Medical Business Office Manager, Full Time

Job Summary

Provides managerial leadership for hospital business office functions that contribute to the billing and collection of patient service revenue.

Responsibilities

• Provides managerial leadership for hospital business office functions that contribute to the billing and collection of patient service revenue.
• Manages billing operations that cover all aspects of government payers, third party and patients to ensure accurate and timely processes occur.
• Analyzes and resolves problems that affect the claim submission process, regardless of whether the problem originates in an area under direct or indirect control.
• Mediates and resolves conflicts regarding billing inquiries from patients and/or third party payors.
• Maintains appropriate internal control safeguards over AR records and collection of cash.
• Maintains compliance standards for providing accurate information on hospital billing system.
• Understands how insurance contracts work between hospitals/health systems and third party payers.
• Understands how government payers adjudicate and process claims.
• Ensures timely collection of AR to maintain consistent cash flows.
• Develops billing and collection policies, procedures and standards that promote "best practice" guidelines that improve productivity and efficiency throughout the revenue cycle process.
• Trains staff to ensure that physician clinics receive appropriate reimbursement and conforms to applicable guidelines and regulations.
• Ensures the accuracy and timeliness of the physician coding process.
• Communicates deficiencies to applicable department managers to resolve issues related to uncollected revenues.
• Implements new and innovative ways to reduce cost or increase productivity.
• Improves departmental customer service standards.
• Participates in Health System activities.
• Enforces Health System policies.
• Exhibits leadership qualities.

Requirements

• A minimum of five (5) years management experience in healthcare receivables required.
• A deep understanding of hospital and professional billing to ensure compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payors.
• A good understanding of how insurance contracts work between hospitals/health systems and third party payers.
• A good understanding of how government payers adjudicate and process claims.
• A solid understanding of the various payment methodologies from Medicare and Medicaid is critical.
• A good understanding of the functions, capabilities and operation of computer-based registration, billing and patient accounts management systems.
• Sufficient knowledge in the use of basic computer software.
• Uses software to develop spreadsheets for analytical purposes.

Qualifications

• Education: Associates degree from an accredited college or university required; a bachelor’s degree in business, finance, accounting, management or closely related discipline is preferred.

Skills

• Knowledge of functions, capabilities and operation of computer-based billing and patient accounts management systems.
• Knowledge of functions, capabilities and operation of computer-based registration, billing and patient accounts management systems.
• Knowledge of functions, capabilities and operation of computer-based clearinghouse systems.
• Knowledge of functions, capabilities and operation of computer-based EHR systems.
• Knowledge of functions, capabilities and operation of computer-based patient accounts management systems.
• Knowledge of functions, capabilities and operation of computer-based revenue cycle management systems.
• Knowledge of functions, capabilities and operation of computer-based financial management systems.
• Knowledge of functions, capabilities and operation of computer-based financial reporting systems.
• Knowledge of functions, capabilities and operation of computer-based financial analysis systems.
• Knowledge of functions, capabilities and operation of computer-based financial planning systems.
• Knowledge of functions, capabilities and operation of computer-based financial forecasting systems.
• Knowledge of functions, capabilities and operation of computer-based financial budgeting systems.
• Knowledge of functions, capabilities and operation of computer-based financial auditing systems.
• Knowledge of functions, capabilities and operation of computer-based financial controls systems.
• Knowledge of functions, capabilities and operation of computer-based financial reporting systems.
• Knowledge of functions, capabilities and operation of computer-based financial analysis systems.
• Knowledge of functions, capabilities and operation of computer-based financial planning systems.
• Knowledge of functions, capabilities and operation of computer-based financial forecasting systems.
• Knowledge of functions, capabilities and operation of computer-based financial budgeting systems.
• Knowledge of functions, capabilities and operation of computer-based financial auditing systems.
• Knowledge of functions, capabilities and operation of computer-based financial controls systems.
• Knowledge of functions, capabilities and operation of computer-based financial reporting systems.
• Knowledge of functions, capabilities and operation of computer-based financial analysis systems.
• Knowledge of functions, capabilities and operation of computer-based financial planning systems.
• Knowledge of functions, capabilities and operation of computer-based financial forecasting systems.
• Knowledge of functions, capabilities and operation of computer-based financial budgeting systems.
• Knowledge of functions, capabilities and operation of computer-based financial auditing systems.
• Knowledge of functions, capabilities and operation of computer-based financial controls systems.
• Knowledge of functions, capabilities and operation of computer-based financial reporting systems.
• Knowledge of functions, capabilities and operation of computer-based financial analysis systems.
• Knowledge of functions, capabilities and operation of computer-based financial planning systems.
• Knowledge of functions, capabilities and operation of computer-based financial forecasting systems.
• Knowledge of functions, capabilities and operation of computer-based financial budgeting systems.
• Knowledge of functions, capabilities and operation of computer-based financial auditing systems.
• Knowledge of functions, capabilities and operation of computer-based financial controls systems.
• Knowledge of functions, capabilities and operation of computer-based financial reporting systems.
• Knowledge of functions, capabilities and operation of computer-based financial analysis systems.
• Knowledge of functions, capabilities and operation of computer-based financial planning systems.
• Knowledge of functions, capabilities and operation of computer-based financial forecasting systems.
• Knowledge of functions, capabilities and operation of computer-based financial budgeting systems.
• Knowledge of functions, capabilities and operation of computer-based financial auditing systems.
• Knowledge of functions, capabilities and operation of computer-based financial controls systems.
• Knowledge of functions, capabilities and operation of computer-based financial reporting systems.
• Knowledge of functions, capabilities and operation of computer-based financial analysis systems.
• Knowledge of functions, capabilities and operation of computer-based financial planning systems.
• Knowledge of functions, capabilities and operation of computer-based financial forecasting systems.
• Knowledge of functions, capabilities and operation of computer-based financial budgeting systems.
• Knowledge of functions, capabilities and operation of computer-based financial auditing systems.
• Knowledge of functions, capabilities and operation of computer-based financial controls systems.
• Knowledge of functions, capabilities and operation of computer-based financial reporting systems.
• Knowledge of functions, capabilities and operation of computer-based financial analysis systems.
• Knowledge of functions, capabilities and operation of computer-based financial planning systems.
• Knowledge of functions, capabilities and operation of computer-based financial forecasting systems.
• Knowledge of functions, capabilities and operation of computer-based financial budgeting systems.
• Knowledge of functions, capabilities and operation of computer-based financial auditing systems.
• Knowledge of functions, capabilities and operation of computer-based financial controls systems.
• Knowledge of functions, capabilities and operation of computer-based financial reporting systems.
• Knowledge of functions, capabilities and operation of computer-based financial analysis systems.
• Knowledge of functions, capabilities and operation of computer-based financial planning systems.
• Knowledge of functions, capabilities and operation of computer-based financial forecasting systems.
• Knowledge of functions, capabilities and operation of computer-based financial budgeting systems.
• Knowledge of functions, capabilities and operation of computer-based financial auditing systems.
• Knowledge of functions, capabilities and operation of computer-based financial controls systems.
• Knowledge of functions, capabilities and operation of computer-based financial reporting systems.
• Knowledge of functions, capabilities and operation of computer-based financial analysis systems.
• Knowledge of functions, capabilities and operation of computer-based financial planning systems.
• Knowledge of functions, capabilities and operation of computer-based financial forecasting systems.
• Knowledge of functions, capabilities and operation of computer-based financial budgeting systems.
• Knowledge of functions, capabilities and operation of computer-based financial auditing systems.
• Knowledge of functions, capabilities and operation of computer-based financial controls systems.
• Knowledge of functions, capabilities and operation of computer-based financial reporting systems.
• Knowledge of functions, capabilities and operation of computer-based financial analysis systems.
• Knowledge of functions, capabilities and operation of computer-based financial planning systems.
• Knowledge of functions, capabilities and operation of computer-based financial forecasting systems.
• Knowledge of functions, capabilities and operation of computer-based financial budgeting systems.
• Knowledge of functions, capabilities and operation of computer-based financial auditing systems.
• Knowledge of functions, capabilities and operation of computer-based financial controls systems.
• Knowledge of functions, capabilities and operation of computer-based financial reporting systems.
• Knowledge of functions, capabilities and operation of computer-based financial analysis systems.
• Knowledge of functions, capabilities and operation of computer-based financial planning systems.
• Knowledge of functions, capabilities and operation of computer-based financial forecasting systems.
• Knowledge of functions, capabilities and operation of computer-based financial budgeting systems.
• Knowledge of functions, capabilities and operation of computer-based financial auditing systems.
• Knowledge of functions, capabilities and operation of computer-based financial controls systems.
• Knowledge of functions, capabilities and operation of computer-based financial reporting systems.
• Knowledge of functions, capabilities and operation of computer-based financial analysis systems.
• Knowledge of functions, capabilities and operation of computer-based financial planning systems.
• Knowledge of functions, capabilities and operation of computer-based financial forecasting systems.
• Knowledge of functions, capabilities and operation of computer-based financial budgeting systems.
• Knowledge of functions, capabilities and operation of computer-based financial auditing systems.
• Knowledge of functions, capabilities and operation of computer-based financial controls systems.
• Knowledge of functions, capabilities and operation of computer-based financial reporting systems.
• Knowledge of functions, capabilities and operation of computer-based financial analysis systems.
• Knowledge of functions, capabilities and operation of computer-based financial planning systems.
• Knowledge of functions, capabilities and operation of computer-based financial forecasting systems.
• Knowledge of functions, capabilities and operation of computer-based financial budgeting systems.
• Knowledge of functions, capabilities and operation of computer-based financial auditing systems.
• Knowledge of functions, capabilities and operation of computer-based financial controls systems.
• Knowledge of functions, capabilities and operation of computer-based financial reporting systems.
• Knowledge of functions, capabilities and operation of computer-based financial analysis systems.
• Knowledge of functions, capabilities and operation of computer-based financial planning systems.
• Knowledge of functions, capabilities and operation of computer-based financial forecasting systems.
• Knowledge of functions, capabilities and operation of computer-based financial budgeting systems.
• Knowledge of functions, capabilities and operation of computer-based financial auditing systems.
• Knowledge of functions, capabilities and operation of computer-based financial controls systems.
• Knowledge of functions, capabilities and operation of computer-based financial reporting systems.
• Knowledge of functions, capabilities and operation of computer-based financial analysis systems.
• Knowledge of functions, capabilities and operation of computer-based financial planning systems.
• Knowledge of functions, capabilities and operation of computer-based financial forecasting systems.
• Knowledge of functions, capabilities and operation of computer-based financial budgeting systems.
• Knowledge of functions, capabilities and operation of computer-based financial auditing systems.
• Knowledge of functions, capabilities and operation of computer-based financial controls systems.
• Knowledge of functions, capabilities and operation of computer-based financial reporting systems.
• Knowledge of functions, capabilities and operation of computer-based financial analysis systems.
• Knowledge of functions, capabilities and operation of computer-based financial planning systems.
• Knowledge of functions, capabilities and operation of computer-based financial forecasting systems.
• Knowledge of functions, capabilities and operation of computer-based financial budgeting systems.
• Knowledge of functions, capabilities and operation of computer-based financial auditing systems.
• Knowledge of functions, capabilities and operation of computer-based financial controls systems.
• Knowledge of functions, capabilities and operation of computer-based financial reporting systems.
• Knowledge of functions, capabilities and operation of computer-based financial analysis systems.
• Knowledge of functions, capabilities and operation of computer-based financial planning systems.
• Knowledge of functions, capabilities and operation of computer-based financial forecasting systems.
• Knowledge of functions, capabilities and operation of computer-based financial budgeting systems.
• Knowledge of functions, capabilities and operation of computer-based financial auditing