Manager, Business Office-Skilled Nursing Center

General Statement of Job:
 

Responsible for management of Business Office, which includes but is not limited to: billing, credit and collections as well as implementation of third party payer contracts. Also, studies and evaluates patient financial services procedures to improve methods of ensuring efficient claims processing, prompt collections, reducing costs of associated operations, and expediting work flow.

Essential Functions:
 

• Manages the daily function of the billing and collections and insures accounts are processed.
• Manages Self Pay and Collections and serves as facilitator.
• Coordinate process development in payment posting, refund, customer services, collection and claims processing areas.
• Working knowledge of regulations governing SNF (Skilled Nursing Facility) billing.
• Provides annual audit documentation to both internal and external auditors.
• Responsible for ensuring that the Medicare Bad Debt logs are sent to District Finance Department to be included in the annual Cost Report.
• Responsible for the management, maintenance, and submission of the Annual Quality Assurance Indigent Census to the State.
• Responsible for the management, maintenance, and submission of the Monthly census reports to the State and Managed Medicaid plans.
• Review adjustments and write offs for appropriate documentation and reasonability to present to Healey Center Administrator and the V.P. of Field Operations for approval.
• MatrixCare Financial facilitator and trainer. Manages systems software in reference to all billing, payments, and credit and collection functions. Troubleshoot problems as well as instruct all staff as to the proper use of that software.
• Maintain a working knowledge with an accurate and timely system for billing and reimbursement for all third party payers. Develop internal control safeguards over accounts receivable records and collection of cash.
• Responsible for the administration and filing of probate caveats with the local Palm Beach County Court House concerning probate estates until outstanding accounts have been satisfied.
• Participates in revenue cycle, denial management work teams where appropriate.
• Responsible for Healey Center Month End Close and providing all information to Corporate Finance for logging and reporting.
• Manage and report daily Census.
• Keeps abreast of compliance regulations, standards and directives regarding governmental/regulatory agencies and/or third-party payers. Ensure communication and education of such to the Social Services department, Director of Clinical Services, Healey Administrations well as the Districts Finance Department.
• Implements financial policies and procedures as developed in conjunction with the District Finance Department. Establishes and maintains procedures which ensure that appropriate submission, billing and payment cycle of patient accounts can be maintained.
• Coordinates completion and review of daily and monthly accounts receivable reporting.
• Ensures accounts receivable indicators meet District performance levels
• Maintains regular contact with various third parties in order to resolve problems which could not be routinely handled by staff.
• Reviews and interprets prepared reports and analyses and regularly presents trends, movements and status to management.
• Compiles and reviews records to determine department productivity, quality of output and cost of service. Develop methods to continually improve results.
• Reviews department performance and institutes changes in techniques or procedures to improve services, safety, simplify work flow and promotes more efficient operation of the Business Office.
• Emergency duty may be required of the incumbent that includes working in Red Cross shelters or to perform other emergency duties including, but not limited to, responses to threats or disasters, man-made or natural.

Additional Duties:
 

This job description reflects the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a complete description of all the work requirements and expectations that may be inherent in the position. The omission of specific statements of duties does not exclude them from the position. Management of the Health Care District of Palm Beach County reserves the right to assign duties not listed herein as necessary to accomplish the goals of the organization.

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