Business Office Manager

JOB TITLE: Business Office Manager

GENERAL SUMMARY OF DUTIES:

The Business Office Manager (BOM) assists the Facility Director and Clinical Manager in running the Center in an efficient, cost-effective and patient-centered manner.

EDUCATION/EXPERIENCE:

• Demonstrated experience using computerized accounting and billing systems
• High school diploma (or equivalent) required
• College degree in Business or Accounting preferred
• A minimum of 5 years experience in an ASC or hospital business office
• Minimum 3 years supervisory experience

QUALIFICATIONS:

The BOM must:

• Have the ability to lead and motivate the business office staff and is responsible for supervising non-clinical personnel
• Be able to communicate effectively with upper management, center staff, physicians and their staffs, patients, their families, marketing, insurance and sales representatives
• Have the ability to promote favorable center image with physicians, patients, insurance companies and the general public
• Have knowledge of medical terminology; medical billing and coding; Medicare and Medicaid regulations

POSITION SUMMARY: The Business Office Manager is responsible for the business office functions of the Surgery Center including:

• Procedure Scheduling
• Pre-service
  • Insurance Verifications
  • Auth Verifications
  • Estimates
  • Case Profitability
  • Pre-registration calls
• Cash Log (by deposit date)
  • Record deposits & refunds on cash log
  • Record deposits & Waystar refunds (check refunds recorded by AP) into Solomon (N/A for centers with legacy accounts)
  • Records all payments posted that were posting in HSTPM from the ME9006
  • Review variances weekly
• Physician Office Relations
• Employee Relations
• Ordering
• Month End Reconciliation & Close
  • Reconciles all deposits and AR for all accounts for month end: Bank, Cash Log, HSTPM, and Solomon
  • HST Month End Reconciliation Checklist
  • Run/Upload Month End Reports to SharePoint
  • HST Close
• TOS collections/ up-front payment arrangements
• Registration
• Health Information Management
  • Documentation of visit is complete and signed
  • Path/lab reports in HSTPM, eChart, and sent to coding as needed.
  • Ensures chart completeness and close chart
  • Physician coding queries
  • Op note distribution to physician offices
  • Sends invoice copies to billing when implants/supply is billable.
  • Medical record requests
• Billing record requests
• Medical Coding Oversight
• Charge Entry / Billing / Claim Submission Oversight
• Unbilled review weekly
• Claim Rejections Oversight
• Payments:
  • Deposit checks/cash
  • Daily Deposit Log (by transaction date)
  • Sort and upload daily packets (mail) to SharePoint
  • Work daily packets
  • Payment Posting in HSTPM (by deposit date)
  • Lockbox (when available)
• Mail
• Accounts Receivable
  • Denials
  • Aging insurance AR
  • Appeals
  • Adjustments
    • Request adjustment
    • Adjustments approval
    • Adjustment Posting
  • Billing Review/Corrected Claim
  • Coding Review
  • Coding Dispute
  • Patient Statements
  • Patient AR
  • Patient Collection Review
  • Patient Collection Approval
• Credit Balances
  • Credit Balance Reports
  • Request Refund
  • Refund Review
    • Initial review & add it on refund log
    • Secondary review
  • Refund Approval
  • Refund Processing
    • Waystar refund
    • AP refund
  • Refund Posting
• Maintain Monthly KPIs & Scorecards
• Other BOM Responsibilities
  • Credentialing
  • Employee Files
  • Financial Projects
    • Budget planning
    • Cost saving initiatives
    • Identifying profitable/not-profitable procedures
  • Timesheets
  • Board and MEC Prep
    • Pulling financials
    • Making reports
    • Taking minutes
    • Scheduling, dinner, etc.
    • Capital Requests
  • Corporate changes/implementations
  • Affiliation Agreements
  • Facility Specific Tasks
    • Business License
    • Contracts
  • Admin assignments
  • Joint Commission Prep/Policy Compliance
  • Badge Printing and Security Access
  • Specimens
    • Keeping track of all specimen reports
  • Vendor Log
  • Internal Camera Access and Monitoring
  • Privacy Officer
  • Physician and Employee Onboarding

Benefits:

• Comprehensive health, dental, and vision insurance
• Health Savings Account with an employer contribution
• Life Insurance
• PTO
• 401(k) retirement plan with a company match
• And more!

Equal Employment Opportunity & Work Force Diversity

Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.