Healthcare Business Office Manager

PURPOSE OF JOB: Under the direction of the Director of Healthcare, performs various administrative duties related to the efficient administrative operation of the Health Care Center. This position supports the Healthcare Management Team by ensuring accurate census and payer information, insurance verification, admission processing, billing coordination, regulatory compliance, and timely completion of reports and documentation.

RESPONSIBILITIES AND DUTIES:

Supports the Healthcare Management Team
Operate within policy procedure and State, Federal and local requirements
Coordinate BOM functions with other departments
Check insurance eligibility for all residents Preadmission & monthly for any changes
Meet established daily, weekly and monthly deadlines
Maintain accurate census in coordination with other departments
Verify accurate payer data on all accounts, MCR, SSN, Tricare sponsor information
Medicare and Tricare vendor billing invoices - coding and verification
Assistance to Residents' for claims on their Long Term Care Insurance policies
Complete Admission Contracts, verify all forms are completed, signed and uploaded
Tricare form-statement of personal injury
Monitor bad debt level to avoid significant increase
Act as financial billing liaison between the facility and residents or families
Coordinates with Rehab Director to upload insurance verification for IL residents for Part B Therapy
Set up part B for IL residents, census line and enter diagnosis codes
Complete monthly occupancy and death report timely
Serve on committees where applicable
Maintain confidentiality of records
Observe safety policies and procedures
Complete authorization for managed care patients
Complete 30-day authorization for Tricare patients
Assist in gathering requested documentation for WIPFI/Audits
Acquire ID cards for Medicare/Tricare
Preform other duties as assigned

QUALIFICATIONS AND REQUIREMENTS:

Must have an Associate degree in Business or similar field or two or more years' experience in long-term care as a business office manager.
Must have previous long term care billing experience.
Must be detail-oriented, and have the ability to multi-task, and have excellent time-management skills.
Must exhibit a professional demeanor with ability to work in a collaborative environment, maintaining a positive professional attitude while participating in group discussions during meetings.
Must maintain strict confidentiality and exhibit trustworthy and ethical behavior at all times.
Must have excellent verbal and written communication skills
Must be proficient in Microsoft Office (Word, Outlook, and Excel)
Must be available to work typical business hours (Monday through Friday, 8am – 5pm) with additional availability during evening and weekend hours if needed

ENVIRONMENTAL, PHYSICAL, AND OTHER CONDITIONS:

Must pass criminal background check (clear of offenses barring employment by facility's regulatory and accrediting agencies)
Must be able to stand, walk, bend, stoop, reach, and sit for prolonged periods of time
Must be able to push, pull, lift up and transfer loads up to 50 pounds
Possess valid Texas Driver's license to drive in/out or within the facility

This job is a civilian position and does not require military service (including commission and enlistment)

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Healthcare Business Office Manager