Business Office Manager

Lowcountry Endoscopy Center•Summerville, SC

4d•Hybrid

About The Position

We are seeking a proactive, strategic and highly organized Business Office Manager to support daily operations at our endoscopy centers. This role involves managing daily, weekly, monthly, and quarterly responsibilities to ensure smooth operations. The Business Office Manager will oversee various administrative and financial tasks, including workload management, patient scheduling, medical records, financial reconciliation, billing, payment posting, collections, accounts payable, and state reporting. This position requires travel between two locations weekly: Lowcountry Endoscopy Center in Summerville, SC, and Charleston Endoscopy Center in Charleston, SC.

Requirements

Proactive, strategic, and highly organized.
Ability to manage daily, weekly, monthly, and quarterly responsibilities.
Experience with financial reconciliation, including bank logs and deposits.
Proficiency in billing and payment posting processes.
Experience with collections and accounts receivable management.
Familiarity with accounts payable processes.
Understanding of payroll processes and employee reviews.
Ability to manage and reconcile reports, including credit balance and AR aging reports.
Willingness to travel between two locations weekly.

Nice To Haves

Experience in an endoscopy center or similar healthcare setting.
Familiarity with Digital Deposit Log (DDL), PAS, and Oracle reports.
Experience with state reporting requirements.
Knowledge of implant log reconciliation.

Responsibilities

Walk floor, check workload for the day and redirect people with light loads.
Check with the Nurse Manager (Clinical Director) to ensure the schedule is running smoothly and resolve any issues.
Confirm all cases have been verified for the next day and patients have been called.
Check with Medical Records regarding delinquent records and outstanding physician signatures or dictations.
Review bank log activity and enter in the Digital Deposit Log (DDL).
Reconcile deposits, ensuring daily deposits are made securely and match records.
Ensure billing is completed daily, monitoring billing lag to be under 5 days.
Ensure all payments are posted daily and within 2 days of receipt, reviewing payment batches and making refunds as requested.
Monitor collections and correspondence, ensuring they are worked within 2 days of receipt and making adjustments as requested.
Record the daily Expected Payment Log on the Monthly Summary.
Enter invoices daily or send to AP processor.
Balance cash to PAS and cash log weekly.
Confirm refunds are being processed on a weekly basis.
Review prior weeks' payroll for employees with incomplete cards, PTO used, and overtime.
Ensure all employee reviews are done timely.
Review and upload the Monthly Credit Balance report.
Close month (MERGE), ensuring all payments are posted, cash reconciled, and all cases are billed.
Reconcile implant log to ensure all implants were billed appropriately.
Run month-end reports and prepare for MOR review.
Review A/R Activity report for mis-used journal codes or large adjustments.
Understand reasons for out-of-period adjustments and identify trends in unfavorable or favorable quarterly adjustments.
Address carrier issues and their impact on cash flow.
Review aging for bad debt and accounts that should be sent to collections.
Review AR aging, specifically focusing on accounts greater than 90 days and collection comments.
Check for employees' reviews that are due soon.
Update white board (if applicable).
Plan for any upcoming coverage needed for vacations.
Work bank reconciliations from the accountant.
Handle state reporting if applicable, reviewing deadlines and certifications.
Review and work the 18-month Credit Balance Report, reworking credits for government payers and patients.