Business Office Manager (BOM)

LONG-TERM CARE BILLING MEDICARE/MEDICAID CLAIMS REQUIRED

OVERVIEW:

Performs business office functions under the direction of the Administrator in accordance with sound accounting practices at a Skilled Nursing Care Center.

RESPONSIBILITIES:

• Plan, develop, organize, implement, evaluate and direct the facility’s accounting functions under the supervision of the Administrator

• Monitor’s billing and collection activities. Coordinates with third party biller if applicable.

• Assures proper accounting procedures and controls are in place and followed, especially segregation of duties.

• Analyzes collections on a monthly basis.

• Responsible for all aspects of the resident trust accounting system, including security of patient funds.

• Manage the Medicaid pending application and conversion process to ensure timely resolution.

• Ensures procedures are followed to achieve an accurate and timely closing at month end and is the coordinator for the triple check process.

• Ensures all required records are maintained and submitted, as appropriate, in an accurate and timely manner and in compliance with federal and state regulations

• Recruits, hires, provides orientation/training, and retains a sufficient number of qualified staff to carry out the responsibilities of the business office

• Ensures employee performance meets or exceeds expectations and periodic performance appraisals are conducted on a timely basis

• Assist in the Quality Assurance and Performance Improvement (QAPI) process

QUALIFICATIONS:

EDUCATION / EXPERIENCE:

• Experience in skilled nursing/ long term care facility.

• Must have working knowledge of bookkeeping or accounting principles, preferably in a healthcare setting to include Medicare, Medicaid and third-party billing

• Bachelor or Associate degree from accredited college with specialization in business or accounting is preferred

SUPERVISORY RESPONSIBILITIES:

• This position may supervisor the business office coordinator

WORK ENVIRONMENT:

• This job operates in a professional healthcare office environment

• This role routinely uses standard office equipment

PHYSICAL REQUIREMENTS:

• The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

• While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools or controls; reach with hands and arms; climb stairs; talk or hear.

• The employee must occasionally lift or move office products and supplies, up to 20 pounds.