Business Office Manager

ALIYA Healthcare Consulting -

Job Summary

As a Business Office Manager, you will take charge of accounts receivables within your facility. Your work will ensure our residents receive the highest standard of care they have grown to expect at ALIYA Healthcare. Our residents will depend on your knowledge, skills, and attention to detail to ensure their financial needs are met.

Business Office Responsibilities

• Ensure that Public Aid applications are completed within 7 days of admission by coordinating with the Admissions Department and family.

• Utilize Medicaid Pending Checklist

• 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 BOM Financial Share Drive Folder

• Act as a liaison between Corporate Office and family members for all billing related questions.

• Update Regional BOM 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

• Rerun Medicaid (MEDI) Eligibilities monthly for all Medicaid residents

• 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

• Make notes in the resident file under Collections Tab to track progress.

• Discuss progress of collection call on a weekly call with Regional BOM

• Notify the facility administrator of any issues or IVDs that need to be issued

• Complete Medicaid Redetermination forms with all required supporting documentation immediately upon receipt.

• Attend Medicare Meetings to verify days remaining, secondary insurances, long term resident plans, etc.

• On the 1st of the month review RFMS reconciliation report; reconcile trust.

• Once a year, submit income changes for all Social Security income changes (typically notifications arrive between December and February)

• Complete daily census

• Pay monthly resident insurance premiums from RFMS by 5th of each month

• Weekly follow up with DHS for all Medicaid Pending cases in house and discharged

• Submit accounts to collections once all collection efforts are exhausted, make sure to documents said efforts in PCC collections tab

• Compete daily deposits, process any credit card payments and submit to AR Specialist for posting.

• Verifying insurance coverage and eligibility for residents

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