What are the responsibilities and job description for the Business Office Manager with Skill Nursing Home/ LTC Experience position at ALIYA Healthcare Consulting?
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 (PCC à Reports à AR 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 1
of each month verify accuracy of Monthly Detailed Census in PCC and fax to Lab, Pharmacy, Xray Companies.
On the 1
of the month review RFMS reconciliation report; reconcile trust.
On the 1
of the month check in with facility attorney on the status of accounts and IVDs
On the 15
of each month re-run Medicare Verification for all Medicare residents on current caseload
On the 1
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 6
BCBS will notify the facility when open enrollment begins.
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