Business Office Manager

Outfield-Healthcare-Partners; Saint Charles (MO); On-site; USD 52,000 - 64,000; Full time

Job summary

Outfield-Healthcare-Partners is seeking an experienced Business Office Manager (BOM) for a long-term care setting. You will oversee the Business Office to ensure compliance with federal, state, and local guidelines, and coordinate with the Administrator.

The role requires Medicare/Medicaid applications and claims experience, strong communication, and knowledge of PCC billing processes, RUG billing, and private-pay operations.

Qualifications

• High School Diploma required.
• Associate's degree in business or accounting or related field preferred.
• Experience in business office operations in long-term care or healthcare field preferred.
• Knowledge of local, state and federal guidelines and regulations

Responsibilities

• Follows PCC daily task list, weekly task list, and month-end close checklist.
• Ensures completion of the Daily Census Verification process.
• Ensures that all room, ancillary, and miscellaneous charges are timely recorded in PCC.
• Ensures that the RUG Billing Triple Check Process is followed on a continuous basis.
• Manages private pay billing and ensures that the Centralized Statement process is followed.
• Manages Medicare ADRs and appeals per established procedure.
• Other duties, responsibilities and activities may change or assigned at any time with or without notice.

Skills

Communication skills

Medicare/Medicaid knowledge

Education

Associate's degree in business or accounting fields

Job description

Are you an experienced Business Office Manager with experience in long-term care? Join us!

Must have experience in Medicare/Medicaid apps and claims.

Job Duties

The BOM (Business Office Manager) will direct the overall Business Office activities in accordance with current applicable federal, state, and local standards, guidelines and regulations, and as directed by the Administrator, to assure that Business Office tasks are done correctly and on schedule, such as Resident Funds, Census Records, Coordination of efforts with Quality Healthcare Services

Principal Responsibilities

• Follows the PCC daily task list, weekly task list, and month-end close checklist.

• Ensures completion of the Daily Census Verification process.

• Ensures that all room, ancillary, and miscellaneous charges are timely recorded in PCC.

• Ensures that the RUG Billing Triple Check Process is followed on a continuous basis.

• Manages private pay billing and ensures that the Centralized Statement process is followed.

• Manages Medicare ADRs and appeals per established procedure.

• Other duties, responsibilities and activities may change or assigned at any time with or without notice.

Qualifications

• High School Diploma required.

• Associate's degree in business or accounting fields and/or experience in business office operations in long term care or healthcare related field, preferred.

• Possess effective communication skills to maintain positive relationship with residents, families, staff, physicians, consultants, providers, and governmental agencies, their representatives and the community.

• Current knowledge of local, state and federal guidelines and regulations Outfield Healthcare Partners provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

  This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.