Pioneer Specialty Hospital · 5 hours ago
Business Office Manager - PHCM
Pioneer Health Care Management Inc is seeking a Business Office Manager to support business processes at the facility level. The role involves managing office supplies, handling resident trust accounts, and ensuring compliance with billing and insurance requirements.
Clinical TrialsHealth CareHospitalRehabilitation
Responsibilities
Manages facility office supplies/orders/petty cash and spend downs
Custodial Authorization Initiation/Continuation
Communicates with MDHHS and resident/resident family regarding programs applicable to them
Initiates the patient/resident medical record
Reviews admission contract and required notices with residents, answers questions and obtains signatures within required timeframes
Submission of Medicaid applications/Re-determination as well as collection of supporting documents
Verifies continuing insurance coverage and financial responsibility each month for all current residents
Notifies the billing office of all discharges and provides facesheet and documentation required to support billing
Receives PPA statements for current residents from the billing office and collects payment by the statement due date
Reports PPAs collected to the billing office and deposits PPAs as directed
Interacts with the home office billing team and payers to define billing requirements and ensures prompt payment of claims
Interacts with the home office billing team and payers to define billing requirements and ensure prompt payment of claims
Initiation of Medicaid disenrollment for LTC
Maintains the resident trust accounts and documentation in accordance with regulatory requirements
Verifies AP invoices and transmits to the corporate AP office in a timely manner
Other duties as requested and assigned
Qualification
Required
High school diploma or GED required
1 year experience in a long term care setting in resident trust management, admissions, utilization review and/or accounts receivable strongly preferred
Preferred
Associates or Bachelor's Degree in Business or related field preferred