Business Office Manager, Billing Office

Job Description

The Business Office Manager is responsible for assisting with interviewing, hiring, discipline, management and development of department staff, duties and policy; along with reporting duties and assisting with managing accounts receivables outstanding.

Major Areas of Responsibilities:

· Keep detailed and updated reports

· Effectively communicate to any party

· Conflict resolution

· Assist with Revenue Cycle Management

· Assist with Staff Training

· Assist with managing Merchant Service accounts

· Maintain department protocol and policies

· Complete tasks/duties assigned by the BOM and Dir. RCM

Specific Responsibilities:

· Read and understand authorizations for treatment rendered

· Read and understand explanation of benefits (EOB’s)

· Read and understand single case agreement (SCA) and letters of agreement (LOA’s)

· Read and understand Verification of Benefits (VOB), including but not limited to calculating patient responsibility, correct payer payment and day limitations

· Able to help with calls from patients and their families in regard to policy, patient responsibility and direction. Handle escalated patient accounts; by assisting collection coordinator via, but not limited to, phone call, email correspondence or further escalation to BOM and Dir RCM.

· Follow up on escalated outstanding amounts with all involved parties (such as, but not limited to payers and patients)

· Keep detailed notes (including call notes) for all communications with other departments, managers and outside agencies such as insurances, etc. regarding the settlement process in the escalated patient account

· Keep hardcopies of all electronic or mailed correspondence in escalated patient account

· Note and offer solutions of trends in insurance practices. payment (or non-payment)

· Processing requests for further documentation from payers

· Meet with Business Office Manager, semi-monthly, to discuss status of aging accounts

· Review the aging report (Excel) with updated and relevant status information in conjunction with the leads of each department. , weekly

· Identify accounts for potential write off or bad debt

· Assist in processing requests from team forgiven regarding refunds, adjustments and transfers, credit memo, adjustment or write off; at the minimum of once a month

· Assist in identifying topics of discussion to be discussed during semi-monthly department weekly meetings.

· Keep assigned running reports up to date at regular intervals

· Training of department staff

· Manage Merchant Service accounts (Authorize.Net, Wells Fargo and Web Portal/Gateway)

· Keep up to date with payers’ issues, concerns, protocol and changes

· Meet regularly with Business Office Manager to discuss aging report and status

· Assist collection coordinator team members with audit on accounts, account audits as needed

· Follow guidelines as laid out in the DPM, Inc employee handbook

· Resolve any conflicts that arise in a professional manner, including but not limited to handing over the escalated conflict to the Manager for resolution

· Effectively manage schedules, work and needs of department staff, including Business Office Manager

· Write, review and update department protocol and policy, as needed

· Maintain department handbook (Policy and Procedure Manual)

· Complete both Mid-month and End of Month reports, in a timely and regular manner

· Complete all assigned duties and tasks as assigned by the BOM and Dir. RCM, in the time requested

· Follow up with appropriate staff regarding outstanding contract issues

· Work closely with accounts payable department and manager, as needed

· Assist in onboarding new coordinators as needed.

Qualifications

• Minimum Associates Degree or certification in Medical Billing/Health Claims Examining, or
• Minimum 4 to 6 years experience in Medical Billing, Health Claims Examining and Collections, alongside supervisory experience
• Excellent customer service and interpersonal skills
• Must be able to work under time constraints and pressure
• Extremely detail oriented
• Working knowledge of DPM, Inc protocol and employee handbook
• Ability to write comprehensive and detailed notes
• Ability to effectively train staff members
• Demonstrated ability to effectively communicate (verbal and written)
• Demonstrated ability to resolve conflicts in a professional manner

Additional Information

We are proud to be an EEO employer M/F/D/V. We maintain a drug-free workplace and perform pre-employment substance abuse testing. All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, or national origin.

For more information about our company benefits, please visit us at discoverybehavioralhealth.com/careers/

Discovery Behavioral Health seeks to build a diverse staff that is reflective of the patients we serve and the communities where we work. DBH encourages multiple perspectives, experiences, and strives to hire and retain a diverse workforce.