Business Office Manager - Healthcare

USPI•Flagstaff, AZ

38d•Onsite

About The Position

The Business Office Manager is responsible for supervising and directing all Business Office functions, including patient registration and admitting, scheduling, cash collections, establish and maintain personnel files, routine payroll duties, and Medical Staff credentialing. Oversees all business office personnel. Provides administrative support to facility Administrator and Clinical Director.

Requirements

Bachelor’s degree in Healthcare Administration, Business, or related field preferred
Five years of supervisory experience in a healthcare revenue cycle capacity
Proficiency in accounting and ability to use computer-automated accounting systems
Experience working with different types of third-party payers including HMO, PPO and Medicare/Medicaid, etc.
Demonstrates accountability, integrity, professionalism, innovation, as well as an openness to new ideas.
Must be a High School Graduate or equivalent and have three years of experience in medical office, hospital or clinic office administration with experience in patient services, scheduling, billing, coding or related fields.

Responsibilities

Supervises the Business Office, understands and oversees the following functions: scheduling, registration, insurance verification, admitting, health information management systems, over-the-counter cash collections, patient credit application processing, transcription, medical records filing and maintenance.
Maintains effective liaison with Central Billing Office to ensure timely transfer of all information needed for billing.
Responsible for ensuring verification of all patients’ insurance coverage and collection of all patient co-payments, coinsurance and deductibles at time of service.
Responsible for calculating Self-pay patient quotes in accordance with Center policies.
Demonstrate a thorough knowledge and understanding of the Center’s Policies and Procedures, Credentialing plan and Bylaws, and the accreditation/credentialing standards established by the center’s current accreditation organization.
Evaluate Business Office employee job performance, counsel, and discipline as necessary. Prepares and conducts performance evaluations for all Business Office staff.
Maintains patient confidentiality standards for both medical and financial information in accordance with applicable policies and regulation.
Participates in loss prevention by protecting company assets and maintaining a safe environment.
Ensures that established credentialing/medical record policy, guidelines and standards are adhered to.
Prepare and maintain all appointment application packets or correspondence with cover letters.
Maintains the credentialing database in an accurate and timely manner. Works with CACTUS, NPDB and the AMA in credentialing the surgeons.
Maintains current filing for all practitioners in an organized manner. Maintains practitioner information within the facility’s software application.
Responds to inquiries regarding a practitioner’s application/credentialing status.
Responsible for continued compliance with all legal, regulatory, and accreditation standards as it relates to the business office and medical records department.
Performs other duties as assigned.