What are the responsibilities and job description for the REVENUE CYCLE MANAGER position at Harvest Crossing Post Acute?
POSITION:
Under the direction of the Administrator, the Business Office Manager (BOM) is delegated the administrative authority,
responsibility and accountability necessary to carry out assigned duties. The primary result of this position is accurately billing
and timely collecting of all funds while meeting facility goals, while maintaining highest ethical standards.
REPORTING:
This position is responsible to the Administrator.
FLSA STATUS: Non-Exempt
QUALIFICATIONS/REQUIREMENTS:
Education: High School graduate or equivalent
Work Experience: Background in billing in a Skilled Nursing Facility (SNF), knowledge of Medicare/Medicaid, HMO
billing processes. Accurate keyboarding, calculating and computer ability is necessary.
Language Skills:
Must be able to read, analyze, and interpret common scientific and technical information, and to be easily
understood through verbal communication in the English language.
Mathematical Skills:
Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers, common
fractions, and decimals.
Ability to perform these operations using units of weight measurement, and volume.
Communication Skills:
Must have exceptional communication and customer service skills, and be empathetic.
Ability to effectively communicate with patients, families, responsible parties, staff and outside resources and
agencies.
ESSENTIAL JOB FUNCTIONS:
Submit claims accurately and timely, according to each payor type for which responsible
Confirm that each billing has been received. Confirmation method varies with payor type, but may include
confirming on-line or calling.
Grow and develop the Business Office Assistant (BOA).
Maintain daily census, make bank deposits, determine and verify patient status period, patient file maintenance
and statements
Ensure verification of patient payment status, Medicaid certs, CWF
Ensure computer TAR file, monthly reauthorization TARs to facility; maintain unbilled list; record receipt of
Medicaid certs. Monitor for receipt of timely approvals
Process Notice of Action DHS 6114 and bill
2
Ensure submission Medicaid claims to appropriate office, handle claims inquiries
Part A and B co-insurance listing and billing.
Process all ancillary invoices including verification of timely payments
Run and review monthly analysis reports, as required
Keys information into computer systems, including accounting system
Audit therapy logs and invoice
Attend management meetings
Billing of other charges central supply, personal items and hair care
Process refunds promptly
Monitor and/or complete Medicaid application process for initial and manual redeterminations
Process all pay types of billing
Oversee collections on all accounts receivable
Handle completion of required procedures for end of month closing
Handle accounting functions of the resident trust account
JOB FUNCTIONS:
Demonstrate knowledge of, and respect for, the rights, dignity and individuality of each resident in all interactions
Appreciates the importance of maintaining confidentiality of resident and facility information
Demonstrate honesty and integrity at all times in billing and in care and use of resident and facility property
Strict adherence to the Corporate Compliance Program and Standard of Conduct
Must be able to key information into computer systems
Able to understand and to follow written and/or verbal directions. Able to express self adequately in oral and/or
written communication. Able to communicate effectively with staff members, vendors and agencies.
Demonstrates ability to prioritize tasks/responsibilities and complete duties/projects within allotted time
Ability to follow through and complete tasks with minimum supervision
Encourage teamwork through cooperative interactions with co-workers and departments. Support a positive and
professional image through actions and attire
Able to respond to change productively and to handle additional tasks/projects as assigned
Able to carryout the essential functions of this job (with or without reasonable accommodation) without posing
specific, current risk of substantial harm to health and safety of self and others
Other duties as assigned
Under the direction of the Administrator, the Business Office Manager (BOM) is delegated the administrative authority,
responsibility and accountability necessary to carry out assigned duties. The primary result of this position is accurately billing
and timely collecting of all funds while meeting facility goals, while maintaining highest ethical standards.
REPORTING:
This position is responsible to the Administrator.
FLSA STATUS: Non-Exempt
QUALIFICATIONS/REQUIREMENTS:
Education: High School graduate or equivalent
Work Experience: Background in billing in a Skilled Nursing Facility (SNF), knowledge of Medicare/Medicaid, HMO
billing processes. Accurate keyboarding, calculating and computer ability is necessary.
Language Skills:
Must be able to read, analyze, and interpret common scientific and technical information, and to be easily
understood through verbal communication in the English language.
Mathematical Skills:
Must be able to add, subtract, multiply, and divide in all units of measure, using whole numbers, common
fractions, and decimals.
Ability to perform these operations using units of weight measurement, and volume.
Communication Skills:
Must have exceptional communication and customer service skills, and be empathetic.
Ability to effectively communicate with patients, families, responsible parties, staff and outside resources and
agencies.
ESSENTIAL JOB FUNCTIONS:
Submit claims accurately and timely, according to each payor type for which responsible
Confirm that each billing has been received. Confirmation method varies with payor type, but may include
confirming on-line or calling.
Grow and develop the Business Office Assistant (BOA).
Maintain daily census, make bank deposits, determine and verify patient status period, patient file maintenance
and statements
Ensure verification of patient payment status, Medicaid certs, CWF
Ensure computer TAR file, monthly reauthorization TARs to facility; maintain unbilled list; record receipt of
Medicaid certs. Monitor for receipt of timely approvals
Process Notice of Action DHS 6114 and bill
2
Ensure submission Medicaid claims to appropriate office, handle claims inquiries
Part A and B co-insurance listing and billing.
Process all ancillary invoices including verification of timely payments
Run and review monthly analysis reports, as required
Keys information into computer systems, including accounting system
Audit therapy logs and invoice
Attend management meetings
Billing of other charges central supply, personal items and hair care
Process refunds promptly
Monitor and/or complete Medicaid application process for initial and manual redeterminations
Process all pay types of billing
Oversee collections on all accounts receivable
Handle completion of required procedures for end of month closing
Handle accounting functions of the resident trust account
JOB FUNCTIONS:
Demonstrate knowledge of, and respect for, the rights, dignity and individuality of each resident in all interactions
Appreciates the importance of maintaining confidentiality of resident and facility information
Demonstrate honesty and integrity at all times in billing and in care and use of resident and facility property
Strict adherence to the Corporate Compliance Program and Standard of Conduct
Must be able to key information into computer systems
Able to understand and to follow written and/or verbal directions. Able to express self adequately in oral and/or
written communication. Able to communicate effectively with staff members, vendors and agencies.
Demonstrates ability to prioritize tasks/responsibilities and complete duties/projects within allotted time
Ability to follow through and complete tasks with minimum supervision
Encourage teamwork through cooperative interactions with co-workers and departments. Support a positive and
professional image through actions and attire
Able to respond to change productively and to handle additional tasks/projects as assigned
Able to carryout the essential functions of this job (with or without reasonable accommodation) without posing
specific, current risk of substantial harm to health and safety of self and others
Other duties as assigned