Business Office Manager​/Medicare & Medicaid Billing - Sequim, WA

Business Office Manager

Status: Full Time

Hours: Monday - Friday, 8:30 AM - 5:00 PM

Wage: $58,000 - $79,000 annually DOE

Location: Avamere Olympic Rehab of Sequim - 1000 S 5th Avenue Sequim, WA 98382

The primary purpose of this position is to assist in the day-to-day accounting functions of the facility in accordance with current acceptable accounting practices, accounts receivable and cost reimbursement principles related to nursing or assisted living facility operations, and as may be directed by the Administrator, Executive Director, or Regional Revenue Cycle Manager.

• Accounts Receivable
  • Manage the business office systems in accordance with Avamere policies and procedures, including completion of daily, weekly, and monthly tasks and non-negotiables.
  • Perform routine billing processes by ensuring billing is set up, billed, and collected timely and accurately.
  • Ensure payer tree accuracy for all new admissions and payer changes, as well as insurance verification upon admission and year end.
  • Identify, research, and correct billing discrepancies timely and communicate with the administrator and regional support to problem solve and collect on difficult accounts.
  • Apply knowledge of skilled nursing insurance billing, including but not limited to Medicare, Medicaid, private insurance, HMOs, and co‑insurances.
  • Stay current with facility contracts along with industry changes, covered charges, and billing practices.
  • Communicate with residents and/or responsible parties regarding bills and financial obligations per collection policy.
  • Participate in monthly A/R review and complete necessary reports as required.
  • Complete the month‑end close within the designated timeframe using the month‑end daily task form and month‑end checklist. Expectations include bad debt logs, refund tracking log, adjustment log, triple check, etc.
• Maintain accurate and up‑to‑date records of business office functions, including accounts receivable (A/R), accounts payable (A/P), admissions and census numbers, resident insurance information and financial files, bank deposits, petty cash, and resident trust accounts.
• Engage as part of the management team by actively contributing to problem solving, decision making, center and company‑wide initiatives, and attending management team meetings such as stand‑up, triple check, utilization review (UR), quality assurance performance improvement (QAPI), AR, and other meetings as required.
• Provide prompt, professional, and courteous customer service to residents, family members, vendors, and outside representatives.
• Review resident trust accounts, follow Avamere policy and procedures as well as state regulations, and perform month‑end reconciliation.
• Assist in implementing the day‑to‑day functions of the accounting department
  • Prepare monthly accrual logs of open invoices and reclasses as directed.
  • Assist in preparing expense reports, petty cash reconciliation, etc.
• Accounts payable (if required by facility)
  • Process and verify payment of invoices on a timely basis, including verifying purchase orders and invoices match.
  • Verify invoices received for quantity, unit price, extensions, and discounts.
  • Forward invoices to appropriate department personnel for approval for payment.
  • Code invoices with appropriate chart of account number to assure that expenses are distributed to the correct expense account and vendors.
  • Communicate with suppliers/vendors concerning errors or questions on invoices.
• Perform functions of computer/data processor efficiently and adequately
  • Maintain and secure usernames and passwords.
  • Stay up to date on all programs and software that are utilized by Avamere.
• Ensure that resident admission contracts are signed and appropriately filed per BOM admission checklist.
• Payroll (if required by facility)
  • Assist in preparing payroll, time sheets, etc., as directed.
  • Maintain payroll to include maintenance of employee records, processing timecards, paychecks, computation of federal and state payroll taxes, miscellaneous deductions, etc., as directed.
• Report known or suspected incidents of fraud, waste, and/or abuse to the Administrator.
• Assist in preparing budget and financial…