Business Office Manager

Chicago, Illinois

Employer: Frontier Management
Industry: Healthcare
Salary: Competitive
Job type: Full-Time
Job Summary

Responsible to direct all business office activities within the facility closely working with human resources and admissions.

Business Office Responsibilities
  • Ensure that Public Aid applications are completed within 7 days of admission by coordinating with Admissions Department and family.
  • Utilize Medicaid Pending Checklist (attached.)
  • Maintain financial files on all residents and ensure all documentation is completed as necessary.
  • Enroll Medicaid and Medicaid Pending residents in direct deposit for all income types through RFMS upon admission.
  • Log into RFMS daily to run Direct Deposit Status report, verify resident statuses are accurate.
  • Apply representative payee for social security and/or change of address.
  • Verify responsible party in PCC has a complete address and phone number for statements and collection calls upon admission.
  • Assign residents into a billing category: Mail statements or Do Not Mail statements upon admission.
  • Utilize Resident Financial folder checklist (attached.)
  • Act as a liaison between Corporate Office and family members for all billing related questions.
  • Update Corporate Office on all Public Aid changes including admissions, discharges, payer changes, and income changes.
  • Upload all changes and supporting documentation to PCC resident profile Misc Tab under Financial/Business Office category.
  • Notify corporate office of any new documentation added by emailing resident PCC# (not resident name) and the type of document uploaded to the corporate bookkeeper, cc Anzhelika Shatrov and administrator of your facility.
  • Notify corporate bookkeeper, facility administrator, Medicare specialist, Anzhelika Shatrov and Rehab Care of any Medicare denials.
  • Follow Medicare Denial ADR process (attached.)
  • Rerun Medicare (ZirMed) and Medicaid (MEDI) Eligibilities monthly for all dual eligible residents (those that have both Medicaid and Medicare numbers)
  • Apply for BCBS secondary insurance for all long term care residents with sufficient income and no secondary insurance policy upon admission.
  • Make weekly collection calls to families for private pay, resident liabilities and any other outstanding accounts.
  • Utilize AR aging report in PCC (PCC à Reports à AR Aging (New))
  • Make notes in the resident file under Collections Tab to track progress.
  • Discuss progress of collection call on a weekly call with Anzhelika Shatrov.
  • Notify facility administrator of any issues or IVDs that need to be issued
  • Make monthly collection calls to insurance companies, as guided by the corporate office.
  • Complete Medicaid Redetermination forms with all required supporting documentation immediately upon receipt.
  • Complete Social Security Representative Payee report immediately upon receipt.
  • Attend Medicare Meetings to verify days remaining, secondary insurances, long term resident plans, etc.
  • On the 1 st of each month verify accuracy of Monthly Detailed Census in PCC and fax to Lab, Pharmacy, Xray Companies.
  • On the 1 st of the month review RFMS reconciliation report; reconcile trust.
  • On the 1 st of the month check in with facility attorney on the status of accounts and IVDs
  • On the 15 th of each month re-run Medicare Verification for all Medicare residents on current caseload
  • On the 1 st of each month review Rehab Care therapy bill and verify services billed match services provided by Rehab Care
  • Once a year, submit income changes to corporate office for all Social Security income changes (typically notifications arrive between December and February)
  • Once a year apply for BCBS secondary policies for all residents ages 65 and under residents. Applications must be submitted by December 6 th . BCBS will notify the facility when open enrollment begins.
Created: 2024-09-08
Reference: 1360025
Country: United States
State: Illinois
City: Chicago
ZIP: 60018

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