Business Office Manager

Job Summary:
Oversees the receipting and billing functions, follow-up and collection functions, and supervises Business Office staff in the absence of a Receipting Supervisor and Billing Supervisor. Directly supervises the Charge Master Coordinator.
ESSENTIAL FUNCTIONS:

• Perform and understand all aspects of Account Receivables function.
• Perform and understand all aspects of Credit Balance identification and reporting functions.
• Perform and understand all aspects of Billing functions
• Training new and existing Business Office Staff as required
• Trains new staff on billing procedures
• Monitors claims for timely billing and payment
• Will perform billing functions or follow up functions as needed
• Works with the Billing system provider to resolve issues with the billing system
• Works with other departments to resolve accounts when needed
• Will work on special projects as needed
• Will perform Quality Assurance Reviews to ensure proper processes are being followed for insurance follow up and billing
• Will work with Department Director and Business Office Receipting/Billing Supervisors to ensure PTO, scheduling and absences are tracked and monitored to ensure proper staffing
• Supervises department personnel in absence of director and/or Supervisor.
• Annual Evaluations of all Business Office Staff
• Employee payroll deductions activities
• Bad debt reconciliation and processes
• Accounts Receivable reports as need in Adhoc
• Rycan overview and management

ADDITIONAL RESPONSIBILITIES:

• Other duties as assigned

KNOWLEDGE/SKILL/ABILITIES:

• High School Diploma or equivalent required
• 1-3 years of experience in the healthcare setting (Hospital and/or Medical Office) working with insurance claims processing involving CPT, HCPCS, ICD-9CM, ICD-10CM and CMS regulations.
• Understand the UB0 and 1500 claim form requirements and how to complete them
• Strong analytical, oral and written communications skills
• Understands health insurance and other third party billing practices and guidelines
• Proficient in Microsoft Work, Exel, Access Outlook and the like
• Must be able to assess situations, identify issues/problems and prioritize duties
• Is able to use personal experience, knowledge and other outside resources to make locial decisions to solve problems
• Utilize time Management and organizational skills
• Attention to detail is accurate and completes projects in a timely fashion
• Professionalism and diplomacy
• Understand Medical Terminology
• 10 Key experiences

AGE-RELATED COMPETENCIES: Demonstrates the basic knowledge and skills necessary to identify age-specific patient needs appropriate for this position.
Information Management: Treats all information and data within the scope of the position with appropriate confidentiality and security.
Risk Management/Quality Management/Safety: Cooperates fully in all Risk Management, Quality Management, and Safety Activities and Investigations.
MINIMUM POSITION QUALIFICATIONS:

• Education - High school diploma or equivalent, some college preferred
• Work Experience - 5 year A/R experience, hospital setting preferred
• Training
• License/Certification

ENVIROMENTAL CONDITIONS: Work environment consists of daily patient contact, which may include exposure to blood, or other body fluids.