Office Manager - Hospice & Home Care - FT

Hutchinson Regional Medical Center, Inc.

8d•Onsite

About The Position

Manages, plans and directs the agency office, operational and fiscal activities. Plans and develops systems and procedures to achieve cost effective, customer directed clerical services to our patients and staff, as well as compliant, accurate and timely billing to our payors. Monitors the status of Accounts Receivable both by individual biller and on a cumulative basis. Oversees the supply requisition process and assists with managing inventory. Assigns and monitors all clerical functions within the billing process. Supervises clerical staff in accordance with agency policy and procedures. Provides administrative and secretarial support for Hospice and Homecare program administration. Maintains computer functionality for agency staff. Ensures compliance with regulations and policies and procedures necessary to meet all accrediting regulations. Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.

Requirements

Excellent writing and computer skills (Microsoft Office Word, PowerPoint and Excel) and database management skills.
Excellent math and reasoning skills

Nice To Haves

Associates degree in Business or Medical office
Five (5) years medical office experience in a supervisory role
Billing or coding experience in the hospice or home care setting

Responsibilities

Supervises staff in a manner that role models and promotes effective communication, professional relationships and staff accountability.
Maintains professional, regulatory and technical knowledge by attending educational workshops; reviewing professional publications and establishing personal networks
Provides input and performs maintenance of the Revenue Cycle Management System, Electronic Health Record and various software programs regarding billing, insurance verification and authorization, and data submission as required by regulation and various pay sources.
Maintains charge master ensuring that all services are billed for the correct amounts, in the proper increments of time and using the appropriate billing codes
Assumes accountability for identifying problems and issues, generating and supporting solutions and anticipating effects of a decision.
Maintains knowledge of federal, state and private regulations for coding, reimbursement and data collection and reporting as required by Center for Medicare and Medicaid Services (CMS), and other regulatory organizations and payers and ensures staff are compliant with the regulations.
Maintains knowledge of various payers eligibility and benefit process and access to information and ensures staff are complaint with the processes.
Maintains knowledge of various payers pre-certification, certification, initial and ongoing authorizations for the agency programs and ensures staff are compliant with the processes.
Ensures the timely and accurate billing and processing of accounts receivable as well as prompt follow up of accounts while maintaining an acceptable level of days in receivable.
Ensures completion of billing and regulatory compliance audits and reports.
Facilitates data mining for the agency system through various sources.
Ensures optimal allocation of staff to workload ratios to meet budgetary goals/objectives
Completes timely and accurate documentation as per agency policy.
Abides by the Health Insurance Portability and Accountability privacy and security regulations regarding all aspects of Protected Health Information (PHI).