Long-Term Care Billing & Compliance 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

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.