Business Office Manager -SNF

Encore Village of Schaumburg is currently hiring for a Business Office Manager (BOM) that is responsible for overseeing all business office functions within the Skilled Nursing Facility (SNF), ensuring accurate resident financial and Medicaid management, collections and effective communication between the facility and billing team. The BOM delivers exceptional customer service to residents and families while maintaining compliance with federal, state, and payer regulations.

Responsibilities:

• Serve as the facility’s primary contact for residents, families, and responsible parties regarding billing questions, statements, and financial obligations.

• Oversee/Reconcile census for Admissions and Discharges and maintaining and communicating payer changes in PCC.
• Collaborate closely with Admissions Department to verify financial eligibility and ensure complete admit information
• Oversee daily RFMS transactions; withdrawals, transfers, payments.
• Prepare deposits for the SNF insurance and private pay payments
• Prepare, file, and manage SNF Medicaid applications, including gathering necessary documents, submitting admit packets, appeals as needed, and tracking case progress.

• Oversee all ongoing SNF Medicaid processes such as redeterminations, 3654, verifications checklists and communication with state agencies with accurate and timely filings and logs.
• Provide limited support to the SLF for Medicaid applications or redeterminations, as assigned.

• Review and monitor SNF A/R aging reports for private pay and Medicaid pending balances.
• Work closely with the A/R Billing Manager to ensure clean claim submission and accurate payment posting and maintaining necessary insurance tracking log.
• Act as the facility’s communication link between the SNF and the billing team, ensuring both sides receive timely updates.

• Verify eligibility for Medicare, Medicare Advantage, Medicaid, and commercial payers upon and admission and as needed throughout stay.
• Communicate changes in coverage to billing and clinical teams.
• Ensure payer-required financial documentation is accurate and up to date.

• Prepare and submit LTC Insurance claims.
• Prepare and submit LTC Applications for residents requesting to stay Long Term in SNF

• Maintain organized and secure resident financial files in line with HIPAA and facility policy.
• Prepare routine financial reports for the Administrator and leadership team.
• Attend meetings as assigned.
• Responsibilities may be modified or expanded based on facility needs and regulatory changes.

Requirements:

• Minimum 2–3 years experience in a SNF Business Office Management
• Strong understanding of SNF Medicaid, payer rules, redeterminations, and regulatory documentation.
• Experience with PointClickCare (PCC) and Resident Fund Management Services (RFMS)
• Knowledge of Medicare, Medicare Advantage, and commercial insurance verification processes.
• Excellent communication and customer service skills.
• High level of professionalism and confidentiality when handling sensitive financial information.
• Strong organizational skills with the ability to manage multiple priorities.
• Ability to work collaboratively with Billing Team, Admissions, Nursing, and Leadership teams.

This organization does not discriminate in hiring or employment on the basis of ancestry, race, color, religion, national origin, sex, sexual orientation, age, military status, veteran status, or disability. No question on the application is intended to secure information to be used for such discrimination. This application will be given every consideration, however its receipt does not imply employment for the applicant.