Clinical Facilities Planning Manager jobs in Delaware

Pike Creek Nursing and Rehabilitation is seeking an experienced Business Office Manager to join our team!

• Knowledge of the state's Medicaid application processes and procedures required
• Strong knowledge of all Medicare and Medicaid products as well as third party insurances with knowledge of reimbursement system, allowable services and documentation required
• One to two years’ experience in business office setting is preferred in the long-term care.
• Point Click Care and RFMS experience a plus.
• Good interpersonal skills needed to effectively work with residents, families and outside agencies.
• Must be organized with attention to detail
• Must prioritize appropriately and meet deadlines
• High comfort level to meet with residents/families to discuss and explain financial obligations
• Completes and submits Medicaid applications accurately and timely
• Consistent tracking and follow through on all Medicaid Pending cases including constant communication with CAO and as well as involved families and residents until final approval is received
• Communicates to Administrator and Corporate Office updates on MA Pending cases, specifically those with identified barriers to approval, on a regular basis
• Maintains resident financial files; prepares documents for timely submission of MA re-determinations/renewals
• Maintains and reconciles resident trust accounts; distributes residents funds
• Maintains facility petty cash accounts; submits accurate reports to Corporate on timely basis
• Prepares and delivers bank deposits.
• Performs all aspects of private pay collections including, but not limited to,sending collection letters, making phone calls, review of unpaid accounts, and appropriate follow-up with all questions related to private pay billing statements.
• Performs and coordinates collection efforts with Nursing Home Administrator and Corporate Billing Office
• Maintains records required by licensing agencies
• Verification of Medicare and insurance benefits
• Maintains and submits accurate census information as required
• Records cash receipts in the proper company or resident account.
• Maintains systems for recording and processing accounts payable
• Accumulates records (PO’s, Invoices, etc.) from the department managers and accomplishes the month-end closing, reporting all necessary information for the Corporate Office.
• Maintains accurate records of payer sources, addresses, telephone numbers, etc.; explains bills to residents as necessary and maintains appropriate back-up records.
• Participates in Triple Check process for facility with Corporate Billing Department
• Maintains confidentiality of all information.
• Maintains effective communication with residents, families, facility staff and Corporate Billing/Accounts Receivable and Accounts Payable Departments
• Oversee receptionists and keep receptionist schedules weekday, holidays and weekend