Regional Business Office Manager - AdviniaCare

POSITION SUMMARY:

The primary purpose of the Regional Business Office Manager position is to oversee the quality of resident account services for multiple facilities requiring frequent travel; to assure resident accounts services are provided in accordance with the facility’s established policies and procedure, applicable laws and regulations, and the directions of your supervisors, who include the AR Manager, AR Supervisor and other members to whom such persons report in order to assure the highest level of resident account services is maintained at all times.

RESPONSIBILITIES:

• Ensure your communities are implementing effective measures for timely receipts of all payments due from residents, and families and, also are communicating with the facility’s bookkeeping office.
• Ensure Business Office Managers (BOM) notify residents and families of their obligations upon or prior to the time of admission and obtain proper documentation of each newly admitted resident’s financial obligations is distributed, signed, and filed.
• Ensure BOM’S are educating residents and families on, and assisting them in complying with Medicaid and Medicare requirements and verify each residents’ financial resources and ability to pay when applicable.
• Ensure BOM’s make monthly phone calls to responsible parties regarding missing payments; submit Medicaid Applications and complete timely follow up on pending cases; enter admit packets into PCC within 15 days of admission and ensure proper and pending cases.
• The RFC will also make phone calls to ensure all missing payments are received, when attempts by the BOM are unsuccessful; will also submit Medicaid Applications and follow up to ensure they are completed within 30 days of admissions (when applicable); will submit admit pack and follow up on outstanding admit packs if needed; is responsible to review all logs received and take necessary action to get things accomplished and is also responsible to maintain Medicaid Pending and Pending Admit log for each home.
• The RFC is responsible to provide ongoing assistance and education to increase the likelihood of application approvals. In addition, it is the RFC’s responsibility to maintain communication with their BOM’s and to stay updated with each case.
• You will be responsible to oversee the appeal process and provide education when necessary to resolve overpayment issues with SSA when applicable.
• Other duties as assigned.

QUALIFICATIONS:

• Bachelors or higher degrees in accounting or finance preferred.
• 1 – 3 years of experience with MassHealth application and long-term care experience.
• Must have knowledge of Medicaid regulations in Massachusetts.
• Must be able to travel, drive, to our locations, on a weekly basis or as needed.
• Strong ability to use Microsoft Office Suite (Word, Excel, Powerpoint, etc).
• Ability to organize, analyze, report and communicate results.
• Must have patience, tact, cheerful disposition & enthusiasm, as well as be willing to handle residents based on whatever maturity level at which they are currently functioning.
• Must be able to read, write, speak, and understand the English language.
• Strong ability to communicate in writing and speaking, as well as good organizational skills.
• Detailed oriented with excellent ability to analyze data and circumstances.
• Ability to perform multiple tasks simultaneously, work effectively in a team environment and meet deadlines.