Business Office Manager Skilled Nursing (Must know Medicare & Medicaid)

$37,440 - $54,080/Yr

Windemere Park Senior Living Community - Warren, MI

Full-time - Mid Level

Warren, MI

About the position

The Business Office Manager at Windemere Park Senior Living Community is a critical role responsible for overseeing all billing and collection functions within the Skilled Nursing facility. This position requires a deep understanding of Medicare and Medicaid processes, as well as the ability to manage various financial operations effectively. The successful candidate will be tasked with preparing and submitting claims to Medicare, Medicaid, and other insurance providers, ensuring that all billing processes are compliant with current regulations and standards. Additionally, the role involves assisting with Medicaid applications and following through to secure approvals, which is essential for the financial health of the facility and its residents. In this fast-paced environment, the Business Office Manager must coordinate billing and collections for all private pay clients while working closely with team members across different departments. The ability to multitask and meet deadlines is crucial, as the role requires staying updated with regulatory changes, billing, and coding updates. Daily responsibilities include preparing and distributing census information, verifying insurance information in the Point Click Care system for accurate billing, and reviewing accounts receivable to ensure timely and accurate collections from all payer sources. The position also involves cash receipts postings, month-end closing activities, and assisting patients and families with insurance-related questions and concerns, particularly regarding the Medicaid process. Continuous monitoring of Medicaid eligibility is a key responsibility, along with reviewing and approving ancillary billings and maintaining the Resident Trust Fund. The Business Office Manager must adhere to departmental goals and governing regulations while performing various other tasks as directed by management.

Responsibilities

• Prepare and submit claims to Medicare, Medicaid, and other insurances.
• Assist with Medicaid applications and follow through for approval.
• Coordinate the billing and collections for all private pay clients.
• Work closely with various team members and departments.
• Stay up to date with regulatory changes, billing, and coding changes.
• Prepare and distribute daily census information.
• Verify that insurance information in Point Click Care is correct for accurate billing.
• Review accounts receivable to ensure timely and accurate collections for all payer sources.
• Post cash receipts and balance accounts.
• Assist with month-end closing activities.
• Assist patients and families with insurance questions and concerns, particularly regarding the Medicaid process.
• Continually monitor Medicaid eligibility.
• Review and approve ancillary billings and post to patient accounts.
• Prepare consolidated billing and maintain the Resident Trust Fund.
• Adhere to departmental goals and governing regulations.

Requirements

• Experience with Point Click Care software.
• Bachelor's Degree in Accounting, Business, Finance, Health Administration, or equivalent experience.
• Minimum of 2 years related experience in a Skilled Nursing environment.
• Excellent communication skills.

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• Life insurance
• Paid time off