BUSINESS OFFICE MANAGER

POSITION SUMMARY

The Business Office Manager is responsible for the oversight of all administrative functions that contribute to the capture, management and collection of patient service revenue through the entire life of a patient account. The Business Office Manager handles all unresolved/escalated account related issues and is responsible for all billing, AR, and cash posting staff. The Business Office Manager ensures all productivity is appropriate and without errors for each subordinate. The manager will monitor key performance indicators including but are not limited to; AR days, cash collections goals and posting, bad debt, denials, and underpayment recovery. This position will also be responsible for periodic reports that include but are not limited to; the submission of the Credit Balance Report for Medicare as well as the Bad Debt portion of the Cost Report. Able to work in any area of the department (billing, AR, cash posting).

SUPERVISOR

Cohesive Director of Revenue Cycle

LOCATION

Primarily Remote

POSITION SUPERVISORY RESPONSIBILITIES

Supervisory Positions may include:

1 Business Office Specialist

1 Admissions Clerks/Registration Clerks

1 HIM

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

• To perform this job successfully, an individual must be able to perform each key function satisfactorily.
• Each category will be assessed on performance measurements of appropriateness, efficiency, effectiveness, and timeliness.
• Reasonable accommodations may be made to enable individuals with disabilities to perform the key functions.

Job Functions

1) Leads and provides operational directives for all PFS activities related to the claim’s management and collections of Patient Accounts Receivables and ensures timely, efficient cash collections to support the overall financial goals of the organization

2) Assists in any special project or territory the corporate revenue cycle director has assigned

3) Oversees department hiring and training

4) Responsible for all payer credentialing and contracts

5) Maintains insurance and payer provider portal login information and passwords

6) Supervises billing, AR, and cash posting

7) Supervises Business Office Specialist, Registration/Admission Clerks, and HIM

8) Reviews all statistical reports to monitor trends and determine operational deficiencies and implements corrective action plans as necessary

9) Key point of contact for all staff members within the Business Office and on-site facilities

10) Excellent analytical, critical thinking, organizational and time management skills with a strong attention to detail, accuracy, and follow through

11) Comprehensive knowledge of claims management

12) Assists in the other departments when needed (coding)

13) Identifies and resolves problems, for the purpose of achieving the departmental goal of ensuring maximum revenue

14) Responsible for auditing and monitoring of the RCM workflow and processes and productivity of the staff

15) Responsible for creating and maintaining RCM policies and procedures for the facility

16) Developing and mentoring staff to include consistent training of the RCM staff

17) Take on additional projects as required and as skills allow.

ADDITIONAL RESPONSIBILITIES

• Seek out external resources through conferences, workshops, etc. as necessary.
• Share professional knowledge with hospital staff, board members, and administrator.
• Comply with HIPAA regulatory requirements.
• Adhere to the hospital’s philosophy, mission, and policies and procedures.
• Support the hospital’s goals and objectives.
• Maintains a good attendance record and follows all hospital rules, policies and procedures.
• Maintains open and effective communications with patients and their nurses, physicians, peers, supervisors, and students.
• Establishes and maintains excellent interdepartmental and interpersonal relationships.
• Attends departmental meetings and in-services to stay current with the developments of the department and hospital.
• Observes that proper safety measures are enforced in the techniques used on patients receiving therapy. Maintains high safety standards in the hospital.

POSITION QUALIFICATIONS

MINIMUM QUALIFICATIONS

• Ability to communicate effectively both verbally and in writing.
• Ability to define problems, collect data, establish facts, and draw valid conclusions.
• Ability to read, analyze, and interpret reports and documents. 00/00/0000
• Ability to make presentations before top management, public groups, and staff regarding hospital programs.
• Ability to work independently, with no direction.

EDUCATION AND/OR EXPERIENCE

• High school diploma or equivalent.
• Minimum of 3 years of experience in a healthcare setting with an emphasis on back-office functions such as claim submission, A/R follow-up and Cash Posting.
• Formal training or college coursework from an accredited school, specific to business administration in lieu of experience may be considered
• Knowledge of insurance processes and billing guidelines

LANGUAGE SKILLS

• English is the primary language of the Hospital.
• Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures or governmental regulations.
• Ability to effectively present information and respond to questions from groups of managers, physicians, clients, customers, employees, and the public.

MATHEMATICAL SKILLS

• Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions and decimals.
• Ability to compute ratio, percent, rate, as well as the ability to create and interpret graphs.

REASONING ABILITY

• Ability to apply common sense understanding to carry out instruction furnished in written, oral, and/or diagram form.
• Ability to define and solve problems, collect data, establish facts, and draw valid conclusions.
• Ability to interpret an extensive variety of technical instructions in statistical or diagram form and deal with several abstract and concrete variables.

INTERPERSONAL SKILLS

• Demonstrates active listening techniques.
• Gains support through effective relationships.
• Treats others with dignity and respect; seeks feedback.
• Always demonstrates honesty and integrity in care and use of patient and hospital property.
• Demonstrates and understands the importance of and respect for the rights, dignity and individuality of each patient in all interactions.
• Demonstrates respect for co-workers and responds to the needs of patients by complying with hospital policies.