Business Office Manager

Job Description

Job Description

Job Summary

ALIYA of Palos Park is seeking an experienced and detail-oriented Business Office Manager to oversee the daily business office and financial activities of the facility. The Business Office Manager will work closely with the Administrator, Admissions, Human Resources, Corporate Office, residents, and families to ensure accurate financial records, timely completion of Medicaid and insurance requirements, and effective management of resident accounts and collections.

The ideal candidate will have strong organizational and communication skills, experience working with Medicaid and Medicare, and the ability to manage multiple priorities in a skilled nursing environment.

Responsibilities

• Direct and oversee all business office activities within the facility.

• Work closely with Human Resources, Admissions, the Administrator, and Corporate Office.

• Ensure Public Aid applications are completed within 7 days of admission and maintain all required Medicaid documentation.

• Utilize Medicaid Pending and Resident Financial checklists to ensure all required documentation is complete.

• Maintain accurate financial files for all residents.

• Enroll Medicaid and Medicaid Pending residents in direct deposit for applicable income sources through RFMS.

• Review RFMS reports regularly and verify resident financial information and statuses are accurate.

• Apply for Social Security Representative Payee status and complete address changes when necessary.

• Verify responsible party information in PointClickCare (PCC), including complete addresses and phone numbers.

• Assign residents to the appropriate billing category and ensure statements are mailed appropriately.

• Serve as a liaison between the Corporate Office and residents' families regarding billing and financial questions.

• Communicate changes in Medicaid status, admissions, discharges, payer changes, and income changes to the Corporate Office.

• Upload financial and supporting documentation to resident profiles in PCC.

• Notify the appropriate Corporate Office personnel of new financial documentation and changes.

• Notify Corporate Office, the Administrator, Medicare Specialist, and other appropriate parties of Medicare denials.

• Follow established Medicare denial and ADR processes.

• Verify Medicare and Medicaid eligibility for applicable residents on a regular basis.

• Assist with obtaining secondary insurance coverage, including BCBS, when applicable.

• Make weekly collection calls to families regarding private pay balances, resident liabilities, and outstanding accounts.

• Review the PCC AR Aging Report and maintain accurate collection notes and documentation.

• Communicate collection progress and outstanding account issues with Corporate Office.

• Notify the Administrator of collection concerns, IVDs, and other accounts requiring attention.

• Make collection calls to insurance companies as directed by Corporate Office.

• Complete Medicaid redeterminations and Social Security Representative Payee reports promptly upon receipt.

• Attend Medicare meetings and assist with verification of remaining days, secondary insurance, and long-term care planning.

• Review monthly census information in PCC and distribute required census reports to appropriate vendors.

• Review RFMS reconciliation reports and reconcile resident trust accounts.

• Communicate with the facility attorney regarding the status of accounts and IVDs.

• Complete monthly Medicare verification for residents on the current caseload.

• Review therapy billing and verify that services billed are consistent with services provided.

• Process annual Social Security income changes and other required financial updates.

• Complete annual BCBS secondary insurance applications during the applicable open enrollment period.

• Maintain confidentiality of resident financial information and comply with HIPAA and applicable regulations.

• Perform other duties as assigned by the Administrator or Corporate Office.

Qualifications

• 2+ years of experience in a business office, billing, accounts receivable, or financial position, preferably in a skilled nursing or long-term care facility.

• Previous experience with Medicaid, Medicare, insurance verification, collections, and resident accounts strongly preferred.

• Experience with PointClickCare (PCC) and RFMS preferred.

• Strong understanding of resident billing, Medicaid eligibility, Medicare benefits, and insurance requirements.

• Strong attention to detail and accuracy.

• Excellent organizational and time-management skills.

• Strong written and verbal communication skills.

• Ability to communicate professionally with residents, families, facility leadership, and Corporate Office.

• Ability to manage multiple priorities and meet deadlines.

• Proficiency with Microsoft Office, particularly Excel.

• Ability to maintain confidentiality and handle sensitive financial information appropriately.

• Previous experience in a skilled nursing facility strongly preferred.

Benefits

• Medical Insurance

• Dental Insurance

• Vision Insurance

• Flexible Spending Account (FSA)

• Life Insurance

• Critical Illness Insurance

• Short-Term Disability Insurance

• Accident Insurance

• Hospital Indemnity Insurance

• 401(k) Retirement Savings Plan

• On-Demand Pay Option

• Paid Time Off (PTO)

• Tuition Reimbursement Program

Join ALIYA Healthcare!

At ALIYA Healthcare , we are committed to providing exceptional care and support to the residents and communities we serve across our growing network of skilled nursing facilities. If you are passionate about making a difference and looking to join a dedicated healthcare team, we invite you to apply today.

CNAHP