Healthcare Business Manager

Cedar Crest is a 130-acre senior living campus located in Pompton Plains, NJ. Our team members enjoy the opportunity to work in a vibrant community situated in the rolling hills and scenic valleys of historic Morris County.
For professionals dedicated to helping seniors live life to the fullest, Cedar Crest provides a rewarding alternative to the typical retirement community career. Our team members help each resident achieve the most active and independent lifestyle possible. In fact, almost everything our residents need can be found on campus or nearby. There is an abundance of amenities available, as well as hundreds of clubs and activities, excellent on-site restaurants, a state-of-the-art medical center, an all-season pool, and a fitness center. For this reason, Cedar Crest continually offers career opportunities in three major categories: Healthcare, Dining and Community Support.
TheBusiness Office Manager has overall management of the daily, weekly, monthly and annual statistical, financial and billing data collection and reporting for Continuing Care and its residents. Will work in conjunction with Continuing Care staff and Erickson Living finance department representatives. Will have interaction with Continuing Care department heads, including indirectly to the administrator, employees, residents, resident representatives, and third party payers. Act as point person for all financial inquiries related to Continuing Care.
Accounts Receivable and Billing
Complete daily and monthly reconciliation of Continuing Care census including payer type, level of care and authorizations.
Partner with admissions (HCC or HCSD) to ensure proper insurance information and pre-authorizations are captured.
Participate in the daily stand up meeting with admissions (HCC or HCSD).
Participate in the triple check process with A/R and Compliance.
Acting as the billing and ancillary liaison between billing and Continuing Care departments.
Manage consolidate billing.
Assisting residents with insurance and billing related questions.
Transmit accurate census information to 3rdparty provider vendors for billing.
Preparation and verification of state specific forms and insurance information requests when applicable.
Monitor the Medicaid Pending applicants and maintain the Medicaid Pending tracking report.
Reconciling and maintaining Continuing Care resident funds in accordance with Federal and State regulations.
Coordinating and assisting residents in the Medicaid application process and Spend Down Processes.
Provide finance documentation to Long Term Care companies as needed.
The BOM will assist the Finance Director in developing the Continue Care budget and business planning for operations.
Financial reporting, review, and monthly-close of the Continuing Care Operations
Participate in weekly operations team meeting.
Ancillary review and reconciliation to assure proper mark-ups and charge capture by using General Ledger reports for the financial analysis.
Assist billing in daily/monthly collection process for Continuing Care Private Pay receivables.
Monthly review of care center aged accounts receivable ? participate in the monthly A/R review meeting.
Participate in monthly financial review with the NHA and FD.
Approve and code invoices.
Community liaison with AP and Vendors to ensure timely payment
Work with Corporate Finance team as needed.
Other duties as assigned by direct and indirect reports.
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Able to work independently or with little or no supervision
Prior Skilled Nursing Facility experience
Knowledge of Medicare, Medicaid and other Insurance products
Prior Customer Service experience
Proficiency in reviewing general ledger information and be able to analyze such financial data to provide useful information to the Continuing Care staff and Billing Department.
Proficiency in Microsoft Office products and Vision
Possess refined interpersonal and telephone communication skills
Ability to maintain and understand information generated in an automated billing system.
High school diploma or equivalent required.
Bachelors? degree preferred.
4-6 years business office manager experience in a Skilled Nursing Facility with multiple payers (MCR A, MCR B, Medicaid, Manage Care and other) and some general ledger/financial analysis experience.
Job: Business Office Manager CC
Organization: Administration
Title: Healthcare Business Manager
Location: New Jersey-Pompton Plains
Requisition ID: 18112719

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