BUSINESS OFFICE MANAGER

Position Summary: 
Under general supervision of the Revenue Cycle Director, The Business Office Manager oversees the Billing, Accounts Receivable and Collections staff.  This role will ensure maximizing patient revenue through timely and accurate submission of claims, collection and posting of payments.  Improving patients, physician and customer relations by developing efficient processes and building and maintaining good working relationships with internal and external customers.   

This list of duties and responsibilities is illustrative only of the tasks performed by this position and is not all-inclusive. 

Essential Duties & Responsibilities:
•    Oversee the Billing, Accounts Receivable, Collection staff, and Admissions & Patient Registration.  
•    Ensure timely and accurate billing of claims. 
•    Improve billing, AR and collections processes to minimize errors and increase revenue.
•    Ensure all payments are processed and posted timely and accurately to patient accounts. 
•    Optimize revenue by meeting timely filing requirements, maximizing billing revenue and collections, and resolving denied/rejected claims.  
•    Follow-up on denied and rejected claims to avoid timely filing and bad depth write off.
•    Implement and update policies and procedures.  
•    Collaborate with other departments to resolve billing and collections issues and improve overall processes.  
•    Supervise, train and mentor staff to ensure high performance and professional development.  
•    Prepare and distribute performance evaluations to staff on an annual basis.  
•    Conduct regular team meetings to communicate updates and address issues.  
•    Ensure compliance with all regulatory requirements and rules of insurance carriers.
•    Responsible for overall analysis and reporting of revenue cycle activities.  
•    Manage Key Performance Indicators.
•    Generate AD Hoc reports as requested. 
•    Assist with the internal and external audits.
•    Perform other duties as assigned. 
 

    Minimum Qualifications: 
•    Bachelor’s degree in Business Administration or related field (Finance, Accounting, or Administration)  
•    Must have two (2) years of direct experience in medical billing. 
•    Must have two (2) years of experience in a supervisory or managerial role.  
•    Must be able to successfully pass the Employee Health Program and background investigation.

    Knowledge, Abilities, Skills, and Certifications: 
•    Extensive knowledge of medical billing procedures, medical terminology, CPT-4, ICD-10 coding and insurance plans/reimbursements. 
•    Understanding of healthcare regulations, Health Information Portability and Accountability Act (HIPPA) and third-party payers.
•    Knowledge of HMO’s, PPO’s, Medical, Medicare, and Insurance plans. 
•    Knowledge of budgeting practices and procedures. 
•    Strong communication and presentation skills, both written and verbal. 
•    Ability to speak the Navajo language and/or familiarity with the Navajo Way.
•    Use of Microsoft; Word, Excel, PowerPoint, Access, Outlook, etc. 

    Physical Demands: 
While performing the duties of this job, the employee regularly is required to sit, use arms and hands to reach and grasp objects, talk and hear.  The employee frequently is required to walk.  The employee occasionally is required to stand; and stoop, kneel, crouch, or crawl.  The employee must occasionally lift and/or move up to 25 pounds.   
    
    Work Environment: 
Work is generally performed in an office setting with moderate noise level. Extended hours and irregular shifts may be required.