Business Office Manager - Pine Haven Care Center : Job Details

DescriptionDo you have a passion for bookkeeping and a strong background in healthcare billing? Do you thrive in a family-like workplace where your work directly impacts the well-being of others? Join Pine Haven Community as our Business Office Manager and become a crucial part of our dedicated healthcare community!As our Business Office Manager, you will play a vital role in supporting Pine Haven's mission by managing financial operations that directly impact the care of our residents. You will bring expertise in long-term care billing and commercial insurance and act as a trusted advisor to residents and their families on financial and insurance matters. Key Responsibilities

• Resident Account Management: Manage all resident financial accounts, trust funds, and guardian documents with accuracy and empathy.
• Billing & Collections: Process long-term care billing, ensuring compliance with Medicare, Medicaid, PPS, Managed Care, private, and commercial insurance guidelines.
• Commercial Insurance Knowledge: Utilize your expertise in commercial insurance to address billing and payment processes, ensuring timely and accurate reimbursements.
• Daily Financial Operations: Handle daily deposits, reconcile accounts, and manage resident trust funds, keeping all financial processes streamlined and transparent.
• Family Support: Work closely with residents and families, answering financial questions, and helping them understand insurance coverage and billing processes.
• Verify payment source of referral prior to admissions as back-up to Admissions. and secondary payers. Notify families of any financial obligations.
• Meets with the party responsible to explain and sign all financial admission paperwork.
• Establishes income source; private pay, social security, pension, VA benefits, private insurance to Corp A/R
• Upon admission and during stay follows procedure to inform the Medicare resident that part or all of the services received at this facility are not covered by Medicare; selects appropriate SNF Denial Letter; verification of receipt filed in resident folder; demand billing submitted to Medicare Medical Review by first of month.
• Enrolls resident in Medicare Part D Plan if resident has no prescription plan.

RequirementsRequired skills and qualifications

• Bachelor's degree or equivalent
• Two or more years of experience in office management
• Strong time-management and people skills, high degree of flexibility, and excellent multitasking ability
• Proficiency with office applications, and aptitude for learning new software and systems
• Ability to maintain confidentiality of company information
• Experience: At least one year of experience in long-term care billing, including Medicare, Medicaid, Managed Care, and commercial insurance.
• Attention to Detail: Ability to handle financial data with precision, ensuring accurate billing and compliance with regulatory standards.
• Long-term Care experience is a plus!

Preferred skills and qualifications

• Bachelor's degree or equivalent
• Experience in developing internal systems
• Advanced computer skills and experience with online platforms