BUSINESS OFFICE MANAGER

UHS•Groton, CT

11d•Onsite

About The Position

Stonington Institute, a division of Universal Health Services, Inc. (UHS), has an immediate opening for a Business Office Manager. Stonington Institute is committed to providing quality substance abuse treatment options for adults in Southeastern Connecticut and surrounding areas. We offer medical detox as well as residential addictions treatment for active duty and retired military service members in our North Stonington location. Our clinic in Groton, CT, offers partial hospitalization and intensive outpatient treatment, and is conveniently located across the street from The Inn at Trails Corner, a new 180 bed dormitory-style sober community for adult men and women who attend our outpatient day treatment programs. The Inn offers overnight accommodations, full-meal service, indoor/outdoor recreation options, a workout room, and computer center for all clients. We accept private insurance, state-funded plans and self-pay arrangements.

Requirements

Significant experience with medical billing.
Ability to interpret insurance or other payer contracts.
Professional communication in person and in writing.
Must be computer literate.
Experience with financial software packages helpful.

Nice To Haves

Prior supervisory skills desired.
Understanding of hospital business office policies and procedures and managed care contracts preferred.
Knowledge of the CT Medicaid system preferred.

Responsibilities

Responsible for all aspects of the billing and collection process for all service lines.
Maximizing the collection of medical/clinical care services payments and reimbursements.
Overseeing verifications, billing and follow up on all accounts through collection.
Assisting clients, or directing staff as they assist clients, to understand their benefits and guide them through the process of applying for state insurance if the need arises.
Negotiating payment plans with clients to cover copay/deductibles/housing expenses, and any other duties necessary to ensure accurate and timely billing and collection.
Maintaining and updating all contracts files.
Collaboration with CFO & CEO regarding annual rate renegotiations, reverification necessary to remain in network with providers, and negotiating single case agreements as needed.
Generates Operational Reports.
Coordinates review of payer audits and contracts.
Monitors billing rates for LOC and authorization.
Monitors and supervises the entry of all patient billing for all service lines.
Monitors collection calls of +90 day receivables.
Tracks self-pay collections.
Re-submits lost claims.
Submit corrected billing.
Oversee electronic billing to Medicaid.
Monitors secondary billing.
Troubleshoots questions and requests regarding patient bills.
Conducts all account adjustments.
Completes weekly/monthly Accounts Receivable and Revenue Reports.
Create/maintain Daily Patient Billing Accounts and Census Charts.
Monitors cash collection to maximize/meet cash collection goal.
Enter patient data in patient database.