Job Description
GENERAL SUMMARY:
Oversees and trains Business Office Managers of each facility. Maintains current and accurate records of accounts receivable Cash, DSO, and Bad Debt reports, bank reconciliations, census, and patient’s personal fund interest-bearing account. Organizes, implements, and develops company Policies and Procedures according to State and Federal standards. Performs other duties as assigned.
Salary Range: $130,000-$140,000 depending on experience
Benefits- Medical, Dental, Vision, Life Insurance, 401K
Years of Experience required = at least 2-3 years of SNF Consulting Experience
ESSENTIAL FUNCTION:
- Consistently and accurately maintains accurate records of accounts receivable Cash, DSO, and Bad Debt reports, including audit of resident’s Trust Accounts.
- Organizes, develops and maintains Policies and Procedures for the entire aspect of business office systems in accordance with State and Federal standards pertaining to billing, collection, trust, and compliance.
- Creates company standard forms pertaining to Trust account, AR, and Other compliance matters
- Establishes and maintains an ongoing, positive working relationship with other facility personnel, including vendors.
- Supervises and trains the employee(s) performing in the business office functions
- Assist and train with monthly billing process of resident’s responsible party, Medicare, Medi-Cal, Manage Care skilled and Custodial, Hospice, HMO, VA, Coinsurance, Private/SOC etc.
- Assists and train routine and consistent collection efforts of all accounts including Posts medical, and other ancillary supply charges to resident accounts
- Assist and train on all Pending Medi-Cal Eligibility application to any qualified residents
- Assist and trains on all E-TARs.
- Upholds all collection protocol for all pay types in accordance to company Collection Policy & Procedure
- Projects and Reconciles monthly Cash Collection for all facilities
- Assist, trains, and Observes timely Month End process
- Developed, trains, and assist the facility with Medicare and Medi-Cal billing compliance standards
- Ensures billing compliance requirements are met on all claims prior to submission
- Participates in developing and monitoring of weekly HMO, Medicare Utilization and monthly Triple check meeting
- Organizes and Conducts monthly AR Reviews
- Reviews, Approves, and Ensures timely processing of all refunds, write-offs, adjustments, and financial error code monthly
- Oversees monthly AR Aging report to identify outstanding accounts; and ensures that ALL accounts are addressed/worked on monthly
- Developed and implements Resident Trust Policy and Procedure
- Organized, Developed, and oversees and trains on resident trust account (a) Monthly balancing and interest allocation (b) Compliance of both CFR and Title 22 regulations on Trust account
- Reviews and authorize consolidated billing invoices prior to processing
- Handles all collection accounts
- Refers, strategize, and communicates with Collection lawyers on how to proceed with account collections
- Assists and Participates in Small Claims and other court case account collection
- Receives, Tracks, review, submit, and overall gatekeeper of all Medicare audit notifications ie Probe, RAC, CERTS, etc
- Communicates and provide Corporate team with materials required for yearly audits
- Performs and conducts new hire orientation and training on overall Trust, all AR payers, and all other aspects of billing and collection functions
- Audits current business files are established and maintained on: (a) All residents. (b) Monthly billing deposits, AR, resident trust, Medicaid billing, Medicare billing, and all other payer and reports.
- Communicates regarding policies, requirements, and problem-solving of business office matters as needed.
OTHER DUTIES:
- Fulfills the duties and responsibilities of the BOM if the position is vacant at any particular facility
- Assist in BOM interview and hiring process
- Other specified projects as assigned by the CFO of the company.
KNOWLEDGE, SKILLS & ABILITIES:
Skilled Nursing Facility Consulting Experience with Successful performance of essential functions can best be achieved through consistent application of current knowledge, use of good judgement, teamwork, common sense, ability to establish and carry out priorities, effective use of interpersonal skills and ongoing commun
About Rockwell Care
Rockwell Care
rockwellcare.com
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