Regional BOM

The primary purpose of your position is to oversee and manage the billing and collection of resident accounts, and to direct the business personnel office and human resources department in completing general administrative tasks, in accordance with current applicable federal, state, and local standards, guidelines and regulations, and as directed by the Corporate Operations Team or Regional Director of Operations, to assure that proper administrative procedures are maintained at all times.

Essential Duties and Responsibilities

• Administrative Functions
  • Respond timely to request and/or audits from Corporate Operations Team or Regional Director of Operations.
  • Participate in and/or lead the monthly aging review and collection calls.
  • Knowledge of Point Click Care and ability to comprehend reports.
  • Oversee daily census spreadsheet and updating dashboard by 10:30 am daily.
  • Knowledge of Medicaid and eligibility guidelines and how to process a Medicaid application from start to finish.
  • Proficient in insurances and insurance coverage for Long Term Care Services.
  • Knowledge of UB04.
  • Participate in Monthly Triple Check and weekly Utilization Review meetings.
  • Organized and time management skills with prioritizing.
  • Work with billers and facility to solve any issues to get claims paid.
  • Knowledge on authorization for skilled services process.
  • Make written and oral reports and recommendations to the Corporate Operations Team or Regional Director of Operations concerning personnel needs, problem areas, etc., as deemed necessary or appropriate.
  • Perform administrative requirements such as completing necessary forms, reports, etc., and submitting to the Corporate Operations Team or Regional Director of Operations, as required.
• Personnel Functions
  • Assist in the recruitment, selection, and training of competent personnel in Business Office positions.
  • Hire personnel in accordance with established hiring practices.
  • Counsel and discipline personnel, as requested or as necessary.
  • Terminate employment of personnel when necessary, documenting, and coordinating such actions with the Administrator and Regional Director of Operations.
  • Conduct exit interviews.
  • Maintain a good employee relations program that serves the best interest of the Facility and community alike.
• Staff Development
  • Attend and participate in workshops, seminars, etc., to keep abreast of current changes in the long-term care field, as well as to maintain a professional status.
  • Attend and participate in Facility mandatory in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, etc.).
• Budget and Planning Functions
  • Assist in the establishment and maintenance of an adequate accounting system that reflects the operating cost of the Facility.
  • Review and interpret monthly financial statements and provide such information to the Corporate Operations Team or Regional Director of Operations.
  • Ensure that adequate financial records and cost reports are submitted to authorized government agencies as required by current regulations.

• Must possess, as a minimum, a high school diploma, an advanced degree is preferred.
• Must have knowledge of insurance procedures, contracts, etc., and covering business transactions. Must have knowledge of office machines and equipment.
• Must be understand the English language.
• Must possess the ability to make independent decisions when circumstances warrant such action in a timely fashion.
• Must be knowledgeable of supply practices, procedures, and guidelines.
• Must possess the ability to minimize waste of supplies, misuse of equipment, etc.
• Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing practices.
• Must be able to follow written and oral instructions.

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