Business Office Director for Skilled Nursing Center at Pinewood Nursing Care – Sumter, South Carolina

Pinewood Nursing Care is hiring a skilled Business Office Director. We offer PTO earned from day one.

Full benefits and On Demand Pay. MUST have Skilled Nursing Facility experience and Medicare/Medicaid Billing experience.

Fluent in Microsoft products and Point Click Care a plus. This is a Monday - Friday position with some weekends required as needed. Salary will be based on experience. Pinewood Nursing Care offers PTO earned from day one.

Full benefits and On Demand Pay

ROLES AND RESPONSIBILITIES:

• Completes daily census worksheet and tracks census for accuracy. Reconcile census worksheet and accounts receivable system census reports. Reconcile to 24-hour nursing report. Adjust accounts receivable and statistical reports as necessary to maintain accurate census records.
• Reconcile monthly census worksheet with accounts receivable monthly census reports and send to the Support Office.
• Obtains face sheet and Admission Packet from admissions and verifies accuracy and completeness Inputs patient master information into the accounts receivable system and updates as necessary for accurate census reporting.
• Verify benefits on all new admissions and monthly thereafter.
• Meet every new Admission Responsible Party and complete the BOM form for each admission and secure accurate financial information.
• Collect all payments due upon Admission and by the 15th of every month thereafter.
• Gathers resident monthly ancillary charges, inputs ancillary charges and adjustments into the computer system. Review monthly ancillary charge list for accurate AR Type allocation.
• Prepares billing forms, reports and/or attachments for third party payer sources.
• Generates and reviews private pay invoices and distributes to responsible party.
• Assures that bills are paid in a timely and accurate manner.
• Notify Administrator of any Involuntary 30-Day Discharge letters needed and coordinate with Senior Director of Revenue Cycle.
• Weekly AR Reviews with Administrator and email to Senior Director of Revenue Cycle as part of Weekly Reports.
• Participate in Monthly AR Reviews with Senior Director of Revenue Cycle.
• Reviews aged receivable reports; research past due accounts; maintains individual collection records on past due patients in an AR Collections Binder
• Deposit cash receipts via check scanner and post payments in the accounts receivable system and ensure timely deposits.
• Reviews credit balances and request patient refunds. Prepares patient refund records request and send them to the Support Office with following the procedure and process on a weekly basis.
• Answers telephone inquiries and routine correspondence concerning amount of patient account balances.
• Participate in monthly Medicare & Insurance Triple Check, prepares and reviews monthly
• Medicare Part A, Medicare Part B, Insurance Part A and HMO Part B claims and notify the Support Office when ready for submission to for billing.
• Work with each family member/resident to ensure timely and accurate initial certification and recertification for Medicaid benefits.
• Submit Status Request on Medicaid Pending applications and work closely with HHSC to ensure completion of Medicaid Applications, including FSSA and portal checks.
• Weekly Medicaid Pending Reviews with Administrator and email Medicaid Pending Logs to Senior Director of Revenue Cycle as part of Weekly Report.
• Immediately communicate correspondences from fiscal intermediaries and other to the Support Office.
• Submit Medicare Bad Debt and General Bad Debt write offs to Senior Director of Revenue for additional approvals.
• Monitor bad debt level and avoid a significant increase
• Work with Cash Applications Team and have cash reconciled daily and by the 3rd Business Day of every month for Month End Close.
• Review Month End Close reports and work with Senior Director of Revenue Cycle to ensure accurate financials for Operations Team.
• Management of Resident Trust Fund, ensuring Healthcare Management Partners policy and procedures related to Trust Fund management are being followed and upheld.
• All SNF collections
• Medicaid Pending AR balances not to exceed over 120 days old.
• Resident Trust Fund reconciliations are to be completed by the 5th of each month, and Resident Trust Fund audits result with zero deficiencies.
• As this job description is not intended to be all-inclusive, the employee will be expected to perform other duties as assigned.
• Ensure monthly statements are out by the 20th of each month.
• Knowledgeable of patient/resident rights and promotes an atmosphere which allows for the privacy, dignity, and well-being of all residents in a safe, secure environment.
• PDPM meetings and care plans

REQUIREMENTS:

• Associate’s degree in accounting or related field or two years of experience.
• Previous experience in long-term care business office operations preferred.
• Ability to speak clearly and hear well enough to communicate with others.
• Ability to understand, remember and carry out oral and written instructions in English
• Must be capable of performing the Essential Job Functions of this job with or without reasonable accommodation.

Benefits:

• 401(k)
• Dental insurance
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance