Business Office Manager - PHCM Job at Pioneer Health Care Management Inc

Pioneer Health Care Management Inc Bingham Farms, MI 48025

Position Summary:
Responsible for supporting business processes at the facility level including but not limited to: intake of new residents, facility support for revenue cycle activities, and maintenance of the resident trust accounts.

Core Responsibilities:

  • Manages facility office supplies/orders/petty cash and spend downs.

  • Custodial Authorization Initiation/Continuation

  • Communicates with MDHHS and resident/resident family regarding programs applicable to them.
  • Initiates the patient/resident medical record.
  • Reviews admission contract and required notices with residents, answers questions and obtains signatures within required timeframes.
  • Submission of Medicaid applications/Re-determination as well as collection of supporting documents.
  • Verifies continuing insurance coverage and financial responsibility each month for all current residents.
  • Notifies the billing office of all discharges and provides facesheet and documentation required to support billing.
  • Receives PPA statements for current residents from the billing office and collects payment by the statement due date.
  • Reports PPAs collected to the billing office and deposits PPAs as directed.
  • Interacts with home office billing team and payers to define billing requirements and ensures prompt payment of claims.
  • Interacts with home office billing team and payers to define billing requirements and ensure prompt payment of claims.
  • Initiation of Medicaid disenrollment for LTC.
  • Maintains the resident trust accounts and documentation in accordance with regulatory requirements.
  • Verifies AP invoices and transmits to the corporate AP office in a timely manner.
  • Other duties as requested and assigned.

Minimum Qualifications:
  • High school diploma or GED required. Associates or Bachelor’s Degree in Business or related field preferred.
  • 1 year experience in a long term care setting in resident trust management, admissions, utilization review and/or accounts receivable strongly preferred.




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