Business Office Manager
The Business Office Manager is responsible for ensuring the efficient operations of the Business Office to include an accurate, timely and consistent performance of all functions pertaining to patient accounting (including patient account maintenance, billing and collection management), admissions processing, data processing and customer service. Carries out supervisory responsibilities in accordance with the organization’s policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.
Business Office Manager duties include but are not limited to:
Ensures patient's having third-party insurance coverage are verified, notified of insurance limits, required deductibles, co-insurance amounts and their overall liability.
Extensive knowledge of governmental and non-governmental insurance plans and coverages
Ensures admission information is entered accurately into system and paperwork is scanned into the billing system.
Manages the billing staff by assigning specific workloads and responsibilities, especially as it relates to accuracy of data collected and input in system, front end calculation of OOP, and collections.
Timely insurance investigation, follow-up and problem resolution.
Identifies specific payor A/R problems offering exact causes, direction, and resolution avenues.
Ensures all physician billings are monitored for accuracy and paid in accordance with facility guidelines.
Keen knowledge of AR, with ability to decipher accounts, while establishing processes to mitigate future risk.
Leads weekly meetings with CFO, facility revenue cycle team, Regional BOD and CBO to discuss billing/system issues, problem accounts, collection efforts, legal options, resolutions, and monitoring of related progress.
Works with the CFO and non-contracted payers to establish single case agreements.
Develops, mentors and leads staff within Department, while setting expectations and standards of accountability.
Effective communication with other Department heads promoting a team environment
Business Officer Manager Job Requirements:
Bachelor’s degree in Business Administration or related field is preferred /or five years of Business Office Management experience in a hospital setting.
Proficient in Excel, UB-04 form billing, revenue cycle operations, State/Federal/Commercial billing requirements & regulations required.