Business Office Manager

Radiology Practice in Richmond, Virginia

Introduction:

The Business Office Manager oversees the day-to-day activities within the business office to achieve the business and financial goals of the organization. Business Office responsibilities include patient billing and collection, third-party payer relations and preparation/submission of insurance claims.

Job Description:

Major Duties/Tasks:

  • Oversee the medical billing of procedures generated by 30+ radiologists in five area hospitals and affiliated imaging centers, medical centers, and other local area contracts.
  • Recruits, orients, evaluates, and monitors on-the-job performance of business office employees. Provides counsel, and discipline for business office employees.
  • Promote an environment that encourages optimal efficiency and staff retention.
  • Provide staff supervision, motivation, direction, and development to ensure optimal productivity.
  • Ensures organization is meeting established goals by reviewing daily, weekly, and monthly statistical reports, billing policies and procedures (e.g., charges, procedures, revenue, claims, collections, productivity, AR days)
  • Performs end of month reconciliation
  • Trains staff in business office policy changes.
  • Manages the business office in compliance with policies, procedures, and regulations.
  • Maintains patient and practice confidentiality as outlined in HIPAA guidelines.
  • Oversees the Supervision of the Business Office Teams
    • Ensures daily business office activities such as bank deposits, insurance claims and payments are timely and accurate.
    • Reviews monthly reports with the Supervisor of each Business Office Team; Develops goals and strategies based on reporting data
    • Ensures claims are filed timely with third-party payers and cash flow is monitored and reported appropriately
    • Ensures monthly reporting to Controller and COO
    • Works with Coding Supervisor to institute correct coding procedures; to identify and resolve compliance issues.
  • Stays current on Medicare and Medicaid regulations
  • Stays current on policies and procedures for commercial payers and products
  • Communicates and maintains working relationships with insurance representatives, collection agency, physicians, and team supervisors.
  • Interacts and communicates with radiologists (statistical, audit assessment and reporting)
  • Evaluates and employs, as appropriate, the latest trends in technology to improve the efficiency and effectiveness of the business office
  • Participates in professional development activities to keep current with medical billing trends and practices.
  • Assists with oversight, upgrade and repair of hardware and software for business office computer systems.
    • Electronic data interchange (Demographic/radiology report files, electronic insurance claims, paper claims, patient statements/letters, and collection accounts)
    • Computer software liaison (Clearinghouse, print mail vendor, facilities, collection agency)
    • Medical billing system support liaison (Problem solving, DLL and version upgrades)
  • Coordinates billing arrangements for outside read agreements
  • Supports Controller and COO as needed (special projects, statistical analysis, contract negotiations, fee schedule analysis)
  • Researches, organizes, and resolves major issues with insurance carriers (Federal Programs – MIPS)
  • Assists with physician credentialing in conjunction with Executive Assistant
  • Manages collector Tickler
  • Other duties as assigned

Required Qualifications:

Required Education/Experience:

  • Bachelor’s degree
  • Minimum five years medical business office experience (i.e., medical collection and reimbursement experience) with two years as department manager or assistant department manager
  • Minimum five years’ experience supervising and directing employees
  • Coding certification (CPC) preferred

Preferred Qualifications:

Coding certification (CPC) preferred

Education Qualifications:

Bachelor’s degree

Compensation/Benefits:

Benefits: 401(k), 401(k) matching, Dental insurance, Health insurance, Health savings account, Life insurance, Paid time off

Instructions for Resume Submission:

Submit resume to: bmerchent@langerecruiting.com