- Overseeing daily billing and collections for all AR financial classes (Medicare, Medicaid, Worker's Compensation, BCBS, HMOs/PPOs, commercial insurance, self pays, etc.)
- Proper interpretation and follow-up on contracts with insurance companies pertaining to rates, discounts and filing instructions
- Proper utilization of federal and state credit collection regulations and guidelines
- Review Unbilled report and billing edits to identify ways to improve the clean claim rate
- Supervise on site or remote analysts and/or hospital staff
- Establish and conduct weekly staff meetings
- Facilitate and coordinate staff training and education
- Properly handle HR related issues including but not limited to new hire orientation, staffing coverage, time off approvals, timecards, counseling/discipline and evaluations.
- Prepare and timely submit all Company and client required reports
- Track and monitor staff productivity
- Understands relevant RCM KPIs to analyze and plan strategies to increase cash and reduce AR
- Coordinates agenda, presents findings on all scheduled conference calls
- Other duties as assigned.
- Minimum five (5) years of general hospital business office billing and collections experience
- Minimum of two (2) years of management experience.
- A high level of professionalism displayed by appearance and conduct
- Understands A/R management concepts for CAH/general hospital, and business office operations
- Expert level billing and/or collections with Medicare, Medicaid, commercial and/or self-pay
- Medical billing software expertise in (but not limited to): Meditech (MAGIC, Client Server or Expanse), CPSI, Medhost, EPIC, Meditech, Rycan, Emdeon, Change, Relay Health, Trubridge, Athena, etc.)
- Excellent written and verbal skills and demonstrates the ability to manage workload and prioritize while multi-tasking in a fast paced environment
- Critical thinking skills
- High school diploma or GED required; college degree or some college preferred
- Additional certification/training via CMS MedLearn, HFMA, AHAM, AMA preferred
- 50-60%
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Business Office Manager - West Islip, United States - Ovation Healthcare
Description
Welcome to Ovation HealthcareAt Ovation Healthcare, we've been making local healthcare better for more than 40 years. Our mission is to strengthen independent community healthcare.
We provide independent hospitals and health systems with the support, guidance and tech-enabled shared services needed to remain strong and viable.
With a strong sense of purpose and commitment to operating excellence, we help rural healthcare providers fulfill their missions.The Ovation Healthcare difference is the extraordinary combination of operations experience and consulting guidance that fulfills our mission of creating a sustainable future for healthcare organizations.
Ovation Healthcare's vision is to be a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer focused behavior.
We're looking for talented, motivated professionals with a desire to help independent hospitals thrive.Working with Ovation Healthcare you will have the opportunity to collaborate with highly skilled subject matter specialists and operations executives, in a collegial atmosphere of professionalism and teamwork.
Ovation Healthcare's corporate headquarters is located in Brentwood, TN. For more information, visitSummary
The Business Office Manager is responsible overall for the Patient Financial Services areas of: Patient Access, Scheduling, Insurance Verification, Pre-Registration, Financial Counseling, Billing, Collections, Cash Posting and Adjustments necessary to finalize medical accounts.
Specifically, they will be overseeing the day-to-day activities of the staff they are supervising on site or remotely for a client hospital.
Focusing the team's efforts and ensuring diligent team follow-up are crucial to this position.Leadership capabilities such as answering relevant questions, setting goals, allocation of resources, monitoring, trending of AR and staff accountability are essential.
Hands-on on training of staff is a key element of this role. 70%-80% travel to client site is required.Being hands-on with day-to-day activities which may include all PFS areas of the revenue cycle
Duties and Responsibilities
