Business Process Optimization Manager jobs in Wichita Falls, TX

Nexion affiliates operate 56 skilled nursing and rehabilitation as well as assisted living facilities in Louisiana, Mississippi, and Texas. Each of our affiliate skilled nursing and assisted living campuses offers a home-like setting influenced by their own unique regional cultures. Our commitment to excellence is reflected in our positive clinical outcomes, resident and family member testimonials, satisfaction reports and AHCA Quality Awards.

Job Responsibilities

The Business Office Manager (BOM) is responsible to bill facility charges to the appropriate payor, collect outstanding Accounts Receivables, and oversee the resident trust fund in accordance with Nexion Corporate policy and applicable federal, state, and local regulations. This position requires a minimum of 1 year Medicare, Medicaid and Managed Care billing experience in a SNFsetting.

Characteristic Duties and Responsibilities

Essential Functions

• Attend morning meetings to review discharges, admits, and payor changes.
• Make appropriate payor change information in Accounts Receivable System (PCC)
  
• Atttend LOC and Triple Check meetings to ensure accurate and timely billing of Medicaid, Medicare, and Managed Care claims.
• Participate in facility managed workflow in weekly meetings and daily communication with Case Managers and MCOs.
• Update Medicare and Managed Care ADR trackers and submit record requests and findings letters to ADR Team.
• Coordinate with Residents, Responsible Parties and Caseworkers in the Medicaid eligibility application/recertification process.
• Attend routine AR reviews with Administrator and Regional support team.
• Make deposits daily.
• Post cash within 24hrs of receipt. This includes all Medicare, Medicaid, Managed Care and Insurance payments.
  
• Complete /Submit Medicaid forms on a timely basis and in accordance with State requirements.
• Bill and receive private pay balances by the 10th business day of the month.
  
• If payment is not received by the 15th business day of the month, collection proceedings begin. Follow-up with a collection call, Document collection activity in PCC.
• Submit Medicaid claims on scheduled date in accordance with Nexion billing schedule.
• Submit Medicare and Managed Care claims by the 6th business day of the month. 
• Follow up with Payers and Central Billing daily to resolve all billing exceptions.
• Good communication, organizational, and computer skills
  
• And other duties as assigned

Compensation and Benefits Package

We offer a competitive compensation and benefits package to include voluntary Medical, Dental, Vision, AD&D Benefits, LT/ST Disability, Life Insurance, Flex Spending Account and 401K
EOE M/F/D/V