and records of payer sources.
• Handle accounts payable records and month-end closing.
• Maintain confidentiality and effective communication with residents and staff.
• Perform other duties as assigned.

Skills

Medicaid knowledge

Medicare knowledge

Third party insurance

People skills

Organizational skills

Deadline oriented

Tools

PointClickCare

RFMS

Job description

We are seeking an experienced Business Office Manager for our Long Term Care site in Philadelphia, PA.

Job Requirements for the Business Office Manager:

• Knowledge of the state's Medicaid application processes and procedures required
• Strong knowledge of all Medicare and Medicaid products as well as third party insurances with knowledge of reimbursement system, allowable services and documentation required
• One to two years’ experience in business office setting is preferred in the long-term care or healthcare industry.
• Pointe Click Care and RFMS experience a plus.
• Good interpersonal skills needed to effectively work with residents, families and outside agencies.
• Must be organized with attention to detail
• Must prioritize appropriately and meet deadlines

Job Responsibilities for the Business Office Manager:

• High comfort level to meet with residents/families to discuss and explain financial obligations
• Completes and submits Medicaid applications accurately and timely
• Consistent tracking and follow through on all Medicaid Pending cases including constant communication with CAO and as well as involved families and residents until final approval is received
• Communicates to Administrator and Corporate Office updates on MA Pending cases, specifically those with identified barriers to approval, on a regular basis
• Maintains resident financial files; prepares documents for timely submission of MA re-determinations/renewals
• Maintains and reconciles resident trust accounts; distributes residents funds
• Maintains facility petty cash accounts; submits accurate reports to Corporate on timely basis
• Prepares and delivers bank deposits.
• Performs all aspects of private pay collections including, but not limited to, sending collection letters, making phone calls, review of unpaid accounts, and appropriate follow-up with all questions related to private pay billing statements.
• Performs and coordinates collection efforts with Nursing Home Administrator and Corporate Billing Office
• Maintains records required by licensing agencies
• Verification of Medicare and insurance benefits
• Maintains and submits accurate census information as required
• Records cash receipts in the proper company or resident account.
• Maintains systems for recording and processing accounts payable
• Accumulates records (PO’s, Invoices, etc.) from the department managers and accomplishes the month-end closing, reporting all necessary information for the Corporate Office.
• Maintains accurate records of payer sources, addresses, telephone numbers, etc.; explains bills to residents as necessary and maintains appropriate back-up records.
• Participates in Triple Check process for facility with Corporate Billing Department
• Maintains confidentiality of all information.
• Maintains effective communication with residents, families, facility staff and Corporate Billing/Accounts Receivable and Accounts Payable Departments
• Performs other duties as assigned

Qualifications for the Business Office Manager:

• Experience in long term care and as a Business Office Manager preferred.
• Possess excellent organizational and communication skills.

We look forward to reviewing your resume Business Office Manager position!!EOE