ALIYA Healthcare Consulting · 1 day ago
Business Office Manager
Homewood, IL
Full-time
Onsite
Mid Level
$65K/yr - $80K/yrALIYA Healthcare Consulting is focused on providing healthcare solutions, and they are seeking a Business Office Manager to oversee all business office activities within their facility. This role involves coordinating with human resources and admissions, managing financial files, and acting as a liaison for billing-related inquiries.
Health CareNursing and Residential CareRehabilitation
Responsibilities
Ensure that Public Aid applications are completed within 7 days of admission by coordinating with Admissions Department and family
Utilize Medicaid Pending Checklist (attached.)
Maintain financial files on all residents and ensure all documentation is completed as necessary
Enroll Medicaid and Medicaid Pending residents in direct deposit for all income types through RFMS upon admission
Log into RFMS daily to run Direct Deposit Status report, verify resident statuses are accurate
Apply representative payee for social security and/or change of address
Verify responsible party in PCC has a complete address and phone number for statements and collection calls upon admission
Assign residents into a billing category: Mail statements or Do Not Mail statements upon admission
Utilize Resident Financial folder checklist (attached.)
Act as a liaison between Corporate Office and family members for all billing related questions
Update Corporate Office on all Public Aid changes including admissions, discharges, payer changes, and income changes
Upload all changes and supporting documentation to PCC resident profile Misc Tab under Financial/Business Office category
Notify corporate office of any new documentation added by emailing resident PCC# (not resident name) and the type of document uploaded to the corporate bookkeeper, cc Anzhelika Shatrov and administrator of your facility
Notify corporate bookkeeper, facility administrator, Medicare specialist, Anzhelika Shatrov and Rehab Care of any Medicare denials
Follow Medicare Denial ADR process (attached.)
Rerun Medicare (ZirMed) and Medicaid (MEDI) Eligibilities monthly for all dual eligible residents (those that have both Medicaid and Medicare numbers)
Apply for BCBS secondary insurance for all long term care residents with sufficient income and no secondary insurance policy upon admission
Make weekly collection calls to families for private pay, resident liabilities and any other outstanding accounts
Utilize AR aging report in PCC (PCCàReportsàAR Aging (New))
Make notes in the resident file under Collections Tab to track progress
Discuss progress of collection call on a weekly call with Anzhelika Shatrov
Notify facility administrator of any issues or IVDs that need to be issued
Make monthly collection calls to insurance companies, as guided by the corporate office
Complete Medicaid Redetermination forms with all required supporting documentation immediately upon receipt
Complete Social Security Representative Payee report immediately upon receipt
Attend Medicare Meetings to verify days remaining, secondary insurances, long term resident plans, etc
On the 1st of each month verify accuracy of Monthly Detailed Census in PCC and fax to Lab, Pharmacy, Xray Companies
On the 1st of the month review RFMS reconciliation report; reconcile trust
On the 1st of the month check in with facility attorney on the status of accounts and IVDs
On the 15th of each month re-run Medicare Verification for all Medicare residents on current caseload
On the 1st of each month review Rehab Care therapy bill and verify services billed match services provided by Rehab Care
Once a year, submit income changes to corporate office for all Social Security income changes (typically notifications arrive between December and February)
Once a year apply for BCBS secondary policies for all residents ages 65 and under residents. Applications must be submitted by December 6th. BCBS will notify the facility when open enrollment begins
Qualification
Required
Responsible to direct all business office activities within the facility closely working with human resources and admissions
Ensure that Public Aid applications are completed within 7 days of admission by coordinating with Admissions Department and family
Utilize Medicaid Pending Checklist (attached.)
Maintain financial files on all residents and ensure all documentation is completed as necessary
Enroll Medicaid and Medicaid Pending residents in direct deposit for all income types through RFMS upon admission
Log into RFMS daily to run Direct Deposit Status report, verify resident statuses are accurate
Apply representative payee for social security and/or change of address
Verify responsible party in PCC has a complete address and phone number for statements and collection calls upon admission
Assign residents into a billing category: Mail statements or Do Not Mail statements upon admission
Utilize Resident Financial folder checklist (attached.)
Act as a liaison between Corporate Office and family members for all billing related questions
Update Corporate Office on all Public Aid changes including admissions, discharges, payer changes, and income changes
Upload all changes and supporting documentation to PCC resident profile Misc Tab under Financial/Business Office category
Notify corporate office of any new documentation added by emailing resident PCC# (not resident name) and the type of document uploaded to the corporate bookkeeper, cc Anzhelika Shatrov and administrator of your facility
Notify corporate bookkeeper, facility administrator, Medicare specialist, Anzhelika Shatrov and Rehab Care of any Medicare denials
Follow Medicare Denial ADR process (attached.)
Rerun Medicare (ZirMed) and Medicaid (MEDI) Eligibilities monthly for all dual eligible residents (those that have both Medicaid and Medicare numbers)
Apply for BCBS secondary insurance for all long term care residents with sufficient income and no secondary insurance policy upon admission
Make weekly collection calls to families for private pay, resident liabilities and any other outstanding accounts
Utilize AR aging report in PCC (PCCàReportsàAR Aging (New))
Make notes in the resident file under Collections Tab to track progress
Discuss progress of collection call on a weekly call with Anzhelika Shatrov
Notify facility administrator of any issues or IVDs that need to be issued
Make monthly collection calls to insurance companies, as guided by the corporate office
Complete Medicaid Redetermination forms with all required supporting documentation immediately upon receipt
Complete Social Security Representative Payee report immediately upon receipt
Attend Medicare Meetings to verify days remaining, secondary insurances, long term resident plans, etc
On the 1st of each month verify accuracy of Monthly Detailed Census in PCC and fax to Lab, Pharmacy, Xray Companies
On the 1st of the month review RFMS reconciliation report; reconcile trust
On the 1st of the month check in with facility attorney on the status of accounts and IVDs
On the 15th of each month re-run Medicare Verification for all Medicare residents on current caseload
On the 1st of each month review Rehab Care therapy bill and verify services billed match services provided by Rehab Care
Once a year, submit income changes to corporate office for all Social Security income changes (typically notifications arrive between December and February)
Once a year apply for BCBS secondary policies for all residents ages 65 and under residents. Applications must be submitted by December 6th. BCBS will notify the facility when open enrollment begins
Company
ALIYA Healthcare Consulting
Raising the bar on quality care. Provide care and prove quality to enhance and rehabilitate our residents.
Founded in 2022
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Flora Reznik
CFO
Brandy Gregory, BSN, RN
Chief Nursing Officer
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