Business Office Manager

Job Description

Job Description

Plans, develops, organizes, implements, evaluates and directs the overall financial operation of

the facility as well as its programs and activities, in accordance with generally accepted

accounting principles and current state and federal laws/regulations.

Reports the facility’s financial performance at least monthly, and more frequently as needed, to

the Administrator and the Board of Managers, Directors, and/or governing body as directed.

Identifies, in conjunction with the Administrator and selected department heads, the facility’s

key performance financial indicators. Establishes an ongoing system to monitor these key

indicators. These key performance indicators promote the fiscal health of the facility.

Evaluates key performance indicator outcomes with department heads to determine the need

for action from leadership and/or management such as re-education or revisions related to the

facility’s financial outcomes.

Develops and implements processes and systems in the Business Office to manage billing,

collections (A/R), patient trust, liability notices, general ledger functions,

business/payroll taxes, purchase orders, cash flow and all necessary business transactions using

generally accepted accounting principles.

Ensures the Business Office procedures comply with regulatory requirements related to bed-hold

notice requirements.

Develops and implements payroll accounting processes, including special accounting functions

required by any employee benefit or retirement plans, insurance accounting required by the

federal Family and Medical Leave Act, etc.

Produces monthly facility income statement.

Prepares financial records and cost reports for submission to authorized government agencies as

required by current regulations.

Utilizes and is proficient in various excel, word, adobe, and other electronic reporting formats.

Maintains schedules for capital expenses and fixed asset depreciation.

Reviews and interprets monthly financial statements and provides relevant information to the

Administrator and Board of Directors, Managers, or governing body.

Makes written and oral reports/recommendations routinely and as requested.

Ensures monthly billing is completed timely using facility A/R software.

Ensures facility’s billing checks and balances are followed by all team members as required by

facility policy including but not limited to the balancing of the daily census, Medicare triple

check prior to billing, etc.

Maintains working knowledge of all aspects of facility’s financial software program.

Develops and monitors accounts receivables. Reports delinquent accounts and solutions to

overcome obstacles to the Administrator.

Develops and maintains written policies and procedures that govern the accounting functions

of the facility.

Maintains a working knowledge of the state long term care Medicaid insurance program,

Medicare Part A, B and C insurance program, and private long term care insurance programs.

Ensures pre-admission financial evaluations regarding the identification of a payer source is

coordinated with the Admissions Office as part of the pre-admissions process