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Business Office Manager – Skilled Nursing Facility

What You'll Be Responsible For

The Business Office Manager will oversee a variety of financial and reimbursement functions, including:


* Managing RFMS processes and requirements


* Completing and tracking Medicaid pending applications


* Managing private pay accounts receivable


* Following up on outstanding balances and performing collections


* Meeting with residents and families to explain:Medicare coverageMedicaid coverage and pending applicationsPrivate insurance coverageHospice coveragePrivate pay responsibilitiesChanges in coverage and financial responsibility


* Preparing and managing NOMNCs (Notices of Medicare Non-Coverage) as required


* Completing bank reconciliations


* Serving as backup for Accounts Payable


* Monitoring resident accounts and identifying issues requiring follow-up


* Communicating with insurance companies, hospice providers, residents, responsible parties, and other payors


* Maintaining accurate documentation and financial records


* Partnering with facility leadership and the interdisciplinary team regarding financial and coverage concerns


* Assisting residents and families through the Medicaid process and following applications through determination


* Helping ensure business office processes meet company, payer, and regulatory requirements


* Performing additional business office responsibilities as needed

What We're Looking For

Qualified candidates should have previous business office, billing, reimbursement, or accounts receivable experience in a skilled nursing or long-term care setting.

Experience should include:


* RFMS


* PointClickCare (PCC)


* Medicaid pending applications and follow-up


* Medicare and Medicaid coverage


* Private insurance coverage


* Hospice billing and coverage


* Private pay accounts receivable


* Collections


* NOMNC processes


* Bank reconciliation


* Accounts Payable processes


* Resident and family financial communication

The Right Person for This Role

Technical knowledge is important, but so is the ability to work with people.

Residents and families are often trying to understand complicated insurance, Medicare, Medicaid, and payment requirements during an already stressful time.

Our Business Office Manager must be able to explain this information clearly, patiently, professionally, and compassionately.

The successful candidate will be someone who:


* Communicates confidently and professionally


* Provides excellent customer service


* Is comfortable discussing financial obligations and outstanding balances


* Can explain complicated coverage information in understandable language


* Follows through and keeps commitments


* Is highly organized and detail-oriented


* Can manage multiple deadlines and priorities


* Takes ownership of problems and works toward solutions


* Works well independently while also being part of an in...




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