Business Office Manager

Surgery Partners Careers•Riverton, UT

5d•Onsite

About The Position

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. The BOM 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, Record deposits & refunds, Review variances weekly, Physician Office Relations, Employee Relations, Ordering, Month End Reconciliation & Close, TOS collections/up-front payment arrangements, Registration, Health Information Management, Documentation of visit is complete and signed, Path/lab reports, Ensures chart completeness and close chart, Physician coding queries, Op note distribution, Sends invoice copies to billing, 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, Sort and upload daily packets, Payment Posting, Lockbox, Mail, Accounts Receivable, Denials, Aging insurance AR, Appeals, Adjustments, Billing Review/Corrected Claim, Coding Review, Coding Dispute, Patient Statements, Patient AR, Patient Collection Review, Credit Balances, Credit Balance Reports, Request Refund, Refund Review, Refund Approval, Refund Processing, Maintain Monthly KPIs & Scorecards, 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.

Requirements

Demonstrated experience using computerized accounting and billing systems
High school diploma (or equivalent) required
A minimum of 5 years experience in an ASC or hospital business office
Minimum 3 years supervisory experience
Ability to lead and motivate the business office staff and is responsible for supervising non-clinical personnel
Ability to communicate effectively with upper management, center staff, physicians and their staffs, patients, their families, marketing, insurance and sales representatives
Ability to promote favorable center image with physicians, patients, insurance companies and the general public
Knowledge of medical terminology
Knowledge of medical billing and coding
Knowledge of Medicare and Medicaid regulations

Nice To Haves

College degree in Business or Accounting preferred

Responsibilities

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
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
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