SL- Business Office Manager
- Determines residents’ level of care and payment source and communicates such to Central Billing Office (CBO), family/sponsors, and appropriate management staff.
- Gathers information and submits application to Medicaid for eligibility determination.
- Processes admissions/discharges on all Medicaid residents into the LTC (State System), completes required forms upon admission/readmission and maintains Medicaid resource amounts.
- Collects, record and document information regarding all activity occurring on an account including posting/processing of ancillary charges, resident charges, and late charges in resident accounting system.
- Reconciles daily resident census, update electronic billing systems and forwards information to required parties.
- Maintains all resident files to ensure that required documentation is filed properly. Purges paid out resident files consistent with retention guidelines.
- Collects payments, or if necessary, makes financial arrangements at time of admission on amount due according to established policy. Forwards all information on deposits to CBO for proper posting.
- Consults with admissions representative in the admission of residents regarding financial arrangements including insurance verification and certification.
- Determines if an account is potentially uncollectible and forwards information to CBO.
- Submits paperwork to Social Security on residents for which resident representatives fail to pay resource amount to ensure payment is received on account monthly.
- Submits requested information for monthly Medicaid audit.
- Coordinates efforts with residents/resident representatives in enrollment in a drug plan as needed. Communicates with pharmacy to ensure correct billing on drugs.
- Manages resident trust fund.
- Supervises and manages front desk personnel and reception functions as assigned.
- Performs other duties and responsibilities as directed, including any special projects.
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