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Business Office Manager

San Diego, CA

Business Office Manager

Aurora Behavioral Health Care San Diego

Summary Job Description: Aurora Behavioral Health Care San Diego is seeking an experienced Business Office Manger to join our team! We are looking for that special person to join our team and assist us in achieving our goal of providing the very best in quality behavioral health care for our community and those entrusted to our care.

The ideal person for this role would reside in the greater San Diego area, have the ability to work independently, possess a strong desire to coach and mentor the Business Office Team, understand key performance metrics and manage to them, and exude an outgoing positive attitude and adaptability for performance improvement.

The Business Office Manager is responsible for ensuring the efficient operations of the Hospital Business Office to ensure accurate, timely and consistent performance of all functions pertaining to patient accounting (including patient registration and account maintenance, billing, and collection management) for a wide variety of payers: Managed Care, Medicare, Medi-Cal, and Private / Self-Pay. This position is also responsible for a broad spectrum of supervisory responsibilities: interviewing, hiring, and training employees; planning assigning, and directing work; appraising performance; rewarding and disciplining employees; and addressing complaints and resolving problems. In addition, we are looking for an individual that is a strategic planner and executer to review and revise policies and processes as needed for performance improvement.

Business Office Manager Duties Include (but are not limited to):

  • Ensures patients having third-party insurance coverage are verified, notified of insurance limits, required deductibles, co-insurance amounts and their overall liability.
  • Possesses extensive knowledge of governmental and non-governmental insurance plans and coverages, and the ability to research and document changes therein.

  • Ensures admission information is entered accurately and timely into the patient accounting system, and that all documentation is scanned into the billing system.

  • Manages the Business Office staff by assigning specific workloads and responsibilities, especially as it relates to accuracy of data collected and inputted into the patient accounting system, front-end calculation of Out-of-Pocket amounts, and collection of those amounts.

  • Timely insurance and other payer investigation, follow-up and problem resolution resulting in collections and process improvement.

  • Identifies specific payer A/R problems offering exact causes, direction, and resolution avenues.

  • Ensures all physician billings received are monitored for accuracy and paid in accordance with facility guidelines.

  • Keen knowledge of Hospital Patient A/R, with the ability to decipher and analyze accounts, then establishing processes to mitigate future risks.

  • Leads weekly meetings with CFO, facility revenue cycle team, Regional BOD and CBO Team to discuss any billing/system issues, problem A/R accounts, collection efforts, legal options, other account resolutions, and monitoring of related progress.

  • Works with the CFO and non-contracted payers to establish single case agreements.

  • Develops, mentors, coaches, and leads staff within the Business Office, while setting expectations and standards of accountability.

  • Effective communication with other Hospital Department heads promoting a team environment

  • Analyze data to monitor performance for key metrics, identify and explain positive or negative trends, and develop processes for performance improvement.

Business Officer Manager Job Requirements:

  • Bachelor’s Degree in Business Administration or related field is preferred, or 5 (five) years of Business Office Management experience in a hospital setting.
  • Excellent interpersonal and communication skills (both written and oral) with patients, families, staff, vendors and the general public.

  • Must demonstrate the ability to work responsibly as a team member as well as an individual.

  • Must be honest, fair, dependable, respect confidentiality and the rights and privacy of others.

  • Possess a strong working knowledge of PC’s and software applications including MS Office (Excel, Word, and Outlook) and the ability to quickly learn new or proprietary applications.

  • Must possess mathematical skills, strong organization skills and be detailed oriented.

  • Ability to manage multiple priorities simultaneously.

  • Ability to follow through with complex and detailed projects to completion.

  • Proficient in all revenue cycle operations; Commercial, Federal, and State billing requirements and processes; and all related regulations.