POSITION SUMMARY
The Temporary Business Office Manager (BOM) is responsible for overseeing and coordinating the business office functions of the facility, with a primary focus on accurate and timely billing, accounts receivable, cash management, census and payer information, and financial recordkeeping.
The BOM ensures that all business office processes are completed in accordance with applicable federal, state, and local regulations, payer requirements, HIPAA standards, and facility policies and procedures. The BOM works closely with the Administrator, Regional Business Office team, clinical leadership, residents, families, responsible parties, government agencies, and other departments to maintain efficient business office operations and achieve facility financial goals.
The Temporary BOM must be highly organized, detail-oriented, dependable, and capable of managing competing priorities and critical deadlines in a fast-paced skilled nursing environment.
ESSENTIAL DUTIES AND RESPONSIBILITIESCensus, Payer & Resident Account Management
- Maintain accurate daily census information, including payer source, admission, discharge, transfer, and demographic information.
- Verify payer eligibility and coverage and ensure required documentation is obtained and maintained.
- Obtain and maintain required authorizations for services provided to residents.
- Monitor payer changes and ensure accounts are updated accurately and timely.
- Maintain accurate resident financial records and supporting documentation.
Billing & Accounts Receivable
- Complete timely and accurate billing for all applicable payers in accordance with the facility's monthly AR Calendar, including:
- Medicare
- Medi-Cal
- Medicare Advantage
- Managed Medi-Cal
- Workers' Compensation
- Commercial insurance
- Private pay residents and responsible parties
- Review billing reports for accuracy and resolve billing discrepancies promptly.
- Monitor outstanding accounts and conduct timely follow-up on unpaid claims and balances.
- Work to achieve facility goals related to Days Sales Outstanding (DSO), accounts receivable aging, collections, and bad debt.
- Follow up with insurance companies, government agencies, residents, responsible parties, and other third parties regarding outstanding balances.
- Assist with appeals, claim corrections, denials, and other billing issues as needed.
- Maintain appropriate documentation of collection efforts and account activity.
Cash Management & Deposits
- Prepare and process daily deposits accurately and timely.
- Post cash receipts and payments to resident and payer accounts.
- Reconcile deposits and payment postings and investigate discrepancies.
- Maintain accurate financial records in accordance with company policies and procedures.
Compliance & Confidentiality
- Maintain confidentiality of resident, employee, financial, and facility information.
- Protect Protected Health Information (PHI) in accordance with HIPAA and applicable privacy regulations.
- Maintain compliance with federal, state, and local requirements applicable to skilled nursing facilities and business office operations.
- Follow all company and facility policies and procedures.
- Maintain the confidentiality of user IDs, passwords, and other system credentials and never share access information with unauthorized individuals.
- Maintain organized and accurate records for audits, surveys, and regulatory reviews.
Communication & Departmental Collaboration
- Work cooperatively with the Administrator, Regional Business Office team, Nursing, MDS, Admissions, Social Services, Dietary, and other departments.
- Communicate effectively with residents and families regarding financial matters while maintaining professionalism and confidentiality.
- Work with government agencies, insurance representatives, vendors, and other external parties as necessary.
- Attend facility, department, and company meetings as required.
- Provide requested reports and financial information to facility and regional leadership.
- Assist with special projects and other business office duties as assigned.
QUALIFICATIONS & REQUIREMENTSEducation
- Bachelor's degree in Accounting, Business Administration, Finance, or a related field preferred.
- Equivalent combination of education, training, and relevant skilled nursing business office experience may be considered.
Experience
- Minimum of 1 year of experience in bookkeeping, accounting, billing, accounts receivable, or business office operations within a skilled nursing facility preferred.
- Experience with Medicare, Medi-Cal, Medicare Advantage, Managed Medi-Cal, Workers' Compensation, commercial insurance, and private-pay billing preferred.
- Knowledge of skilled nursing facility billing and accounts receivable processes strongly preferred.
Knowledge & Skills
- Knowledge of accounting, bookkeeping, billing, collections, and accounts receivable principles.
- Working knowledge of governmental and healthcare reimbursement processes.
- Knowledge of skilled nursing terminology, regulations, and business office requirements.
- Strong understanding of Medicare and Medi-Cal billing requirements preferred.
- Proficiency with accounting and billing software and Microsoft Excel.
- Strong data-entry and 10-key skills with a high degree of accuracy.
- Excellent organizational, analytical, and problem-solving skills.
- Strong verbal and written communication skills.
- Ability to manage multiple priorities and meet strict billing and financial deadlines.
- Ability to work independently and exercise sound judgment when appropriate.
- Ability to maintain professionalism and confidentiality when handling sensitive financial and resident information.
- Must be able to read, write, speak, and understand English.
TEMPORARY POSITION REQUIREMENTS
Because this is a temporary position, the Temporary BOM is expected to quickly become familiar with the facility's business office processes, payer mix, billing systems, AR status, and company policies.
The Temporary BOM must:
- Maintain continuity of business office operations during the temporary assignment.
- Ensure all billing and collection deadlines are met.
- Communicate outstanding issues and unresolved accounts to the Administrator and appropriate Regional Business Office leadership.
- Maintain accurate records and provide a complete transition of outstanding work at the conclusion of the assignment.
- Cooperate with any permanent replacement or designated business office representative to ensure a smooth transition.
WORKING CONDITIONS
- May work in an office environment with frequent interruptions and changing priorities.
- May interact regularly with residents, families, responsible parties, employees, vendors, insurance representatives, government agencies, and the public.
- Must be able to remain calm, professional, and courteous when dealing with stressful or sensitive situations.
- May be subject to call-back during emergency conditions, including severe weather, evacuation, or other facility emergencies.
- May be required to assist with emergency evacuation procedures.
- May be exposed to infectious diseases, materials, and conditions common to a healthcare environment, including exposure to TB, Hepatitis B, and other communicable diseases.
PHYSICAL REQUIREMENTS
- Must be able to move intermittently throughout the workday.
- Must be able to sit for prolonged periods while working at a computer.
- Must be able to stand, bend, reach, and move throughout the facility as necessary.
- Must be able to perform repetitive hand and finger movements associated with computer and office equipment.
- Must be able to lift and carry up to 25 pounds occasionally.
- Must have sufficient visual acuity to read financial statements, invoices, computer screens, and other business records, including fine print.
ACKNOWLEDGMENT
This job description is intended to describe the general nature and level of work performed by an employee assigned to this position. It is not intended to be an exhaustive list of all duties, responsibilities, qualifications, or working conditions associated with the position. Duties and responsibilities may be modified as necessary to meet the operational needs of the facility and organization.
Job Type: Full-time
Pay: $30.00 per hour
Benefits:
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Ability to Relocate:
- Riverside, CA 92505: Relocate before starting work (Required)
Work Location: In person
