Business Services Supervisor-Long Term Care

Overview

Business Services Supervisor, Harvard Care Center

The Business Services Supervisor will perform and oversee the successful and timely completion of all business office functions, within the parameters established by state and federal regulation, and as necessary to achieve the financial and operational goals of the facility. The role supports an environment that promotes optimal efficiencies, staff retention and superior quality of business office employees.

• Serves as a subject matter expert with regards to all aspects of skilled nursing billing processes and the respective biller roles. Maintains an advanced knowledge of payor updates including Federal and State guidelines, department workflows and resources needed to resolve payor rejections, billing errors and troubleshoot identified denial trends to ensure clean claim rate.
• Knowledgeable with billing software Matrix Care and Epic, crossed trained in multiple billing sectors (Medicare, Medicaid and Commercial) to assist in the Epic biller work queues as needed.
• Knowledge of verifying payor sources
• Knowledge of state and federal nursing home guidelines
• Track facility census information and send census on a daily basis
• Complete census, payer builds and payer verification in Matrix Care
• Review resident accounts and aging reports on an ongoing basis
• Responsible for monthly Medicaid, Medicare, and other insurance billings along with timely follow-up with intermediaries on delinquent payments in coordination with outside billing company
• Monitor and manage the accounts receivable collection process
• Pursue past due accounts persistently and maintain proper back-up documentation
• Obtain and submit all required documentation to bill third party payers as per program/company guidelines
• Participate in the resident admission process by providing explanations of the facility's rates, billing cycle and payment terms, including collecting the first month's advance payment upon admission
• Perform all Month End duties to ensure revenue is booked and billed correctly and timely
• Maintain personnel and resident files in accordance with all applicable laws and regulations
• Develop and implement policies and procedures related to Skilled Nursing Facility patient access
• Implement procedures related to financial services policy and ensure proper workflows to meet revenue and reimbursement goals
• Maintain the skilled nursing facility billing program including charge master updates, fee schedule maintenance, user account maintenance, and census event registration maintenance
• Complete and process audit requests and follow up to ensure that payers receive information needed and that reimbursement is not affected
• Supervise business office staff. Conduct employee performance reviews with subsequent discussion of findings and recommendations. Hire, train, coach and discipline employees; resolve employee issues
• Provide a primary point of contact for customer inquiries and work with patients and other customers face to face or by phone, delivering excellent customer service
• Use problem solving skills to identify and correct problems before escalation. Collaborate with other departments to ensure positive interdepartmental interactions
• Assist with follow up on patient billing complaints
• Maintain professional and technical knowledge by attending educational workshops; review professional publications; establish personal networks and participate in professional societies

• Associate’s degree in accounting or business management; bachelor’s degree preferred, or at least 2 years of experience in Business Office Management with strong multitasking, communication, organizational, and interpersonal skills. Experience with Matrix Care software is preferred. Minimum two years’ experience in a healthcare environment including supervisory and/or training experience.
• Knowledge of reimbursement practices for commercial and government payers

The Special Physical Demands are considered Essential Job Functions of the position with or without reasonable accommodations. While performing the duties of this job, the employee is regularly required to sit; use hands to operate a keyboard repetitively, talk, and hear. The employee is occasionally required to stand; walk; reach with hands and arms and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.

Specific vision abilities required include close vision and the ability to adjust focus, particularly as it relates to computer screens. Manual dexterity is needed to operate computer and telephone systems. May have prolonged sitting, talking or hearing. Must be able to read, write and speak English.

Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving…