Business Services Supervisor; LTC -Harvard Care Center

Business Services Supervisor (LTC) – Harvard Care Center – Full Time

Join to apply for the Business Services Supervisor (LTC) – Harvard Care Center – Full Time role at Mercyhealth Wisconsin and Illinois
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The Business Services Supervisor will perform and oversee the successful and timely completion of all business office functions, within the parameters established by state and federal regulation, and as necessary to achieve the financial and operational goals of the facility. The Business Services Supervisor will support an environment that promotes optimal efficiencies, staff retention and superior quality of business office employees.

• 80 hours / 2 weeks
• Monday thru Friday;
  Day Shift Hours with travel up to one day a week to the Janesville location.
• Skilled Nursing / Long-Term Care Setting

• 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 Matrix Care 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 Matrix Care.
• 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 escalated 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.

• Associate’s degree in accounting, business management, bachelor’s degree preferred. or experience of Business…