Business Supervisor

The Business Supervisor is responsible for supervising the accounting and billing functions and staff for the Rock Haven Nursing Home, performing key accounting functions, completing required state and federal fiscal reports, annual budget and audit coordination and preparation, contract monitoring and development in collaboration with NHA and/or clinical team. The Business Supervisor also serves as a resource and leader related to general areas of business services for the facility.

• Assists in the development of the annual budget, developing cost/revenue estimates for grants, and development of related materials.
• Plans, coordinates and prepares for year-end audits by public accounting firms and third party auditors.
• Maintains fixed assets records to include additions, deletions, and reconciliations of depreciation.
• Receives journal entry files from departments, reviews, reconciles and posts to General Ledger.
• Balances the General Ledger on a monthly and annual basis, notifies departments when each month has been closed.
• Calculates monthly revenue and reconcile to patient days for month.
• Create reports for and attend Committee and Board meetings as needed

• Monitoring aged account receivable to ensure revenue is received in a timely manner avoiding uncollected receivables, and working in collaboration with the collections attorney when necessary
• Ensure all resident related billings are processed in a timely manner with accuracy and low error rate.
• Updates, implements, and trains business office staff of new regulations regarding health care reimbursement and finances from state and federal government.
• Ensure resident trust fund in-house banking system is always following appropriate statutory requirements
• Ensuring Purchasing and accounts payable processing to include maintenance of adequate records of authorized expenditures.
• Ensure internal controls are in place to safeguard all assets which could include monthly bank reconciliations, internal audits of all accounts and financial records, and yearly inventory valuation, etc.
• Ensure the timeliness of facility's daily deposit and posted payments to resident accounts

• Develops program and financial reports for necessary State agencies, County Administration, to include department heads/division managers, County Administrator and County Board.
• Responsible for analysis of new and existing programs.
• Establishes formal system of evaluation and monitoring of services.
• Maintains evaluation and monitoring of systems on an on-going basis for existing services, may recommend modifications for services currently provided.
• Assists in implementation and review of federal, state and contractual regulations governing provided services.
• Reviews, interprets and analyzes financial and statistical data for management and directed.
• Gathers, analyzes, and complies information for Medicaid Cost Report and Medicare Cost Report for MA rate setting and Medicare Reporting.

• Maintain relations with residents, families, banks, colleagues, and other third parties as a representative of the facility
• Acts as a liaison to information technology and supervises activities relating to computer programs and computer reporting.
• Prepares and maintains a standard operating procedure manual for the Financial Office

• Comprehensive knowledge of generally accepted accounting principles and practices.
• Knowledge of accounting and auditing principles and methods and their application to governmental accounting systems.
• Knowledge of a variety of governmental programs and the associated reporting requirements.
• Considerable knowledge of computer software packages, including but not limited to excel, word, etc.
• Working knowledge of Medicare and Medicaid reimbursement methodologies.  
• Working knowledge of third party reimbursement systems and accounts receivables.
• Working knowledge of project management practices.
• Ability to prioritize and coordinate multiple assignments with minimal supervision.
• Ability to lead, motivate, supervise, train, and coordinate work of staff.
• Ability to effectively analyze and solve problems.
• Ability to work and communicate effectively.
• Ability to express ideas clearly, orally and in writing and to exercise judgment and discretion in the applications and interpretation of departmental policies, rules, and regulations.
• Ability to establish and maintain effective working relationships with administration, co-workers, elected officials, auditors, and the general public.
• Ability to Maintain prompt and regular in person attendance.

• Bachelor's degree in accounting, business, public administration or a closely related field.  

• Five years of experience in a governmental setting

• Supervisory experience

• Experience or knowledge working with Medicare, Medicaid, and long-term care insurance reimbursement.

• Certified Public Accountant preferred but not necessary 

• An equivalent combination of training and experience maybe considered.      

•      Ability to sit, stand, walk for long periods of time.
•      Ability to expert up to 20 pounds of force occasionally or up to 10 pounds frequently to lift, carry, push, pull or otherwise move objects.

•      Ability to use a computer and computer keyboard.
• Familiar with the use of other types of office equipment such as printer, fax machine, copy machine, etc.
  

• Works in well-lighted/ventilated office areas, as well as throughout the nursing home facility and its premises.
• May be subject to potentially hostile and emotionally upset residents, family members, personnel, visitors, etc.