Mercyhealth Wisconsin and Illinois · 10 hours ago
Business Services Supervisor-Long Term Care- Full Time
Harvard, IL
Full-time
Hybrid
Mid, Senior Level
2+ years expMercyhealth Wisconsin and Illinois is seeking a Business Services Supervisor for the Harvard Care Center. The role involves overseeing business office functions, ensuring compliance with regulations, and promoting operational efficiency within the skilled nursing facility.
Health CareNon Profit
Responsibilities
Serves as a subject matter expert with regards to all aspects of skilled nursing billing processes and the respective biller roles. Maintaining an advanced knowledge of payor updates including Federal and State guidelines, department workflows and resources needed to resolve payor rejections, billing errors and troubleshoot identified denial trends to ensure clean claim rate
Knowledgeable with billing software MatrixCare and Epic crossed trained in multiple billing sectors (Medicare, Medicaid and Commercial ) to assist in the Epic biller work queues as needed
Knowledge of verifying payor sources
Knowledge of state and federal nursing home guidelines
Track facility census information, send census on daily basis
Complete census, payer builds and payer verification in MatrixCare
Review resident accounts and aging reports on ongoing basis
Responsible for monthly Medicaid, Medicare, and other insurance billings along with timely follow-up with intermediaries on delinquent payments in coordination with outside billing company
Monitor and manage the accounts receivable collection process
Pursue past due accounts persistently and maintain proper back-up documentation
Obtain and submit all required documentation to bill third party payers as per program/company guidelines
Participate in the resident admission process by providing explanations of the facility's rates, billing cycle and payment terms, including collecting the first month's advance payment upon admission
Perform all Month End duties to ensure revenue is booked and billed correctly and timely
Maintains personnel and resident files in accordance with all applicable laws and regulations
Develops and implements policies and procedures related to Skilled Nursing Facility patient access
Implement procedures related to our financial services policy and ensure proper workflows to meet revenue and reimbursement goals
Maintain the skilled nursing facility billing program including charge master updates, fee schedule maintenance, user account maintenance, and census event registration maintenance
Complete and process audit requests and follow up to ensure that payers receive information needed and that reimbursement is not affected
Supervises business office staff. Conduct employee Performance Reviews with subsequent discussion of pertinent review findings and recommendations. Hires partners for Skilled Nursing Facility patient financial counseling, provide training, coaching and disciplining employees; and resolve employee issues
Provide a primary point of contact for customer inquiries and work with patients and other customers face to face or by phone. Providing excellent customer service and ensure that employees provide the same positive and helpful image
Uses problem solving skills to identify and correct problems before they escalate to larger issues. Collaborate and communicate with other departments to ensure positive interdepartmental interactions
Assist with the follow up on patient billing complaints received
Maintains professional and technical knowledge by attending educational workshops; review professional publications; establish personal networks and participate in professional societies
Qualification
Required
Associate's degree in accounting, business management, bachelor's degree preferred
Experience of Business Office Management of at least 2 years
Strong multitasking, communication, organizational, and interpersonal skills
Minimum two years' experience in a healthcare environment including supervisory and/or training experience
Knowledge of reimbursement practices for commercial and government payers
Knowledgeable with billing software MatrixCare and Epic crossed trained in multiple billing sectors (Medicare, Medicaid and Commercial)
Knowledge of verifying payor sources
Knowledge of state and federal nursing home guidelines
Track facility census information, send census on daily basis
Complete census, payer builds and payer verification in MatrixCare
Review resident accounts and aging reports on ongoing basis
Responsible for monthly Medicaid, Medicare, and other insurance billings along with timely follow-up with intermediaries on delinquent payments in coordination with outside billing company
Monitor and manage the accounts receivable collection process
Pursue past due accounts persistently and maintain proper back-up documentation
Obtain and submit all required documentation to bill third party payers as per program/company guidelines
Participate in the resident admission process by providing explanations of the facility's rates, billing cycle and payment terms, including collecting the first month's advance payment upon admission
Perform all Month End duties to ensure revenue is booked and billed correctly and timely
Maintains personnel and resident files in accordance with all applicable laws and regulations
Develops and implements policies and procedures related to Skilled Nursing Facility patient access
Implement procedures related to our financial services policy and ensure proper workflows to meet revenue and reimbursement goals
Maintain the skilled nursing facility billing program including charge master updates, fee schedule maintenance, user account maintenance, and census event registration maintenance
Complete and process audit requests and follow up to ensure that payers receive information needed and that reimbursement is not affected
Supervises business office staff
Conduct employee Performance Reviews with subsequent discussion of pertinent review findings and recommendations
Hires partners for Skilled Nursing Facility patient financial counseling, provide training, coaching and disciplining employees; and resolve employee issues
Provide a primary point of contact for customer inquiries and work with patients and other customers face to face or by phone
Providing excellent customer service and ensure that employees provide the same positive and helpful image
Uses problem solving skills to identify and correct problems before they escalate to larger issues
Collaborate and communicate with other departments to ensure positive interdepartmental interactions
Assist with the follow up on patient billing complaints received
Maintains professional and technical knowledge by attending educational workshops; review professional publications; establish personal networks and participate in professional societies
Preferred
Experience with MatrixCare software is preferred
Benefits
Comprehensive Benefits Package: Mercyhealth offers a retirement plan with competitive matching contribution, comprehensive medical, dental, and vision insurance options, life and disability coverage, access to flexible spending plans, and a variety of other discounted voluntary benefit options.
Competitive Compensation: Mercyhealth offers market competitive rates of pay and participates in various shift differential and special pay incentive programs.
Paid Time Off: Mercyhealth offers a generous paid time off plan, which increases with milestone anniversaries, to allow employees the opportunity for a great work-life balance.
Career Advancement: Mercyhealth offers a number of educational assistance programs and career ladders to support employees in their educational journey and advancement within Mercyhealth.
Employee Wellbeing: Mercyhealth has a focus on wellbeing for employees across the organization and offers a number of tools and resources, such as an employer-sponsored health risk assessment and a Wellbeing mobile application, to assist employees on their wellbeing journey.
Additional Benefits: Mercyhealth employees have access to our internal and external employee assistance programs, employee-only discount packages, paid parental and caregiver leaves, on-demand pay, special payment programs for patient services, and financial education to help with retirement planning.
Company
Mercyhealth Wisconsin and Illinois
At Mercyhealth, our doctors, nurses and staff are committed to making lives better for our patients and their families.
5001-10000 employees
Funding
Current Stage
Late StageLeadership Team
Nathan Schultz
Chief Technology Officer
Shawn David
Chief Technology Officer / Chief Security Officer IMS Technical Director
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