Business Office Manager

Position Summary

The Business Office Manager plans, organizes, coordinates and manages functions of the Business Office area, including accounts receivable, billing and coding, and pre-certification, and manages Business Office personnel to meet the stated mission and goals and objectives of the hospital.

Essential Duties

• Plans, develops, and coordinates Business Office functions to attain hospital goals and meet standards of accrediting agencies.
• Manages, supervises and monitors functions of Business Office in a professional manner.
• Develops and implements new departmental policies and procedures and ensures compliance with established standards; serves as primary liaison with hospital personnel to interpret such directives.
• Manages and coordinates the establishment of schedules, task assignments, and allocation of person-hours to fulfill departmental commitments.
• Plans and conducts meetings with subordinates to communicate new policies and to keep employees abreast of hospital and compliance standards.
• Provides education and in-service training to increase efficiency of operations and effectiveness of personnel.
• Affords assistance in resolving patient billing questions and complaints. Assists with accounts receivable activities as necessary, such as approving cash quotes and reviewing, approving or denying write-off requests.
• Maintains daily deposit log.
• Responsible for evaluation and counseling activities of Business Office personnel.
• Maintains confidentiality of patient and hospital related business.
• Develops and maintains effective working relationships with patients, families, visitors and other hospital employees.
• Documents concisely, precisely and accurately on all records or documents as indicated by policy.
• Participates in Performance Improvement activities as directed for the continuous improvement of patient care and hospital business.
• Directs various personnel actions including, but not limited to, hiring, merit recommendations, promotions and vacations, performance appraisals, transfers and dismissals.
• Collaborates in coordinating correspondence with outside agencies, insurance companies, attorneys, and authorized requesting parties.
• Supervises the preparation of a variety of reports and analyses.
• Ensures compliance with HIPAA Privacy Regulations for the hospital.
• Monitors, Medicare, Medicaid and other billing requirements, notifies hospital management of any changes affecting the hospital.
• Ensures compliance with billing regulations, maintaining accurate and timely billing.

Qualifications, Education, Experience And Ability

• Bachelor’s degree in business preferred.
• Knowledge of hospital billing (UB) required, specifically Medicare, Medicaid, Blue Cross, managed care, and commercial insurance billing experience required.
• Previous 2 years management or progressive leadership experience required.
• Knowledge of ICD-9 and CPT coding, medical terminology preferred.