Business Office Manager Long Term Care

Position Summary

Temporary position at Montgomery Place Retirement Community, the premiere senior living community overlooking Lake Michigan and the Museum of Science and Industry, Montgomery Place serves as the cultural center of East Hyde Park. Offering Independent Living, Assisted Living, as well as a 40-bed Skilled Nursing Unit providing Long-term Care and Short-term, sub-acute rehab services.

Position is responsible for all Third Party billing and collections functions for assigned accounts in the revenue cycle; Manage billing processes to secure payments within defined company guidelines for Medicare, Medicaid, Managed Care, Co-insurance companies, and Long Term Care Insurance Companies; Establishes and maintains positive relationships with residents and responsible parties; Provides consistent, accurate and timely communications with all parties

Essential Duties and Responsibilities

Billing Responsibilities

• Coordinate accumulation of information with various departments; post to resident accounts.
• Validate primary and secondary coverage, document and update systems as appropriate
• Review charges for accuracy, completeness, consistency and payers charged.
• Prepare and timely issue accurate billing statements to the correct payer using electronic systems.
• Coordinate with all departments and submit ADR information within 10 days of receipt of request.
• Monitor all submissions on a daily basis to address any denials or requests for additional information (ADRs).

  Collections Responsibilities

• Follow up on unpaid claims/denials within company standard billing cycle timeframes; Determine reasons for denial.Correct claims and Re-bill when required.
• Document all communications and collection attempts, taking follow up action in accordance with established policies and procedures.
• Provide needed supporting documentation to payer upon request in a timely manner.
• Maintain A/R Aging levels for assigned accounts within company guidelines.
• Notify supervisors of difficult/problem accounts; residents unwilling or unable to pay balances.
• Process claim reclassification to private accounts upon approval from management.
• Process bad debts in a timely fashion when claims are determined to be uncollectable.Document all reasons for uncollectability and efforts in the process.

  Cash Application

• Apply Third Party payments daily including checks, wire transfers, EFT payments, other bank deposits, cash and credit card payments. Confirm completeness and accuracy of payment information to the residents’ accounts.

  Customer Service

  • Establish good relationships with all third party payers with professional communications.
  • Efficiently conduct inquiries and analysis for resolution of discrepancies.

  General Responsibilities

• Adhere to the policies and procedures of the business with the highest practical standards
• Participate in and maintain current status on all training and education required by the company
• Communicate effectively with all members of the staff and business partners
• Provide feedback to others for continuous quality improvement of the entire organization
• Openly accept feedback from others for the continuous quality improvement of the entire organization
• Escalate issues when there is appearance that business standards of quality are not present
• Comply with all rules and regulations of the organization, including HIPAA and safety
• Perform other duties as assigned

  Job Requirements/Specifications

  Education and Experience: The requirements listed below are representative of the knowledge, skill, and/or ability required.

  Required:

• High school diploma
• Two to Three years of experience processing skilled nursing medical claims with third parties including Medicare, Managed Care and Insurance Companies
• One or more years of experience working in a high-volume, short-term rehab environment
• Knowledge of billing and related software preferred and/or experience with similar software
• Proficiency with Microsoft Office, PCC and ability to learn company IT systems

  Preferred:

• Ability experience is a plus

  Essential Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

• Strong communication, interpersonal and organizational skills
• Detail orientation
• Ability to manage multiple priorities
• Discretionary judgment
• Ability to work independently and as part of a team

  Language Skills

• Ability to read, write and speak English proficiently

  Physical Demands: The physical demands describe here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

• Specific vision requirements include the ability to see at close range, distance vision, peripheral vision, depth perception, and the ability to adjust focus
• While performing the duties of this job, the employee is regularly required to talk and hear
• Frequently required to stand, walk, sit, use hands to feel, and reach with hand and arms
• Possess the ability to fulfill any office activities normally expected in an office setting, to include, but not limited to: remaining seated for periods of time to perform computer based work, participating in filing activity, lifting and carrying office supplies (paper reams, mail, etc.)
• Occasionally lift and/or move up to 20-25 pounds
• Fine hand manipulation (keyboarding)

  Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.

• Office environment
• The noise level in the work environment is usually low

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

All employees are required to supply Montgomery Place with a working personal cell phone number at which they may receive, and do not opt out of receiving, work-related notices and communications. Failure to supply Montgomery Place with a working cell phone number and/or opting out of receiving such work-related notices and communications shall result in the employee being taken off the schedule and will render the employee ineligible to work for any period during which employee is incapable of receiving, or unwilling to receive, such work-related notices and communications.

I have read and understand this explanation and job description.

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