Business Office Manager

Supervision

• Supervises business office functions and personnel that may include, but is not limited to, admitting, patient billing, cashiering, credit and collections, data entry, and PBX.

Controls and Procedures

• Establishes and implements controls to ensure appropriate submission, billing and credit and collections are kept in accordance with established procedures.
• Establishes appropriate procedures for follow-up on third party approvals, billing, and collection of overdue accounts.
• Maintains appropriate internal controls over accounts receivable and cash receipt functions.

Billing and Collection

• Ensures that accurate and timely billing is being done by staff members in accordance with established procedures and third-party requirements.
• Coordinates the evaluation of patients’ insurance coverage and determines whether the patients’ benefits are exhausted.
• Tracks pre-certifications and continuous stay authorizations to ensure compliance with insurance and third-party requirements.
• Keeps current regarding all reimbursement billing procedures of third party and private insurance payers.
• Implements appropriate billing and collection procedures, ensuring that the accounts receivable and records are kept in accordance with established procedures.

Collection and Coordination

• Maintains performance and competency of assigned staff and makes recommendations for personnel actions such as merit increases, promotions, and disciplinary actions.
• Schedules and evaluates the work of assigned staff members.
• Maintains required records, reports, and files.
• Maintains contact with collection agencies, insurance companies, admitting, medical records, patient, and physicians.
• Coordinates charge posting, billing, and collections ensuring compliance with policies and procedures.

Education and Training

• Plans and coordinates programs for ongoing staff education.

Insurance and Financial Information

• Supervises procurement of insurance and financial obligation information related to the patient’s ability to pay for treatment performed.

Communication and Interpersonal Skills

• Excellent oral and written communication and interpersonal skills.

Knowledge and Abilities

• Knowledge of government and non-government payor practices, regulations, standards and reimbursement.
• Knowledge of general patient billing practices, managed care and third-party billing requirements, and fair credit and collection practices.
• Computer skills with working knowledge of Microsoft Office, word-processing and spreadsheet software, healthcare admitting and patient accounting systems.

Other Duties

• Ability to perform multiple tasks, strong verbal and written skills, and sound decision-making abilities.

Qualifications

• Education: High school diploma or GED required. Bachelor’s degree in business administration or accounting preferred.
• Experience: Minimum 3 years’ experience in business office management and accounts receivable with supervisory responsibilities in an acute healthcare setting.