POSITION: BUSINESS OFFICE MANAGER for Long Term Care facility

$5,000 sign on bonus

This position requires experience with Medical Billing. Long term Care billing experience preferred.

JOB DUTIES:

- Management

o Responsible for the overall operation of the Business Office.

o Plans, directs, and coordinates activities within the department.

o Supervising staff and proactively managing their performance by providing performance measures, feedback, appraisals and corrective actions.

o Assures timeliness and accuracy of resident billings including; Medicare, Medicaid, and Insurances.

o Set priorities for the department to ensure task completion.

o Develops processes and procedures for the effectiveness and efficiency of the billing process.

o Coordinates work activities with other supervisors to ensure smooth billing process.

o Responsible for Month-End Close process as it pertains to Billing Revenue and Residents Census

o Timely submission of first time claims as well as the monitoring and following up of claims not paid in a timely manner.

o Responsible for refund process for both residents and third-party insurers.

o Responsible for government reporting (Medicare, Medicaid, Department of Health, etc.)

o Assures HIPPA and Corporate Compliance with the resident Billing Information.

o Performs other related tasks as dictated by the needs of the department and/or at the request of Administration.

- Census Functions:

o Check Medicare for benefits/eligibility and days available for billing.

o Check/call any other insurance for benefits and determine if preauthorization is needed.

o Enter ADTs into EMR/billing system and update changes as needed.

o Fill out any necessary paperwork for admissions, discharges, and census changes.

o Send notifications of changes to other departments.

- Billing Functions

o Enter ancillary charges.

o Verify accuracy of data and charges.

o Bill room and board charges and physician charges electronically.

o Mail out bills for self-pay and NAMI bills.

o Note all activity in the billing software.

o Follow up on outstanding self pay accounts.

o Answer calls from residents and families regarding their accounts.

o weekly credit balance report and refund requests.

o Perform all rebilling to third party payers when needed.

o Perform weekly audits on claims, admission agreements.

o Perform audits as needed.

- Residents Accounts

o Record all resident personal spending.

o Send transfer requests for payments between accounts.

o Mail out monthly statements.

o Write up check requests when needed.

- Medicaid Functions

o Complete 3559 forms for all census changes.

o Update NAMI information

o Review Medicaid Pending cases with Medicaid caseworkers.

- Coding

o Perform chart reviews for all admissions, quarterly reviews, and visits as needed.

o Complete MDS diagnoses based on PDPM coding.

o Review diagnoses for month end billing.

- Other Functions

o Maintain current knowledge of Medicare and Medicaid converge and payment procedures.

o Scan all resident’s paperwork into the EMR system.

o Assure HIPPA and Corporate Compliance with resident billing information

o Perform other business office functions as needed.

QUALIFICATIONS:

- Bachelor’s Degree: Preferred

- Certified Coding Specialist: Preferred

- Microsoft Excel Required

- Medical billing in LTC: 3 years

- EMR Experience

- Knowledge of CPT and ICD 10 codes

- Knowledge of PDPM coding

Job Type: Full-time

Pay: $60,000.00 - $65,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: In person