Business Office Manager - Insurance Billing

Employment Type

: Full-Time


: Miscellaneous

GENERAL SUMMARY: The Business Office Manager (BOM) is responsible for resident billing and collections which includes assisted living and skilled nursing at Glenbrook.. The position is responsible for billing, accounts receivable, collections and managing the charge processes of ancillary services and supplies used by the residents and other accounting/financial functions for SNF, AL & MC. Facilitates triple check process monthly and provides leadership as it relates to regulatory matters. PRINCIPLE DUTIES: * Current knowledge of local, state and federal guidelines and regulations * The BOM organizes and maintains daily, weekly, monthly, quarterly and annual routines as required. Maintains AL, MC and SNF resident business files. * Responsible for all phases of the monthly SNF, AL and MC billings, including balancing census and payers daily. * Collects ancillary charge data from a variety of sources, reviews for accuracy, and enters into the billing software. * Receives cash receipts, prepares deposits, and posts payments to residents accounts. * Ensures that private monthly statements, Medicare, HMO, and other insurance claims are generated and sent out timely. * Provides leadership and coordination among the interdisciplinary team members, including facilitation of monthly Triple Check Committee and HMO processes * Submits all Medicare Part A, B and HMO and other insurance billings. Ensures accuracy and reasonableness. * Run eligibility verifications for Therapy & Inpatient stays for patients. * Oversees all aging accounts. Monitors Accounts Receivable Aging reports weekly and follows up on all past due accounts timely. Follows company policy for any past due accounts, including phone calls to residents, insurance companies, and written correspondence. Maintains records of billings and all follow-up. * Investigates and rebills all claims not paid * Responds timely to resident and/or resident representative inquiries, demonstrates strong communication and customer service skills. * Attends daily stand up and weekly Medicare meetings and maintains good communication with all departments. * Manages and ensures timely responses to governmental or insurance company requests for additional data and records request related to claims and audits. * Participates in the preparation of the annual Cost Report. * Attends in-service training and education sessions, as assigned. * Forms specific work duties and responsibilities as delegated by the Director of Accounting such as support in preparation of monthly financial statements, year-end * Be available and actively engage in support of community needs in times of emergency situations and perform duties as assigned. * Familiarity with Microsoft Office software * Other duties, responsibilities and activities may change or assigned at any time with or without notice. QUALIFICATIONS: * Bachelors degree in Business or Accounting related field and or experience in business office operations in long term care or healthcare related field, skilled nursing facility preferred. About GlenBrook Health Center: The five-star rated GlenBrook Health Center is located adjacent to the campus of La Costa Glen in Carlsbad, and offers 94 Skilled Nursing beds and 70 Assisted Living rooms with professional staffing 24 hours a day. Set in a beautiful location, surrounded by natural hills and lush landscaping, our skilled nursing creates a nurturing and caring environment. GlenBrook has achieved Medicares 5 star facility rating since its inception and annually receives outstanding state survey results across the board. Our skilled nursing has an outstanding nursing team, enjoying high staffing ratios resulting in very low nursing team turnover. Our assisted living offers personalized assisted living and secured dementia care. The community also provides full-service physical, occupational and speech therapy and rehabilitation departments, as well as other key services. The community is bordered by vistas and gardens, a serene and positive setting in which to heal, rejuvenate, and experience quality of life. The use of vibrant color, cascading waterfalls, and fruit trees provide inviting areas in which residents and families may enjoy outdoor special moments of peace and tranquility. We appreciate your interest in our employment opportunities at our Community. We are committed to hiring high quality, professional and caring individuals. We value and recognize the importance of supporting, training, and retaining our employees to better serve our residents. We look for employees with a passion for customer service. Prior to beginning work at our community, applicants must complete and pass a drug screening, physical exam with tuberculosis (TB) skin test, be Covid-Vaccinated and successfully complete criminal clearance through FBI and Department of Justice (over 18 only). The background search includes minor misdemeanors and DUIs. The Community offers an excellent benefits package including medical, dental, vision, life insurance, flexible spending accounts, and a Safe Harbor 401(k) with match. Apply online at #INDSJ . #ZR

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