Regional Business Office Manager

Come join our AMAZING corporate support Team!

ALIYA Healthcare is a skilled nursing facility company located in the Chicago area.

Our goal is to raise the bar on quality care and provide a positive customer service environment.

Regional Business Office Manager Benefits:

• BONUS Opportunity Available

• Next Day Pay Available

• Flexible Scheduling

• Tuition Reimbursement

• Medical/Dental/Vision Coverage

• 401K

• And Many More..

Job Summary

Responsible as the Regional Business Office Manager to direct all Business Office activities within the facilities closely working with the BOM Team, human resources, and admissions.

Business Office Responsibilities

• Ensure that Public Aid applications are completed within 7 days of admission by coordinating with Admissions Department and family.
• Utilize Medicaid Pending Checklist (attached.)
• Maintain financial files on all residents and ensure all documentation is completed as necessary.
• Enroll Medicaid and Medicaid Pending residents in direct deposit for all income types through RFMS upon admission.
• Log into RFMS daily to run Direct Deposit Status report, verify resident statuses are accurate.
• Apply representative payee for social security and/or change of address.
• Verify responsible party in PCC has a complete address and phone number for statements and collection calls upon admission.
• Assign residents into a billing category: Mail statements or Do Not Mail statements upon admission.
• Utilize Resident Financial folder checklist (attached.)
• Act as a liaison between Corporate Office and family members for all billing related questions.
• Update Corporate Office on all Public Aid changes including admissions, discharges, payer changes, and income changes.
• Upload all changes and supporting documentation to PCC resident profile Misc Tab under Financial/Business Office category.
• Notify corporate office of any new documentation added by emailing resident PCC# (not resident name) and the type of document uploaded to the corporate bookkeeper, cc Anzhelika Shatrov and administrator of your facility.
• Notify corporate bookkeeper, facility administrator, Medicare specialist, Anzhelika Shatrov and Rehab Care of any Medicare denials.
• Follow Medicare Denial ADR process (attached.)
• Rerun Medicare (ZirMed) and Medicaid (MEDI) Eligibilities monthly for all dual eligible residents (those that have both Medicaid and Medicare numbers)
• Apply for BCBS secondary insurance for all long term care residents with sufficient income and no secondary insurance policy upon admission.
• Make weekly collection calls to families for private pay, resident liabilities and any other outstanding accounts.
• Utilize AR aging report in PCC (PCCàReportsàAR Aging (New))
• Make notes in the resident file under Collections Tab to track progress.
• Discuss progress of collection call on a weekly call with Anzhelika Shatrov.
• Notify facility administrator of any issues or IVDs that need to be issued
• Make monthly collection calls to insurance companies, as guided by the corporate office.
• Complete Medicaid Redetermination forms with all required supporting documentation immediately upon receipt.
• Complete Social Security Representative Payee report immediately upon receipt.
• Attend Medicare Meetings to verify days remaining, secondary insurances, long term resident plans, etc.
• On the 1st of each month verify accuracy of Monthly Detailed Census in PCC and fax to Lab, Pharmacy, Xray Companies.
• On the 1st of the month review RFMS reconciliation report; reconcile trust.
• On the 1st of the month check in with facility attorney on the status of accounts and IVDs
• On the 15th of each month re-run Medicare Verification for all Medicare residents on current caseload
• On the 1st of each month review Rehab Care therapy bill and verify services billed match services provided by Rehab Care
• Once a year, submit income changes to corporate office for all Social Security income changes (typically notifications arrive between December and February)
• Once a year apply for BCBS secondary policies for all residents ages 65 and under residents. Applications must be submitted by December 6th. BCBS will notify the facility when open enrollment begins.