Business Office Manager Healthcare

Join The Team At Apple Rehab Mystic

Are you ready to work for a company that is uniquely different; an organization that is committed to your personal and professional growth? Then come join the team at Apple Rehab Mystic, one of Connecticut’s leading providers of short term rehabilitation and skilled nursing care.

Apple Rehab is a family owned and operated company that treats residents and staff like family too. Our expert team of senior management is located at our home office, right in Avon, CT, ensuring superior care from a local company. Our leadership is not across the country, but rather in your backyard.

Reports To:

Facility Administrator

Staff Supervised:
As designated by Administrator

General

Purpose:

Accounts Receivable Business Office Manager plans, organizes, develops and implements all accounts receivable functions in accordance with current company policies as well as federal, state and local regulations and procedures in an accurate, neat and organized manner while ensuring that the highest quality of service is provided.

Qualifications:

• Completion of secondary education showing the ability to read, perform mathematical calculations, write in a legible manner and follow oral and written directions in English.
• Experience in Point Click Care or other EHR and Billing systems, RFMS or other Resident Trust systems, and electronic claims management systems.
• Attention to detail, good follow through skills and ability to prioritize multiple tasks.
• Must be innovative and able to find creative ways to service the variety of residents’ needs and maintain the customer focus.
• 3-5 years experience in long-term care billing and collections; working knowledge of State Medicaid and Medicare law and third party insurance.
• Patience, tact and a positive attitude toward residents, family members, state and federal agencies and other staff.
• Demonstrates cooperation in assisting others and ability to work as a team.

Essential Job Functions (With or Without Reasonable Accommodation):

Leadership Functions:

• Participates in Department Head meetings and activities
• Leads by example and addresses all observed areas of concern or concerns brought by others
• Communicates and collaborates with all departments, receiving criticism and ideas for improvement in a positive way
• Participates and encourages a culture of compassion, caring, mutual respect, and outstanding customer service.
• Builds relationships with staff, residents, family member, vendors, and consultants to ensure customer and staff satisfaction
• Motivates all staff members by effective listening and positive feedback whenever possible
• Maintains an approach of continuous improvement (Quality Assurance/Performance Improvement), with resident care as the primary focus

Administrative Functions:

• Reviews all new admission payers for eligibility; advises pre-admission of payer concerns as needed; coordinates with the care team as well as Resident/family members to plan for coverage in advance of payer change; oversees the Medicaid application process to ensure responsible party is providing timely information to the LTC unit at DSS office
• Maintains accurate daily census including all residents and their payors. Reports census to all departments on a daily basis. Participates in all facility meetings related to billing and potential payor changes, which may include morning report, Medicare/Utilization Review, PPS, etc
• Communicate all information related to payor changes to the appropriate departments, including nursing, therapy, MDS, and Social Service as it pertains to resident services
• Monitor and oversee Medicaid renewal applications with responsible party to ensure continual coverage and necessary spendown is done timely
• Organizes prepares, and submits all billings accurately and by deadlines
• Monitors accounts receivable aging reports ongoing throughout the month and follows through on past due accounts, ensuring all appropriate action is taken to avoid bad debt
• Utilize corporate mandatory action steps for collection on past accounts (i.e. phone call, legal letter, etc)
• Make notes in software system on past due accounts indicating action…