Business Office Manager- Skilled Nursing - Aliya of Palatine

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 (PCCàReportsàAR 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 1st of each month verify accuracy of Monthly Detailed Census in PCC and fax to Lab, Pharmacy, Xray Companies.
• On the 1st of the month review RFMS reconciliation report; reconcile trust.
• On the 1st of the month check in with facility attorney on the status of accounts and IVDs
• On the 15th of each month re-run Medicare Verification for all Medicare residents on current caseload
• On the 1st 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 6th. BCBS will notify the facility when open enrollment begins.