LECOM Health

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Business Office Manager

LECOM Senior Living Center

Job description

Business office Manager Duties

Accounts Payable Functions

  • Review vendor statements, code invoices, distribute to department heads and Administrator their review and approval, and forward to Home Office for payment.
  • Help resolve vendor disputes.

Accounts Receivable Functions

  • Insurance verification
  • Keep records of resident room, level of care, and ancillary charges.Update the daily census activity on the Census tracking log
  • Gather census information from admissions and reported changes during the morning “stand up” meeting
  • Ensure patient days and payers matchIssues that requiring follow up should be noted on the Census tracking log and resolved within 24 hoursMonday – Friday. Weekend activity is validated on Monday.
  • Collect checks, deposit payments and forward to the Richter
  • Collect, sort and make copies of all walk-in and mailed paymentsRecord payments on the Daily Cash Receipt log
  • Upload with copies of corresponding checks on the corporate network shared driveFile original copies at the facility for future reference
  • Collect payments and forward to RichterCollect, sort and make copies of all walk-in and mailed payments
  • Record payments on the Daily Cash Receipt logDeposit payment using FTNI scanner or location bank branch by 2pm daily.Save back up to shared drive for future reference
  • Forward ancillary charges to the CBO
  • Including Daily responsibilities to Notify ancillary service vendors of new admissions. Information sent to vendor includes the following however varies based on services provided including Facesheet, Medication listing and Physician order
  • Weekly duties to Fax or email updated census information to the ancillary service vendors.
  • Review each invoice for billing accuracy
  • Residents listed were provided services for the date range captured on the invoice
  • Analyze Late charges and adjustments
  • Identify and highlight residents with late charges
  • Note on invoice that each late charge has been reviewed
  • Notify Billing Specialist of last charges
  • Scan and save a copy of vendor invoices on the corporate shared drive for review by billing team. Forward original invoices to accounts payable for payment processing.
  • Referral Medicaid Pending residents to Medicaid team
  • Monthly AR account review with Administrator
  • Monthly Triple Check meeting
  • Assist in resolving customer financial disputes
  • Timely reporting and month-end close
  • Cash receipt entry and reconciliation
  • Collection and problem resolution for difficult accounts
  • Third party billing including Medicare, Medicaid, and Insurance Companies

Resident Trust Functions

  • Maintain petty cash and resident funds
  • Monitor cash flow and resident balances
  • Make bank deposits as needed
  • Dispense funds to residents as requested
  • Payout month room and board and vendor payments
  • Reconcile accounts monthly


  • Knowledge of human resource/payroll procedures and accounting procedures
  • Knowledge of Medicare and Medicaid billing requirements
  • Possess excellent organizational skills
  • Able to multi-task
  • Interact with residents, resident family and vendors
  • 3-5 years of experiences with nursing home billing
  • Able to use standard office equipment and have basic computer skills (including Excel, Word, Outlook)
  • Ability to interpret and apply departmental procedures
  • Makes independent decisions
  • Ability to problem solve as appropriate


LECOM’s full time employees enjoy the availability of an industry leading benefits package including:

  • Highmark BC/BS Medical Insurance with employee-only coverage costing only $55/ month!
  • Full Family Medical Insurance is only $270/month!
  • Employees with LECOM Medical Insurance can take advantage of waived co-pays and deductibles at LECOM physicians and Millcreek Community Hospital.
  • 403(b) Retirement Plan with Employer Matching of 100% after completing one year of service
  • Life Insurance and AD&D Insurance is provided to all Full Time employees at no cost!
  • Paid time off accruals – vacation and sick
  • 7 paid holidays each calendar year
  • Life Insurance and AD&D Insurance is provided to all Full Time employees at no cost!
  • Employee referral program
  • Employee appreciation/recognition events
  • Employee assistance program

The LECOM Institute for Successful Aging is an Equal Opportunity Employer.

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