REVENUE CYCLE MANAGER

Description

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 • 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 • 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 PHYSICAL CAPACITIES: (With or Without the Aid of Mechanical Devices) ! Must be able to move intermittently throughout the workday. 3 ! Must be able to see and hear or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. ! Must meet the general health requirements set forth by the policies of this facility which includes an annual TB screening and physical examination. ! Must be able to stand and walk. ! Must be able to sit for extended periods of time. ! Must be able to lift and carry up to 25 pounds. ! Must be able to cope with the mental and emotional stress of the position.

Qualifications