Job Description

Business Office Manager

Status: Full-Time

Schedule: Days, Monday - Friday.

Wage: $32- $42/hour DOE

Please do not apply if you do not have billing experience in a skilled nursing facility.

Employee Perks:

• Tuition assistance
• Mentorship opportunities & Career development
• Employee assistance program featuring counseling services, financial coaching, free legal services and more
• Generous employee referral program
• Paid time off/sick leave (rolls over annually)
• 401K retirement plan with employer match
• Comprehensive benefits package with medical coverage, voluntary dental, vision, and life insurance, short-term disability, and AD&D coverage
• Access up to 50% of your net earned income before payday

The primary purpose of your job position is to assist in the day-to-day accounting functions of the facility in accordance with current acceptable accounting practices, accounts receivable and cost reimbursement principles relating to nursing or assisted living facility operations, and as may be directed by the Administrator, Executive Director, or Area Finance Manager.

Essential Duties and Job Responsibilities

• Accounts Receivable
  • Manage the business office systems in accordance with Avamere policies and procedures including completion of daily, weekly and monthly tasks and non-negotiables.
  • Perform routine billing process by ensuring billing is set up, billed and collected timely and accurately.
  • Ensure payer tree accuracy for all new admissions and payer changes as well as insurance verification upon admission and year end.
  • Identify, research and correct billing discrepancies timely and communicate with the administrator and regional support to problem solve and collect on difficult accounts.
  • Applies knowledge of skilled nursing insurance billing including but not limited to Medicare, Medicaid, private insurance, HMOs and co-insurances.
  • Stays current with facility contracts along with industry changes, covered charges and billing practices.
  • Communicates with residents and/or responsible parties regarding bills and financial obligations per collection policy.
  • Participated in monthly A/R review and completes necessary reports as required.
  • Complete month end close within designated timeframe by utilizing the month end daily task form and month end check list. Expectation for month end process include bad debt logs, refund tracking log, adjustment log, triple check, etc.
• Maintains accurate and up to date records of business office functions including accounts receivable (A/R), accounts payable (A/P), admissions and census numbers, resident insurance information and financial files, bank deposits, petty cash and resident trust accounts.
• Engage as part of the management team by actively contributing in problem solving, decision making, center and company-wide initiatives and attending management team meetings such as stand up, triple check, utilization review (UR) quality assurance performance improvement (QAPI), and other meetings as required.
• Provides prompt, professional and courteous customer service to residents, family members, vendors, and outside representatives.
• Review resident trust accounts, follow Avamere policy and procedures as well as state regulations, and month end reconciliation.
• Assist in implementing the day-to-day functions of the accounting department.
  • Prepare monthly accrual logs of open invoices and reclasses as directed. Assist in preparing expense reports, petty cash reconciliation, etc.
• Accounts payable (if required by facility)
  • Process and verify payment of invoices on a timely basis including verifying purchase orders and invoices match.
  • Verify invoices received for quantity, unit price, extensions and discounts.
  • Forward invoices to appropriate department personnel for approval for payment.
  • Code invoices with appropriate chart of account number to assure that expenses are distributed to the correct expense account.
  • Communicate with supplier/vendors concerning errors or questions on invoices.
• Perform functions of computer/data processor efficiently and adequately.
  • Maintain and secure usernames and passwords.
  • Stay up to date on all programs and software that are utilized by Avamere.
• Ensure that resident admission contracts are signed and appropriately filed per BOM admission checklist.
• Payroll (if required by facility)
  • Assist in preparing payroll, time sheets, etc., as directed.
  • Maintain payroll to include maintenance of employee records, processing timecards, paychecks, computation of federal and state payroll taxes, miscellaneous deductions, etc., as directed.
• Report known or suspected incidents of fraud, waste and or abuse to the Administrator.
• Participation in all compliance training programs.
• Attend and participate in facility mandatory in-service training programs as scheduled (e.g., OSHA, TB, HIPAA, Abuse Prevention, etc.).
• Follow established safety regulations, to include fire protection/prevention, smoking regulations, infection control, etc.
• Assist in preparing budget and financial information as directed.
• Ensure that the resident’s rights to fair and equitable treatment, self-determination, individuality, privacy, property and civil rights, including the right to wage complaints, are well established and maintained at all times.

Requirements and Qualifications

• 2 years medical billing experience in a SNF required, including Medicare, Medicaid, HMOs.
• Must have, as a minimum, three (3) years experience in bookkeeping or accounting practices. Experience in SNF accounting preferred but not required.
• Must possess, as a minimum, a high-school diploma or its equivalent.
• Proficient in Microsoft word, excel, email, teams.
• Must be knowledgeable of computers, data entry/retrieval, output, etc.
• Must be able to read, write, speak, and understand the English language.
• Must possess the ability to make independent decisions when circumstances warrant such action.
• Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
• Must be able to type 45 words per minute and use a 10-key calculator.
• Must possess the ability to work independently and harmoniously with other personnel.
• Must be able to complete tasks and meet deadlines with the potential for multiple interruptions throughout the workday.
• Must possess the ability to plan, organize, develop, implement, and interpret the programs, goals, objectives, policies, and procedures, etc., that are necessary for providing sound accounting techniques.
• Must be able to understand and carry out written and oral instructions.
• Must possess the ability to seek out new methods and principles and be willing to incorporate them into existing accounting practices.
• Must possess the ability to examine and verify financial documents and reports.
• Must be able to prepare financial and other records in a systematic, neat, and legible manner.
• Must not pose a direct threat to the health or safety of other individuals in the workplace.

Avamere Living is an Equal Opportunity Employer and participates in E-Verify