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AristaCare Health Services · 1 day ago

Business Office Manager

Philadelphia, PA

Full-time

Onsite

Mid Level

3+ years exp

AristaCare Health Services is seeking a Business Office Manager who will oversee billing and accounts receivable functions. The role involves managing financial operations, ensuring compliance with Medicaid applications, and providing support to residents and families regarding financial matters.

Health CareMedicalRehabilitation

Responsibilities

Reconciling census on a daily/monthly basis; including retro adjustments of manual census and system adjustments

Meet w/ Admissions to review referrals that pose a potential financial issue

Update/Reconcile Cash Sheet

Update/Reconciling AR Log/ Aging

Bank deposits; scanning and posting all deposits in system

Make necessary adjustments in system for resident accounts

Meet with resident and families in regards to accounts

Collections of all payors; Hospice, Medicare, Medicaid, MLTSS, Managed Care/Managed Medicare, Private

Check claim status for all insurances via electronically or phone

Obtain MLTSS authorizations

Attend Utilization Review meeting on a weekly basis to discuss discharge planning of residents

Meet with families/ potential long term residents to discuss financials and make necessary preparations

Send requests to Office of Community Services for potential long term residents

Send Notification request to Board of Social Services for potential Medicaid residents

Complete Medicaid Re-determinations

Complete Medicaid applications; submission via mail or county appointment

Communicates with Board of Social Services caseworkers on all pending Medicaid cases/redeterminations

Work closely with County Board of Social Services supervisors for case reinstatement

PA 162’s- request from county, updating system with correct income and notifying families of the changes

Submit Billing Assistance form to Provider Relations for Medicaid claims

Submit cases to attorney if potential problem

Work with attorney on potential Guardianship cases

Submit Repayee paperwork to Social Security Administration

Submit Representative Payee Report on a yearly basis for all residents on Social Security

Works closely with County Social Security Office supervisor to ensure all claims are processed correctly and rapidly

Work with pension companies to obtain pension

Maintain yearly Bad Debt

Handles Resident Fund Management (RFMS); opening and closing accounts, setting up direct deposit

Supply billing with reconciled census daily and at month’s end

Review all outstanding accounts

Prepare and submit Write-Offs if necessary to billing department

Organize/ maintain resident financial files

Communicate on a daily basis with doctor’s office/vendors on residents’ payor

Plan, organize, and implement, the facility's Business office functions

Maintain written policies and procedures that govern the business office functions of the facility

Interpret the facility's business policies and procedures to residents, family members, government agencies, etc., as necessary

Monitor designated home office accounting controls to assure compliance with established procedures

Assist in standardizing the methods in which work will be accomplished

Follow home office designated systems for: financial recordkeeping to include ledgers, recording payments, writing receipts, posting cash journals, prepare and make bank deposits, etc

Prepare and bill specialized Equipment including and not limited to: OME Other Medical Expense, WEP Wheelchair Exception Program, VDR Vent Dependent Resident and/or DMR Durable Medical Equipment using spreadsheets, form and/or website services

Report delinquent accounts to your immediate manager

Prepare financial and statistical reports as required

Perform functions of computer/data processor as necessary

Ensure that resident admission contracts are signed and appropriately filed

Assist in the planning and implementation of changes in the business office system

Puts costumer service first: Ensures that customers and families receive the highest quality of service in a caring and compassionate atmosphere, which recognizes the individual’s needs and rights

Enrolls residents for direct deposit income (SSA, SSI, VA Benefits and pension checks) and follow up to verify completion

Monitors, maintains and disburses the allowance according to PA 162 form for spousal, home maintenance allowance and personal allowance for residents

Monitor account balance to prevent accounts from reaching the resource limit per OBRA regulations. Notify appropriate personnel to assist in spend down of excess resources

Mail resident statements quarterly, per state regulations

Qualification

Health care financial administrationMedicaid applicationsBillingAccounts receivableCensus processingCustomer service

Required

Familiarity with company policies and procedures related to billing and accounts receivable, census processing and Medicaid applications

Experience in health care financial administration (minimum 3 years)

Ability to reconcile census on a daily/monthly basis, including retro adjustments of manual census and system adjustments

Experience in updating/reconciling Cash Sheet

Experience in updating/reconciling AR Log/Aging

Ability to perform bank deposits; scanning and posting all deposits in system

Ability to make necessary adjustments in system for resident accounts

Experience in meeting with residents and families regarding accounts

Experience in collections of all payors; Hospice, Medicare, Medicaid, MLTSS, Managed Care/Managed Medicare, Private

Ability to check claim status for all insurances via electronically or phone

Ability to obtain MLTSS authorizations

Experience in attending Utilization Review meetings on a weekly basis to discuss discharge planning of residents

Ability to meet with families/potential long term residents to discuss financials and make necessary preparations

Ability to send requests to Office of Community Services for potential long term residents

Ability to send Notification request to Board of Social Services for potential Medicaid residents

Experience in completing Medicaid Re-determinations

Experience in completing Medicaid applications; submission via mail or county appointment

Ability to communicate with Board of Social Services caseworkers on all pending Medicaid cases/redeterminations

Ability to work closely with County Board of Social Services supervisors for case reinstatement

Ability to handle PA 162's- request from county, updating system with correct income and notifying families of the changes

Ability to submit Billing Assistance form to Provider Relations for Medicaid claims

Ability to submit cases to attorney if potential problem

Ability to work with attorney on potential Guardianship cases

Ability to submit Repayee paperwork to Social Security Administration

Ability to submit Representative Payee Report on a yearly basis for all residents on Social Security

Ability to work closely with County Social Security Office supervisor to ensure all claims are processed correctly and rapidly

Ability to work with pension companies to obtain pension

Ability to maintain yearly Bad Debt

Ability to handle Resident Fund Management (RFMS); opening and closing accounts, setting up direct deposit

Ability to supply billing with reconciled census daily and at month's end

Ability to review all outstanding accounts

Ability to prepare and submit Write-Offs if necessary to billing department

Ability to organize/maintain resident financial files

Ability to communicate on a daily basis with doctor's office/vendors on residents' payor

Ability to plan, organize, and implement the facility's Business office functions

Ability to maintain written policies and procedures that govern the business office functions of the facility

Ability to interpret the facility's business policies and procedures to residents, family members, government agencies, etc., as necessary

Ability to monitor designated home office accounting controls to assure compliance with established procedures

Ability to assist in standardizing the methods in which work will be accomplished

Ability to follow home office designated systems for financial recordkeeping to include ledgers, recording payments, writing receipts, posting cash journals, prepare and make bank deposits, etc

Ability to prepare and bill specialized Equipment including and not limited to: OME Other Medical Expense, WEP Wheelchair Exception Program, VDR Vent Dependent Resident and/or DMR Durable Medical Equipment using spreadsheets, form and/or website services

Ability to report delinquent accounts to your immediate manager

Ability to prepare financial and statistical reports as required

Ability to perform functions of computer/data processor as necessary

Ability to ensure that resident admission contracts are signed and appropriately filed

Ability to assist in the planning and implementation of changes in the business office system

Ability to put customer service first: Ensures that customers and families receive the highest quality of service in a caring and compassionate atmosphere, which recognizes the individual's needs and rights

Ability to enroll residents for direct deposit income (SSA, SSI, VA Benefits and pension checks) and follow up to verify completion

Ability to monitor, maintain and disburse the allowance according to PA 162 form for spousal, home maintenance allowance and personal allowance for residents

Ability to monitor account balance to prevent accounts from reaching the resource limit per OBRA regulations. Notify appropriate personnel to assist in spend down of excess resources

Ability to mail resident statements quarterly, per state regulations