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Business Office Manager - FT Long Term Care facility

Company: Fingerlakes Center For Living
Location: Auburn
Posted on: May 11, 2024

Job Description:

POSITION: *BUSINESS OFFICE MANAGER for Long Term Care facility**$5,000 sign on bonus*This position requires experience with Medical Billing. Long term Care billing experience preferred.*JOB DUTIES: *- Managemento Responsible for the overall operation of the Business Office.o Plans, directs, and coordinates activities within the department.o Supervising staff and proactively managing their performance by providing performance measures, feedback, appraisals and corrective actions.o Assures timeliness and accuracy of resident billings including; Medicare, Medicaid, and Insurances.o Set priorities for the department to ensure task completion.o Develops processes and procedures for the effectiveness and efficiency of the billing process.o Coordinates work activities with other supervisors to ensure smooth billing process.o Responsible for Month-End Close process as it pertains to Billing Revenue and Residents Censuso Timely submission of first time claims as well as the monitoring and following up of claims not paid in a timely manner.o Responsible for refund process for both residents and third-party insurers.o Responsible for government reporting (Medicare, Medicaid, Department of Health, etc.)o Assures HIPPA and Corporate Compliance with the resident Billing Information.o Performs other related tasks as dictated by the needs of the department and/or at the request of Administration.- Census Functions:o Check Medicare for benefits/eligibility and days available for billing.o Check/call any other insurance for benefits and determine if preauthorization is needed.o Enter ADTs into EMR/billing system and update changes as needed.o Fill out any necessary paperwork for admissions, discharges, and census changes.o Send notifications of changes to other departments.- Billing Functionso Enter ancillary charges.o Verify accuracy of data and charges.o Bill room and board charges and physician charges electronically.o Mail out bills for self-pay and NAMI bills.o Note all activity in the billing software.o Follow up on outstanding self pay accounts.o Answer calls from residents and families regarding their accounts.o weekly credit balance report and refund requests.o Perform all rebilling to third party payers when needed.o Perform weekly audits on claims, admission agreements.o Perform audits as needed.- Residents Accountso Record all resident personal spending.o Send transfer requests for payments between accounts.o Mail out monthly statements.o Write up check requests when needed.- Medicaid Functionso Complete 3559 forms for all census changes.o Update NAMI informationo Review Medicaid Pending cases with Medicaid caseworkers.- Codingo Perform chart reviews for all admissions, quarterly reviews, and visits as needed.o Complete MDS diagnoses based on PDPM coding.o Review diagnoses for month end billing.- Other Functionso Maintain current knowledge of Medicare and Medicaid converge and payment procedures.o Scan all residents paperwork into the EMR system.o Assure HIPPA and Corporate Compliance with resident billing informationo Perform other business office functions as needed.QUALIFICATIONS:- Bachelors Degree: Preferred- Certified Coding Specialist: Preferred- Microsoft Excel Required- Medical billing in LTC: 3 years- EMR Experience- Knowledge of CPT and ICD 10 codes- Knowledge of PDPM codingJob Type: Full-timePay: $60,000.00 - $65,000.00 per yearBenefits:* 401(k)* Dental insurance* Health insurance* Health savings account* Life insurance* Paid time off* Vision insuranceSchedule:* 8 hour shift* Monday to FridayWork Location: In personby Jobble

Keywords: Fingerlakes Center For Living, Syracuse , Business Office Manager - FT Long Term Care facility, Administration, Clerical , Auburn, New York

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