Business Process Optimization Manager jobs in Lompoc, CA

Business Office Manager (Must have prior BOM -SNF exp)
Lompoc, CA - Full Time
Wage: $85,000 DOE

Lompoc Skilled Nursing and Rehab, a Generations Healthcare is seeking a Business Office Manager to support our 5 star skilled nursing facility.

This is a supportive role which works closely with the Corporate AR Team to serve as Business Office Manager (BOM. Responsible for independent oversight of business office functions and day-to-day accounting functions when acting as interim BOM. Must adhere to all company policies, government regulations and cost reimbursement principles. This position also assists with special projects, health plan payer resolutions, training, analysis and audits.

Essential Functions

Assist in the implementation of day-to-day facility accounting and administrative functions, including but not limited to:

 Work in business office of assigned facilities in the event of, but not limited to, the following situations: business office personnel leave of absence, business office position vacancy, special projects, training business office personnel, etc.
 Responsible for completing month end close process, checklist and reports when acting as interim BOM.
 Communicate with monthly vendors on census and billing updates to ensure invoices are produced timely and accurately.
 Work with Corporate AR Team on company-wide and/or facility-specific projects. Examples of projects include: auditing, billing, collections, follow up, working with health plans, etc.
 Implement written policies and procedures that govern the accounting functions of the facilities.
 Assist with creation and implementation of standardized best practice procedures within the business office.
 Assist with training standardized procedures to new and/or existing business office staff.

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Balance daily census to Nurses’ census.
 Assist in the completion of initial and re-authorization Treatment Authorization Requests and Managed Care Medi-Cal authorizations as needed, including all pertinent documentation necessary for approval.

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Assist in the completion of documentation for Medi-Cal application/benefits for beneficiaries as necessary.
 Enter and maintain resident and account information in electronic healthcare system.
 Research and perform collection activity on accounts, i.e. claims submission, follow-up, appeals and correspondence in assigned facilities as needed. You are accountable to the Accounts Receivable Consultant and the facility Administrator with regards to oral and written reports of action taken.
 Perform monthly reconciliation, manage resident balances and maintain records of resident trust account.

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Post cash and charges to resident accounts. Audit accounts and make adjustments as necessary. Ensure that daily rates are correct according to existing contracts.
 Perform Business Office administrative functions i.e. letters, phone calls, photocopying, scanning, faxing, filing, etc.

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Manage other office personnel assigned to you in a professional manner.
 Be able to read, interpret, and use electronic healthcare system reports to perform your duties.
 Perform month end closing functions and claims submission as necessary or directed.
 Maintain the facilities’ accounts receivable aging reports, complete an AR Review and take action on any accounts that have not been paid.
 Attend and participate in facility Department Head meetings and functions as directed by the facility Administrator when acting as interim BOM.
 Maintain all resident financial records in an orderly fashion.
 Report to the Corporate AR Team any audit findings that require their attention.

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Education Requirements/Qualifications*

 High School diploma or equivalent; BA degree is preferred.
 Proof of COVID-19 Vaccination will be required for all facility employees as of September 30, 2021 (requests for accommodation due to disability or religious belief will be reviewed).
 Speak, read, write and understand the English language.
 3 years of Business Office Manager experience in Skilled Nursing/Post-Acute setting.
 Experience with billing Medicare, Medi-Cal/Medicaid, Managed Care & Coinsurance.

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Knowledge/Skills/Abilities:*

 Knowledge of skilled nursing & long term care billing and collection practices and techniques.
 Ability to communicate effectively with residents and their family members, and at all levels of the organization.
 Ability to organize and prioritize to meet deadlines.
 Skilled in the use of computers and the Microsoft Office suite of applications.
 Ability to have flexible work hours.
 Ability to travel, including overnight travel.
 Ability to be accurate, concise and detail oriented.
 Skilled in directing and motivating business office personnel.

Job Type: Full-time

Pay: $85,000.00 per year