Salary:
$72,566.00 per year
How to Apply:
Applications are submitted online until the position is filled and/or the posting is closed. After reviewing this job announcement, please click on the link at the bottom of the page to apply online. A resume is required with the application. Further instructions on submission of documents are available in the online application. A resume may not be substituted for an application.
Minimum Requirements:
- A Bachelor’s degree in Business Administration, Finance, Accounting, or related discipline.
- Two (2) years of office management experience (e.g., financials, accounting, billing, reconciliation, claims processing, etc.) in Long-Term Care (LTC)/Skilled Nursing Facility (SNF).
- At least one (1) year of experience supervising professional and/or administrative staff.
- An equivalent combination of education and experience may be substituted.
Position Summary:
Under the indirect supervision of the Regional Business Office Manager, the incumbent supervises and directs the business office staff at each Kane Community Living Center and assures that all required resident information is obtained in order to expedite reimbursement for charges and expenses. Work is performed in accordance with Federal, state and local standards, guidelines, and regulations that govern Long Term Care (LTC) and Skilled Nursing Facilities (SNF).
Overview:
Duties:
- Manages the work of subordinate supervisors and staff (e.g., assigns work and resources, monitors output, conducts performance appraisals, etc.)
- Assures that all required resident data and information is gathered and input into business operations systems in to expedite the reimbursement of expenses and charges from Medicare, Medicaid, and third-party insurers.
- Monitors the preparation of all receipts for resident income sources and reviews quarterly statements.
- Oversees, monitors, and quality checks the preparation of MA applications and the appeal/resubmission of rejected claims, the final preparations of daily and monthly census
- Prepares or gathers fiscal reports for the Regional Business Office Manager.
- Reviews accounts receivable to determine problem or aged accounts and takes remedial action to recover funds; oversees the review and reconciliation of all batch control logs, edits, and equivalencies.
- Ensures that residents receive funds as requested and in accordance with state and Federal requirements, reconciles all resident fund accounts properly and in a timely manner, and maintains and controls resident fund petty cash, Kane Foundation petty cash, and other cash funds.
- Handles the receipt, processing, and distribution of mail; maintains meal ticket system and related cash receipts.
- May review and approve vendor invoices for payment.
- Intermittently interviews residents and family members to obtain needed information, explains billing processes and procedures, and provides information on policies, regulations, and accounts maintained.
- Performs related duties and tasks as required and directed by the Regional Business Office Manager.
Knowledge, Skills, and Abilities
Knowledge of:
- Laws, regulations, and guidelines pertaining to finance and accounting.
- Office, accounting, bookkeeping, and medical practices and procedures.
- Medicare and Medicaid billing regulations, HIPAA regulations, and PA Medicaid eligibility requirements.
- Principles and practices of billing, claims and denials, and accounts receivable management.
- The complex requirements of managing care level changes and benefits exhaustion.
- Revenue leakage mitigation strategies.
Skill in:
- Microsoft Office Suite.
- Electronic Medical Records (EMR) and Electronic Health Records (EHR).
Ability to:
- Effectively manage subordinate staff.
- Establish and maintain effective working relationships with subordinates, internal, and external stakeholders, residents and patients.
- Analyze and creatively solve problems using critical thinking and logical reasoning ability.
- Plan, organize, develop, implement, and interpret facility programs, goals, objectives, policy and procedures.
- Organize and monitor multiple priorities, handle a heavy workload, meet deadlines and production standards, and adjust to change.
- Recognize and understand the special needs of facility residents and patients.
- Achieve quality results and satisfy metrics requirements with demonstrated precision and attention to detail.
- Function effectively in a highly regulated, dynamic, fast-paced environment.
- Maintain professionalism by demonstrating ethics and integrity, especially with sensitive and confidential information.
- Communicate effectively, both orally and in writing.
Residency:
Allegheny County within 1 year.
Veterans' Preference:
Will be awarded to eligible candidates.
AN EQUAL OPPORTUNITY EMPLOYER - M/F/V/D