Business Office Manager, 40hrs

MiraVista Behavioral Health Center•Holyoke, MA

1d•Onsite

About The Position

The Business Office Manager is responsible for all outpatient billing and collection activities and supervision of billing and collections personnel. Responsible for achieving cash collection and AR goals set by the Director of Revenue. Works with other department heads to ensure compliance with all financial regulatory and other requirements. As the Business Office Manager you will: Continuously seek improvements in agency processes. Works closely with leadership and all Treatment and Operations staff to develop and train in best practices. Assists with Medicaid Pending applications, and works with patients, family and applicable outside agencies to finalize facility coverage through Medicaid. Establishes and maintains a system of financial record keeping, to include issuing receipts, preparing and making bank deposits, and recording payments using proper segregation of duties. Monitor claims in billing system, providing direction to billing staff to resolve problems. Prepare adjusting entries and monitors patient accounts for maximum limits, monitoring for bad debt and incorrect amounts. Interacts with all Outpatient/Inpatient office billing teams and payers to define billing requirements. Is able to set standards and expectations about Co-Payments and Deductible collections. Manages census activities including daily, weekly, and monthly balancing with the nursing and admissions /intake departments. Must be aware of policies, as needed to maintain the regulations of the Department of Mental Health and BSAS in the state of Massachusetts. Experience with Unit and Cost Reimbursement billing in Virtual Gateway Ensures proper coding of transactions in SMART system to support Reimbursement to agency within grant guidelines. Coordinates collection, formatting and timely (weekly, monthly, quarterly, and annually) preparation / delivery of management information reports required for effective agency performance measurement, management and continuous improvement Supports and participates in common teamwork. Use tactful, appropriate communication in sensitive and emotional situations. Interacts with patients, staff, visitors, government agencies/personnel, etc., under all conditions/circumstances. Understands and complies with all HIPAA rules and regulations Other duties as assigned

Requirements

High school diploma or a college degree in business administration or a related field.
At least five years of experience in a relevant area, preferably within a healthcare setting, with a focus on substance abuse services.
Experience using SMART EMR is preferred.
Familiarity with Virtual Gateway.
Knowledge of all Insurance payor requirements for billing, including CPT codes, Rev codes, buddled services, IOP, PHP, Counseling, billing for Medication Management, including daily dosing.
Strong organizational and communication skills.
Proficiency in office management systems.
Ability to work effectively with healthcare professionals and patients.

Nice To Haves

Experience with Unit and Cost Reimbursement billing in Virtual Gateway.

Responsibilities

Supervise billing and collections personnel.
Achieve cash collection and AR goals.
Ensure compliance with financial regulatory requirements.
Seek improvements in agency processes.
Develop and train staff in best practices.
Assist with Medicaid Pending applications and finalize facility coverage through Medicaid.
Establish and maintain a system of financial record keeping, including issuing receipts, preparing bank deposits, and recording payments.
Monitor claims in the billing system and direct staff to resolve problems.
Prepare adjusting entries and monitor patient accounts for maximum limits, bad debt, and incorrect amounts.
Interact with billing teams and payers to define billing requirements.
Set standards and expectations for Co-Payments and Deductible collections.
Manage census activities, including daily, weekly, and monthly balancing.
Maintain awareness of policies to adhere to regulations of the Department of Mental Health and BSAS in Massachusetts.
Ensure proper coding of transactions in the SMART system to support reimbursement within grant guidelines.
Coordinate the preparation and delivery of management information reports.
Support and participate in common teamwork.
Use tactful, appropriate communication in sensitive situations.
Interact with patients, staff, visitors, and government agencies.
Comply with all HIPAA rules and regulations.
Perform other duties as assigned.