Business Office Manager, 40 Hours

About the role

The Business Office Manager is responsible for all outpatient billing and collection activities and supervision of billing and collections personnel. The role also involves working with other department heads to ensure compliance with all financial regulatory and other requirements.

Responsibilities

• Continuously seek improvements in agency processes.
• Works closely with leadership and all Treatment and Operations staff to develop and train in best practices.
• Assists with Medicaid Pending applications, and works with patients, family and applicable outside agencies to finalize facility coverage through Medicaid.
• Establishes and maintains a system of financial record keeping, to include issuing receipts, preparing and making bank deposits, and recording payments using proper segregation of duties.
• Maintain a system to monitor claims in billing system, providing direction to billing staff to resolve problems.
• Prepare adjusting entries and monitors patient accounts for maximum limits, monitoring for bad debt and incorrect amounts.
• Interacts with all Outpatient/Inpatient office billing teams and payers to define billing requirements.
• Is able to set standards and expectations about Co-Payments and Deductible collections.
• Manages census activities including daily, weekly, and monthly balancing with the nursing and admissions /intake departments.
• Must be aware of policies, as needed to maintain the regulations of the Department of Mental Health and BSAS in the state of Massachusetts.
• Experience with Unit and Cost Reimbursement billing in Virtual Gateway.
• Ensures proper coding of transactions in SMART system to support Reimbursement to agency within grant guidelines.
• Coordinates collection, formatting and timely (weekly, monthly, quarterly, and annually) preparation / delivery of management information reports required for effective agency performance measurement, management and continuous improvement.
• Supports and participates in common teamwork.
• Use tactful, appropriate communication in sensitive and emotional situations.
• Interacts with patients, staff, visitors, government agencies/personnel, etc., under all conditions/circumstances.
• Understands and complies with all HIPAA rules and regulations.

Requirements

• A high school diploma or a college degree in business administration or a related field.
• At least five years of experience in a relevant area, preferably within a healthcare setting, with a focus on substance abuse services.
• Experience is using SMART EMR is preferred.
• Familiar with Virtual Gateway, all Insurance payor requirements for billing, including CPT codes, Rev codes, buddled services, IOP, PHP, Counseling, billing for Medication Management, including daily dosing.
• Strong organizational and communication skills, proficiency in office management systems, and the ability to work effectively with healthcare professionals and patients.

Qualifications

• High School Diploma or College Degree in Business Administration or Related Field.
• Five Years of Relevant Experience, Preferably in Healthcare Setting, Substance Abuse Services.
• Experience Using SMART EMR Preferred.
• Familiarity with Virtual Gateway, Insurance Billing Requirements, CPT Codes, Rev Codes, Bundled Services, IOP, PHP, Counseling, Medication Management.
• Strong Organizational and Communication Skills, Proficiency in Office Management Systems, Effective Working with Healthcare Professionals and Patients.

Skills

• Strong organizational and communication skills.
• Proficiency in office management systems.
• Effective working with healthcare professionals and patients.

Benefits

• Medical, Dental, and Vision Insurance.
• 401(k) match.
• Employer paid long term disability (LTD).
• Employer paid life and AD&D Insurance.
• Generous Paid Time Off.
• Flexible Spending Account.
• Tuition Reimbursement.

Pay

\$75,000 - \$85,000

Schedule

Full time 40 hours, Monday - Friday onsite in Holyoke, MA