Business Office Manager

Business Office Manager

June 5, 2019

Full Time, Benefited position
Workday is Mon-Fri 8:00-5:00 but can be flexible on this
4 out of 5 stars on Glassdoor

GENERAL SUMMARY: The Business Office Manager works specifically for our Nursing facility and is responsible for business and accounts receivable functions related to long-term care billing for private pay, Medicare, managed care and Medicaid residents in accordance with government regulations and in compliance with CRISTA policies and procedures. Provide customer service to nursing facilities residents and responsible parties related to applications for benefits, insurance billing, etc. Serve on the Senior Living Finance Team and work closely with the Nursing Home Administrator.

ESSENTIAL JOB DUTIES: Responsibilities, Accountabilities, and Competencies; May not include all duties of this job.

Customer Relations:

Meet with new residents/responsible parties to discuss financial responsibility and Medicaid options. Assist in Medicaid application and follow up with resident/responsible party and state agency to ensure acceptance to program. Answer billing related questions. Meet with discharging residents/responsible parties to ensure collection of any unpaid balances. Work closely with vendors, agencies, nursing and administrative staff to maintain a positive sense of customer service among all stakeholders.

Accounts Receivable Supervision:

Oversee accounts receivable function for Rehab & Skilled Care, including but not limited to:

Supervise Billing Office Accounting Associate.
Prepare/review resident billing statements prior to distribution.
Work with Billing Office Accounting Associate to ensure that all Medicare, Medicaid, managed care and insurance bills are submitted electronically on a monthly basis in a timely manner.
Review accounts receivable reports to identify and respond to unpaid accounts.
Perform month-end duties to close Senior Living facilities and submit monthly reconciliations to management.
Medicare/Medicaid Compliance:

Participate in monthly Medicare triple check audits, training as necessary to stay current on Medicare billing and compliance. Assist in the preparation of annual Medicaid and Medicare cost reports. Respond to governmental auditors or surveyors as required. Prepare quarterly credit reports for Medicaid and Medicare. Audit quarterly Resource Utilization Groups (RUG) report for payer accuracy and present to MDS Coordinator. Establish and maintain policies and procedures pertaining to billing functions in conjunction with state and federal regulations. Maintain and distribute resident trust funds according to regulations and reconcile account monthly.

Finance Team & Nursing Home Leadership Support:

Participate in the Finance Team and provide updates pertaining to potential improvements, audit activity, collection issues, etc. Propose to the Director of Finance recommendations for improvements to the financial processes used at CRISTA Rehab & Skilled Care. Work closely with Nursing Home Administrator, Director of Nursing, and the Systems Administrator for software/billing related issues. Assist with yearly audit reporting within the scope of the Billing Office duties. Provide backup duties as necessary and assigned.

Work collaboratively with supervisor, coworkers and customers.

Perform other related duties as assigned

SUPERVISORY RESPONSIBILITIES: Direct and oversee the work of one or more accounting associates, including training as necessary.

ESSENTIAL QUALIFICATIONS: Any Equivalent Combination of Knowledge, Skills, Abilities, Education and Experience.

Christian Commitment: A deep and abiding faith that is fully surrendered to the will of Jesus Christ, evidenced by a lifestyle that is consistent with biblical principles in word and deed. Commitment to spiritual growth and development. Demonstrates the values of a CRISTA leader.

Education: Associate degree in Accounting or Business from an accredited college or university recognized by the United States Department of Education or equivalent. Relevant work experience may be substituted for education on a year-for-year basis.

Experience: Two years of Accounting and/or bookkeeping experience.

Software and Equipment Used: Proficient in Microsoft Office Suite. Strong typing and 10-key abilities.

Other Considerations:

Strong communication skills.
Organizational skills with knowledge of operational systems and management.
Able to positively manage customer and vendor relationships.
Able to work independently, efficiently and professionally with a wide variety of personality types.
Able to work collaboratively with supervisor, coworkers, staff and customers.
Able to multi-task and apply critical thinking skills.
Able to flex schedules and/or work additional hours when necessary to meet deadlines.

PREFERRED QUALIFICATIONS: Any Equivalent Combination of Knowledge, Skills, Abilities, Education and Experience

Education: Bachelor’s degree in Accounting or Business.

Experience: In health care billing and the financial functions of electronic health record (EHR) software.

Software and Equipment Used: PointClickCare software.

Company Info

Company Name
CRISTA Senior Living

Company URL

Contact Name




19303 Fremont Ave. N
Seattle, WA 98133