Business Office Manager

Description

Position Summary:

The Business Office Manager is responsible for the supervision of the Hospitals insurance verification and financial counseling area. Duties include guidance and coverage for employees, monitoring of Quality Assurance measures and oversight in ongoing staff training. The goal of this position is to ensure high quality service for patients and accuracy of information.

Position Responsibilities:

Clinical / Technical Skills (40% of performance review)

• Validates insurance information of patients for accuracy and completeness and resolves discrepancies as needed.
• Verifies Medicare 72-hour rule is followed at time of admission/insurance verification
• Monitors upfront collection log for usage, accuracy and collection efforts
• Ensures single case agreements are obtained timely
• Ensures patients that are underinsured and unfunded are connected to available resources
• Responsible for adequate staffing and budget friendly
• Responsible for staff development, including training, reviews of progress and communication of findings
• Monitors all process generally and individual workers specifically to assure compliance with department policies and procedures
• Monitors staff production
• Quality Assurance
• Offers guidance to employees related to Point-of-Service collective activity
• Census Reconciliation
• Effectively utilizes and understands the departmental computer system in order to realize its optimal potential and to be able to evaluate and answer staff member questions regarding the mechanics of the system.
• Analyze patient data from admission through discharge to ensure all key elements that affect billing and collections are accurate.
• Reviews and monitors self-pay account balances transferring them to /from early out collection vendor.

• Performs other duties as assigned

Safety (15% of performance review)

• Strives to create a safe, healing environment for patients and family members
• Follows all safety rules while on the job.
• Reports near misses, as well as errors and accidents promptly.
• Corrects minor safety hazards.
• Communicates with peers and management regarding any hazards identified in the workplace.
• Attends all required safety programs and understands responsibilities related to general, department, and job specific safety.
• Participates in quality projects, as assigned, and supports quality initiatives.
• Supports and maintains a culture of safety and quality.

Teamwork (15% of performance review)

• Works well with others in a spirit of teamwork and cooperation.
• Responds willingly to colleagues and serves as an active part of the hospital team.
• Builds collaborative relationships with patients, families, staff, and physicians.
• The ability to retrieve, communicate, and present data and information both verbally and in writing as required
• Demonstrates listening skills and the ability to express or exchange ideas by means of the spoken and written word.
• Demonstrates adequate skills in all forms of communication.
• Adheres to the Standards of Behavior

Integrity (15% of performance review)

• Strives to always do the right thing for the patient, coworkers, and the hospital
• Adheres to established standards, policies, procedures, protocols, and laws.
• Applies the Mission and Values of SUN Behavioral Health to personal practice and commits to service excellence.
• Supports and demonstrates fiscal responsibility through supply usage, ordering of supplies, and conservation of facility resources.
• Completes required trainings within defined time periods.
• Exemplifies professionalism through good attendance and positive attitude, at all times.
• Maintains confidentiality of patient and staff information, following HIPAA and other privacy laws.
• Ensures proper documentation in all position activities, following federal and state guidelines.

Compassion (15% of performance review)

• Demonstrates accountability for ensuring the highest quality patient care for patients.
• Willingness to be accepting of those in need, and to extend a helping hand
• Desire to go above and beyond for others
• Understanding and accepting of cultural diversity and differences

Qualifications

Education

• Required: High school diploma or GED. Basic medical terminology. CPR and CPI certifications obtained in orientation.
• Maintains education and development appropriate for position
• May substitute education for experience

Experience

• Required: Five (5) or more years of previous hospital experience in the business office/front end functions. Knowledge of insurance payor rules and regulations.
• Preferred: Experience with HIPPA regulated environment, processing ICD-10 CPT/HCPCs, EOBs, third party payers, Medicare, managed care and private pay. Understanding of behavioral health treatment modalities. Working experience in HCS system a plus
• May substitute experience for education