ALIYA Healthcare Consulting ยท 18 hours ago
Business Office Manager
Chicago, IL
Full-time
Onsite
Mid Level
$55K/yr - $70K/yrALIYA Healthcare Consulting is seeking a Business Office Manager to oversee accounts receivables and ensure residents receive the highest standard of care. This role involves managing financial documentation, coordinating with various departments, 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 the Admissions Department and family
Utilize Medicaid Pending Checklist
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 BOM Financial Share Drive Folder
Act as a liaison between Corporate Office and family members for all billing related questions
Update Regional BOM 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
Rerun Medicaid (MEDI) Eligibilities monthly for all Medicaid residents
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
Make notes in the resident file under Collections Tab to track progress
Discuss progress of collection call on a weekly call with Regional BOM
Notify the facility administrator of any issues or IVDs that need to be issued
Complete Medicaid Redetermination forms with all required supporting documentation immediately upon receipt
Attend Medicare Meetings to verify days remaining, secondary insurances, long term resident plans, etc
On the 1st of the month review RFMS reconciliation report; reconcile trust
Once a year, submit income changes for all Social Security income changes (typically notifications arrive between December and February)
Complete daily census
Pay monthly resident insurance premiums from RFMS by 5th of each month
Weekly follow up with DHS for all Medicaid Pending cases in house and discharged
Submit accounts to collections once all collection efforts are exhausted, make sure to documents said efforts in PCC collections tab
Compete daily deposits, process any credit card payments and submit to AR Specialist for posting
Verifying insurance coverage and eligibility for residents
Qualification
Required
Knowledge of accounts receivables and financial management
Attention to detail to ensure financial needs of residents are met
Ability to complete Public Aid applications within 7 days of admission
Experience in maintaining financial files and documentation
Ability to enroll residents in direct deposit for all income types
Experience with RFMS and running Direct Deposit Status reports
Ability to apply for representative payee for social security
Skills in verifying responsible party information for billing
Experience in assigning billing categories for residents
Ability to act as a liaison between Corporate Office and families
Experience in updating Public Aid changes and documentation
Ability to rerun Medicaid Eligibilities monthly
Experience in applying for secondary insurance for residents
Skills in making collection calls and tracking progress
Ability to discuss collection progress with Regional BOM
Experience in completing Medicaid Redetermination forms
Ability to attend Medicare Meetings and verify plans
Skills in reviewing RFMS reconciliation reports
Experience in submitting income changes for Social Security
Ability to complete daily census
Skills in paying monthly resident insurance premiums
Experience in following up with DHS for Medicaid Pending cases
Ability to submit accounts to collections and document efforts
Experience in processing daily deposits and credit card payments
Skills in verifying insurance coverage and eligibility
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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