Job Posting

Business Office Manager - Business Office

SUMMARY: Manage and oversee the daily activities and business operations of the department. Knowledgeable in Medicare, Medicaid, Worker’s Compensation and Third Party Payer claim processing. Knowledgeable in bookkeeping, computer skills as related to claims processing and organizational skills.

QUALIFICATIONS:

· Communicates in an effective manner, follow written or verbal instructions and demonstrates good interpersonal skills to deal with team members, patients and families.

· Knowledge of insurance policies.

· Competent with the accounts receivable accounting system.

· Knowledgeable in accounting procedures.

· Competent in Microsoft Office Word and Excel.

· Maintain discretion and confidentiality in communications.

· Familiar with policies and procedures regarding reporting and release of protected health information (PHI).

ESSENTIAL DUTIES AND RESPONSIBILITIES:

· Ensures the business office is open and ready for business at the beginning each business day.

· Provides oversight to ensure patient claims are filed with the appropriate insurance carrier in a timely manner.

· Provides oversight to ensure patients are greeted appropriately, registered on the computer system and all necessary insurance information is compiled along with all required patient forms.

· Provides oversight to ensure all required logs are being completed accurately and in a timely manner.

· Maintains personnel schedules and vacations with little or no overtime.

· Assists Administrator in securing any temporary employees required to cover vacations/sick leaves.

· Supervises and/or trains employees in all functions of the business office.

· Prepares performance reviews for the department employees on a timely basis and maintains thorough written reports regarding any discussions, reprimands, etc. with office staff regarding professional insufficiencies or behavioral issues.

· Maintains updates for any required manuals.

· Monitor daily deposits and reconciliations.

· Completes special projects that may require defining problems, determining work sequence and summarizing findings.

· When necessary collects and provides statistics to administration.

· Follows established standards, policies and procedures.

· Review accounts assigned to bad debt, whether in collections or if payments have been received and makes sure collection personnel is staying in contact with agency.

· Provides oversight to ensure charges for services rendered are properly entered in to the computer billing system, checks charges on hold daily.

· Knowledgeable of medical billing practices.

· Knowledgeable of Level I Healthcare Common Procedure Coding Systems (HCPCS) comprised of Current Procedural Terminology (CPT-4) and International Classification of Diseases (ICD) codes.

· Knowledgeable of Medicare, Medicaid, Insurance Managed Care Plans and Workmen’s Compensation.

· Manages Accounts Receivable effectively.

· Responsible and/or provides oversight to the Indigent/Charity Care program.

· Monitors receivable for incorrect contractual allowances, non-covered services and payments recorded on incorrect date of service. Prepares adjustment report when necessary for approval.

· Monitors credit balances.

· Prepares and presents for approval Quarterly Medicare Credit Balance Report.

· Prepares and presents QA and PI report quarterly.

· Develops and maintains positive, effective working relationships with other employees, supervisors and medical providers.

· Reads and monitors bulletins from plans subscribed to for changes and updates in claims submission.

· Fields and answers questions from patients regarding account/s. Replies to any inquiries in a timely manner.

· Ensure strict confidentiality of financial and medical records under HIPAA, HIPAA Security laws and hospital/clinic policies and procedures.

· Communicates clearly written and oral medical information to professional practitioners and/or the general public.

· Supervises the distribution of the mail to appropriate personnel in an accurate and timely manner.

· Projects a positive attitude toward job responsibilities, medical providers, co- workers and administration.

· Motivated and independent to work and organize so that all job functions are completed appropriately.

· Attend continuing education classes as requested or required.

· Attends meetings as required.

· Miscellaneous duties as assigned requested or required.

EDUCATION and/or EXPERIENCE:

· High School Diploma/GED

· Bachelors Degree, preferred

· 1 - 2 years management experience, preferred

· 1 – 2 years experience in bookkeeping, clerical and applicable computer training

· 3-5 years medical billing experience, preferred

· Customer Service trained or experience, preferred

Job Type: Full-time

Benefits:

Dental insurance
Flexible spending account
Health insurance
Life insurance
Paid time off
Tuition reimbursement
Vision insurance
People with a criminal record are encouraged to apply

Work Location: In person

Additional Information
Position Type : Full Time
Shift : Day
Salary: $75,000.00 to $100,000.00 per year

Contact Information
Sonja Mayo - Director of Human Resources
Human Resources
821 Jeffee Dr
Kermit, TX 79745
Email: smayo@wcmh.net
Phone: 4325868215
Fax: 4325868198

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