Claims Quality Audit Manager jobs in Johnstown, PA

Quality Life Services offers a rewarding career where you can make a difference in the lives of older adults. We are seeking a Business Office Manager who is ready to have a profound impact within their job and in their local community as a member of the Quality Life Services team.

BENEFITS:

• Competitive Wages: Earn a competitive salary with additional perks like shift differentials, holiday pay, and bonuses.
• Financial Flexibility: Take control of your finances with flexible payment options, including DailyPay (get your pay instantly!).
• Health Insurance: Enjoy significant employer contributions to health insurance premiums from Highmark Health.
• Voluntary Benefits: Access a robust voluntary benefits package, including 401K, life insurance, accident insurance, and more.
• Generous Earned Time Off (ETO): Take advantage of ample ETO and the opportunity to buy back ETO twice a year.
• Educational Benefits: Explore educational benefits, tuition reimbursement, and healthcare scholarship opportunities.
• Support Programs: Benefit from Employee Assistance Programs and Chaplain Services.
• Professional Growth: Embrace professional development and growth opportunities within our dynamic organization.

RESPONSIBILITIES

·        The Business Office Manager is responsible for operating the Business Office in an effective, and efficient manner to ensure financially sound company operations

·        Prepare and submit relevant reports

·        Maintain an accurate census for the building

·        Verify and maintain accurate resident payer and payer set-ups

·        Verify resident’s accounts, verify charges and send accurate statements in a timely manner

·        Deposit and key payments

·        Meet with residents or their representatives to communicate out of pocket charges and financial responsibilities

·        File inquires, reconsiderations, and appeals to the appropriate agency or individual(s) for reject claims

·        Follow up on all account collections and collect on delinquent accounts

·        Orient, instruct, and direct business office personnel

REQUIREMENTS

·         Office management and financial management experience required

·         Working knowledge or willingness to learn Long-Term Care, Personal Care, and Independent Living billing/collections procedures

·         Knowledge and understanding of Medicare, Medicaid, HMO, and Private insurance

·         Computer proficient

·         Supervisory experience preferred

Become a part of the Quality Life Services family and apply today! Text “QLSJOB” to 724-408-6898 to apply!

ABOUT QLS: At Quality Life Services, we don’t just accept differences — we celebrate it, we support it, and we thrive on it for the benefit of our employees, our residents, and our communities. We are proud to be an equal opportunity workplace.