TITLE:  Regional Business Office Coordinator – Skilled Nursing

REPORTS TO:  Director of Finance

Non-Exempt

PURPOSE OF POSITION

The primary role of this position is to oversee and supervise the billing and collections for Private Pay, Medicaid Pending and Hospice payors and to ensure the residents’ accounts are properly and accurately maintained with the correct posting of charges, payments, and adjustments. 

Additionally, this position is responsible for working closely and collaboratively with the skilled nursing facility personnel to monitor the accuracy and timing of admission, discharge, daily census reporting including payor source changes to ensure the information is accurate and timely recorded to ensure accurate billing to all parties.  The Business Office Coordinator will work with the facility personnel to obtain and coordinate assistance as necessary in communicating with families regarding any collection issues related to past due accounts.

This position is also responsible for working with the facility Administrators, Business Office Managers; A/R Billing Specialists and/or Medicaid Specialist to ensure that residents who participate with OR are in the process of applying for Medical Assistance (both Long Term Care and Hospice) to ensure that Medicaid applications are being completed and submitted on a timely basis.  The Business Office Coordinator will provide regular and timely reporting to the to the CFO; Vice President of Operations; and Director of Finance regarding status of pending applications at each facility to facilitate any additional actions that may need to be taken to obtain Medicaid approvals, including facility potentially issuing notices of discharge.

The Business Office Coordinator will work with the facility personnel to obtain authorizations from residents and families to work with Medicaid on their behalf related to denials of coverage, appeals and related actions.  The Business Office Coordinator will work with facility personnel to ensure that all necessary reports and filings to Social Security as Rep Payee for residents are completed and filed timely.

As the Regional Business Office Coordinator, you are delegated the administrative authority, responsibility, and accountability necessary for carrying out your assigned duties.

KEY ROLES AND RESPONSIBILITIES

1. Ensure timely and accurate billing for Medicaid and Hospice billing.
2. Work closely and collaboratively with Third Party (Medicare & Insurance) and Private Pay billers.
3. Work closely and collaboratively with facility Administrators, Business Office Managers, A/R Billing Specialists regarding the timely filing and follow up with Medicaid Pending applications (including Medicaid Hospice) to ensure approvals.
4. Work with facility Admission Coordinators; Business Office Managers; A/R Billing Specialists and Medicaid Specialists regarding insurance verification, payor type assignment and daily census recording to ensure daily and monthly accuracy.
5. Work with facility staff to ensure proper methods are followed when registering residents or posting charges or receipts to residents’ accounts.
6. Monitor accounts receivable balances for unfavorable trends and develop a process to correct such trends.
7. Be the primary resource for the Business office staff and other corporate staff on billing and reimbursement issues.
8. Coordinate with Director of Finance to provide necessary support of Medicaid, and annual audits.
9. Ensure all monthly, quarterly, and annual reports required by Social Security, Medicare and/or Medicaid are prepared properly and timely.
10. Be the primary liaison for the organization with Medicaid and Hospice providers .
11. Assist Director of Finance with annual employee evaluations for the Business Office staff.
12. Performs other related duties, as assigned.

KEY STRENGTHS AND REQUIREMENTS

• Strong skills and knowledgeable of computerized healthcare accounts receivable and resident registration issues.
• Must be knowledgeable of computers, calculators, system applications, and other office equipment.
• Have a strong working knowledge of the flow of information through a computerized accounts receivable system.
• Have strong knowledge of Business Office operations as relates to the flow of charges, payments, and adjustments from the source document to the residents’ accounts.
• Have strong knowledge of Medicare, Medicaid, and Insurance regulatory guidelines for reimbursement.

EDUCATION/EXPERIENCE/QUALIFICATIONS:

1. BS in Business Administration is preferred.
2. Minimum of 5 years of Business Office experience in the healthcare industry, specifically in a Skilled Nursing Environment is preferred.