Business Office Manager

Outfield-Healthcare-Partners; Saint Charles (MO); On-site; USD 55,000 - 75,000; Full time

Job summary

Outfield-Healthcare-Partners in Saint Charles, MO seeks an experienced Business Office Manager with Medicare/Medicaid apps and claims expertise to direct the facility's Business Office.

You will oversee billing, census records, and coordination with Quality Healthcare Services, ensuring timely PCC tasks, daily close, and accurate RUG billing. Strong communication and knowledge of guidelines are essential.

Qualifications

• High School Diploma is required.
• Associate's degree in business or accounting preferred.
• Effective communication with residents, families, staff, physicians and agencies.
• Knowledge of local, state, and federal guidelines and regulations.

Responsibilities

• Follows PCC daily, weekly and monthly close task lists.
• Ensures completion of Daily Census Verification.
• Records room, ancillary and miscellaneous charges in PCC timely.
• Follows the RUG Billing Triple Check process continuously.
• Manages private pay billing and centralized statements.
• Manages Medicare ADRs and appeals per procedure.

Skills

Medicare/Medicaid apps

Claims processing

Education

High School Diploma

Associate's degree in business or accounting

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.