Business Office Manager; BOM

Position: Business Office Manager (BOM)

3-5 Years experience with Arkansas Medicare, LTC Medicaid.

Under the direction of the Administrator, the Business Office Manager manages all business functions and personnel including but not limited to accounts receivable, accounts payable, resident trust funds and other assigned duties.

The Business Office Manager ensures the financial systems are accurate, efficient, and in accordance with professional accounting practices and governmental regulations. The person holding this position is delegated the responsibility for carrying out the assigned duties and responsibilities in accordance with current existing federal and state regulations and established company policies and procedures.

ESSENTIAL JOB FUNCTIONS

A. Role Responsibilities – Job Knowledge/Duties:

• Demonstrates knowledge of age specific developmental factors specific to adult and geriatric residents (i.e. physical, cognitive, and socialization factors) in carrying out business office functions
• Demonstrates knowledge, skills, and techniques necessary to carry out business office functions for residents with the following needs: therapeutic, neuro and dementia, dialysis, IV therapy and infectious diseases, if applicable
• Attends all mandatory in-services by the employee’s anniversary date
• Acts appropriately under the direction of the Administrator and acts as an active member of the interdisciplinary team
• Demonstrates ability to adjust to changes in work schedule to meet resident and family needs
• Communicates and observes the Corporate Compliance Program effectively and complies with Code of Conduct when performing work functions
• Other duties as assigned by AdministratorB. Role Responsibilities – Administrative Duties:
• Is responsible for collecting accounts receivable with an emphasis on the 90+ accounts by using the following techniques/procedures: a. Conducts collection calls on delinquent accounts with letter documenting the conversation b. Advise Corporate level personnel on payments not received by required dates, so late payment fees may be allocated c. Resolve balance disputes as needed/requested from responsible parties/residents d. Forward problem accounts to Corporate level personnel for assistance in resolving, as needed e.

Conducts follow-up on delinquent account pay dates f. Advises the Administrator and the corporate level personnel of potential problem accounts as they arise g. Prepares and maintains "delinquent account status sheet" on delinquent/problem accounts h. Prepares analysis and reconciliation of accounts i. Prepares plan of action for follow-up of actions taken j. Recommends collection action and referral to collection agencies k.

Prepares and submits application write-offs

• Supervises Business Office Staff and conducts regular meetings to review progress toward departmental goals. Offers direction, suggestions and evaluated performance of Business Office Staff
• Conducts meetings and regularly communicates with the Administrator and corporate level personnel about progress towards departmental goals attainment and areas of concern within the department
• Gathers month-end medical reports and maintains file for reporting and ensures timely responses to Medicare requests for medical records (ADRs)
• Demonstrates responsibilities for Medicare Part A determinations from the Nursing Department: a. Notifies resident/responsible party of nursing decisions, as received, or on a daily basis b. Ensures appropriate letters are sent within 24 hours of admission/decision
• Ensures completion of Medicare Part A and B appeals in denials received: a. Completes and files reconsiderations on a timely basis b. Requests and completes telephone hearings for reconsideration on a timely basis c. Requests and completes Administrative Law Judge hearings for reconsideration on a timely basis
• Balances SUM journals to billing reports by the 10th of each month
• Follows Medicare procedures as needed or on a weekly basis
• Process Medicaid pending conversions as needed or on a weekly basis
• Reviews Medicaid pending conversions on a weekly basis, or as needed: a. Conducts follow-up with county caseworkers regarding status of application b. Conducts follow-up with…