Business Office Supervisor - Health Services

Little River Band of Ottawa Indians Tribal Government•Manistee, MI

8d•Onsite

About The Position

Under the direction of the Health Services Director and in collaboration with the medical team, this position is responsible for overseeing the business office staff and the revenue cycle within LRBOI’s two Tribal health clinics. The Business Office Supervisor will be responsible for developing and implementing a revenue generation system to ensure services are accurate and promptly reimbursed. The Business Office Supervisor will provide leadership to improve efficiency, reduce claim holds, and support medical providers in their administrative functions.

Requirements

Associate’s degree in business or healthcare administration/management;
Five (5) or more years of revenue cycle management experience in a clinic or family practice with some supervisory level experience;
Working knowledge of sensitivity communication practices and interview techniques in order to speak with and for the patient; and.
Technical skills of an intermediate to proficient user of MS Office software, computers, and office equipment;
Strong background experience with medical terminology, medical coding/billing and credentialling with third party payors;
Excellent time management skills, strong skills in planning, and prioritizing/organizing work in a sometimes fast-paced clinic environment.

Responsibilities

Ensure confidentiality of protected health information and maintain HIPAA standards when communicating with insurance companies, patients, and/or their representatives both verbally and / or in writing.
Supervise projects / tasks related to the financial goals and overall objectives as assigned.
Support health department planning by providing timely operational information and analysis.
Develop, update and maintain health services fee schedules.
Develop, update and implement policies and procedures for the business office with emphasis on efficient processes, compliance and accountability.
Ensure chart and encounter coding completion for efficient and timely billing.
Ensure completion of direct charge posting, billing and develop and implement account receivable posting processes.
Resolve complex billing, software, clearinghouse and payer issues utilizing appropriate judgement and professionalism.
Assist with month-end and annual closing activities.
Manage credential processes by ensuring appropriate payer credentialing and re-credentialing for practice providers are complete to secure accurate payment for services.
Communicate with practice providers to obtain and clarify additional supportive document requested by the payer.
Ensure that billing and coding audits are completed on a regular basis and findings are provided to the Health Services Director and reviewed with providers.
Assist in quality improvement activities as assigned.
Positively represent the health department while interacting with payers, patients, providers, colleagues, Federal and State agencies and other related partners.
Remain up to date and knowledgeable of Tribal, State and Federal legislative changes impacting the business office.
All other position/department related duties as assigned by the Health Services Director.