Overview
Job Description
Department: AdministrativeReports To: Administrator8AM-4PM Monday-Friday SummaryThe purpose of the Business Office Manager (BOM) position is to oversee the administrative offices operation and support to the facility administrator.Responsibilities The following represents the essential functions of the Business Office Manager's role. This list is intended to be a general description of duties and responsibilities; however, it is subject to change according to the needs of the facility determined by the Administrator.Ensure smooth operations and clear assignment of duties amongst the administrative offices.Assist Administrator as needed.The Administrator participates Daily QA (morning) Meetings, Monthly/ Quarterly QA, Safety Committee Meetings, Resident Council Meetings when requested, Care Plan Meetings, in-service trainings, continuing education programs, and all other meetings called by Legacy or licensing entities.Update dashboard first thing every morning. Enter admits, bed holds, expires, discharges in PCCSubmit 148's to on Medicaid Provider Portal as needed daily
Submit Report of Change to Social Security upon admit, discharge and/or death
Review Admission packet and demographics for accuracy
Review 142's for upcoming expirations to discuss in morning meeting
Provide Medicaid pending status and discuss any foreseen issues
Return completed therapy Notice of Admit insurance verification forms within 24 hours
Issue ABN/NOMNC as required and maintain document according to CMS guidelines
Open mail daily. Distribute/address/upload as applicable
Deposit funds received for operating and trust fund daily
Follow up on pending Medicaid applications with Medicaid intake worker and/or families.Mail room & board statements on the 25th of each month
Mail trust fund statements along with room & board statements every quarter
Submit Representative Payee applications to Social Security as needed. Upload to PCC.Collection calls made when payment is not received by 10th of the month
Review trust fund balances for residents over $1800Balance resident petty cash box daily. Replenish cash box as needed
Balance resident trust fund to checkbook weekly
Transfer all liability payments from the trust fund no later than 5 days of receipt
Reconcile and batch all skilled bills for Part A billing (therapy, pharmacy, labs, x-rays, etc.)Review all Medicaid decision letters for accuracy. Contact Medicaid regarding any discrepancies
Submit 148 PLI adjustments on Medicaid Provider Portal as applicable
Submit Medicare, Medicaid, VA, managed care, and insurance billing
Post all insurance payments accordingly
Resolve any billing issues and denials as applicable
Maintain resident insurance card, 142 and Medicaid decision letter binders
Close discharged residents trust fund accounts within 30 days of discharge
Submit Unclaimed Property to the Dept of Treasury annually (every October)Must act in ways that promote professional and positive representation of the facility to the community.Communicates in a professional and courteous manner using effective verbal and non-verbal communication skills with residents, their families, co-workers, and vendors.Maintains confidentiality of department, resident, employee information, communication, and documentation as well as compliance with the Health Insurance Portability and Accountability Act (HIPAA) regulations.Clocks in and out for all working/training hours. Working off the clock will not be permitted at any time or for any reason.Maintain compliance with Legacy's Compliance program and plan.Adhere to Legacy's Code of Conduct and Dress Code.These duties are not all-inclusive but provide minimum performance expectations which will be reviewed in the evaluation process. Supervisor may edit, alter, add to, or exclude duties and responsibilities based on the needs of the facility. QUALIFICATIONS/ EXPERIENCE/ REQUIREMENTS:Minimum QualificationsFreedom from illegal use of drugs.Freedom from use and effects of drugs and alcohol in the workplace.Anyone found guilty by a court of law of abusing, neglecting or mistreating individuals in a health care related setting are ineligible for employment in the position. Education and/or ExperienceBusiness Office Manager experience preferred.Experience in Long-Term care setting preferred but not required. Certifications, Licenses, Registrations: None
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