Business Office Manager - Medicare / Medicaid Billing

Overview

Business Office Manager — Full-Time. Location : Avamere Rehabilitation of Beaverton, 11850 SW Allen Blvd, Beaverton, OR 97005. Apply at Teamavamere.com.

Responsibilities

• Manage the business office systems in accordance with Avamere policies and procedures including completion of daily, weekly, and monthly tasks.
• Perform routine billing process 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.
• Stays 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.
• Complete the month end close within designated timeframe by utilizing the month end daily task form and month end check list and related processes.
• Maintain accurate and up to date records of business office functions including A / R, 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 as required.
• Provides 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 month end reconciliation.
• Assist in implementing day-to-day functions of the accounting with related tasks such as accruals and expense reporting.
• Accounts payable (if required by facility) : process and verify payment of invoices timely, verify PO and invoice matches, code invoices to correct accounts, and communicate with suppliers concerning errors or questions.
• Perform computer / data processing functions as needed and maintain security of usernames and software used.
• Ensure resident admission contracts are signed and filed per BOM admission checklist.
• Payroll (if required by facility) : assist in preparing payroll, time sheets, and related processes with attention to accuracy and compliance.
• Report known or suspected incidents of fraud, waste and / or abuse to the appropriate parties.
• Participation in all compliance training and facility mandatory in-service programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention).
• Follow established safety regulations including fire protection, infection control, and related policies.
• Assist in preparing budget and financial information as required.
• Ensure residents' rights to fair and equitable treatment, self-determination, privacy, property, and civil rights are respected and maintained.

Qualifications Required

Benefits

Avamere is an Equal Opportunity Employer and participates in E-Verify. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

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