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Business Office Manager - Full Time Days - Deerfield

Immanuel locationUrbandale, IA
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513 positions
513 positions
info linkReport a probelm Originally Posted : November 19, 2021 | Expires : December 19, 2021


Job Location
Urbandale, IA, United States



Deerfield in seeking a Full TIme Business Office Manager - this position comes with a competitive compensation and benefits package.

The Business Office Manager is responsible for overseeing and performing all of the business office functions in accordance with established procedures and methods and as directed by the Administrator. This person will also supervise the Accounts Receivable Specialist. Supports and lives out Immanuel's Mission and CHRIST Promises.


Key Areas

Key Responsibilities and Duties of the Job

Accounting and Bookkeeping

  • Responsible for billing and collection of all payer sources including but not limited to: Medicare A, Medicare B, Medicaid, Medicaid Pending, Private Pay, Resident Liability, Medicare Advantage, Managed Care, Long Term Care Insurance, Third Party Insurance, outpatient and miscellaneous payers.
  • Responsible for maintaining and recording of daily census - admissions and discharges, payer changes, and room changes - into the billing computer system.
  • Responsible for data entry of admission information into the billing computer system upon admission and discharge.
  • Verification of insurance and payer information on new admissions
  • Follow-up and collection of all past due accounts per Billing & Collection procedures and guidelines.
  • Follows billing and collection guidelines to assure that timely billing is completed.
  • Maintains and records notes in collection log and in billing computer system on all past due balances.
  • Prepares daily bank deposits and daily posting of deposits into the billing computer system.
  • Keep informed regarding current with Medicare and Medicaid regulations and guidelines.
  • Conduct monthly A/R meetings with administrator and corporate financial director.
  • Attend weekly Medicare meeting.
  • Attend monthly Medicare Triple Check meeting.
  • Responsible for Month-end Close procedures and notifying corporate office of when this has been completed.
  • Develops knowledge of Point Click Care computer system and keeps current with updates.
  • Maintain resident financial files for all current residents and accounts with balances on the AR Aging.
  • Review of monthly ancillary invoices to verify payer source and amounts due.
  • Monthly reconciliation of Resident Trust account to bank statement.
  • Weekly reconciliation of Resident Trust cash box.
  • Accepts responsibility for accounts receivable outcomes by maintaining DSO that is within the goals of the corporate office.

Staff Leadership

  • Recruit, hire, lead, train, coach and manage performance of administrative staff in the business office.


  • Completes various reports: LB600, Credit Reports, LTC quarterly report, PBJ reporting, payroll reports.

Corporate Communication

  • Completes and submits bad debt write-off forms and paperwork to corporate office for approval as necessary.
  • Completes and submits adjustments to corporate office for approval as needed.
  • Assists with gathering information for audits and cost reports as requested by corporate office.


  • Performs other duties as assigned or requested.



  • Bachelor's degree in Business or Accounting, preferred.
  • Equivalent years of experience may substitute for education requirement.


  • Experience with Medicare reimbursement rules and systems.
  • Previous experience in long-term care accounting, preferred.
  • Previous experience with Point Click Care, preferred.
  • Equivalent years of education may substitute for experience requirement.

KSA- Knowledge Skills and Abilities-Jessica Petersen

  • Must possess the ability to deal tactfully with personnel, residents, family members, visitors, government agencies/personnel and the general public.
  • Knowledgeable in various computer programs and software including Microsoft Office.
  • Good oral and written communication skills.
  • Knowledge of utilization management processes, clinical documentation requirements, current standards of care, coding and compliance guidelines, and knowledge of Resource Utilization Groups (RUGs and third party payment regulations.
  • Cooperates and works together with all co-workers, plan and complete job duties with minimal supervisory direction, including appropriate judgment.
  • Uses tactful and appropriate communications in sensitive and emotional situations.
  • Follows up as appropriate with supervisor, co-workers or residents regarding reported complaints, problems and concerns.
  • Promotes positive public relations with residents family members and quests
  • Completes requirement for in-service training, acceptable attendance, uniform and dress codes including personal hygiene and other work duties as assigned.
  • Knowledge of Medicare and Medicaid guidelines.
  • Strong knowledge of applicable laws, regulations, guidelines, and professional standards
  • Skills in effective and appropriate written/verbal communication.
  • Ability to organize and effectively use time, resources, and talents.
  • Ability to exhibit high standard of ethics, accountability and responsibility.
  • Ability to take initiative and demonstrate personal traits of high level of motivation.
  • Self directed in evaluation progression toward professional goals and accepts ongoing responsibility for own role development.
  • Ability to place a high value on treating others with dignity and respect.

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