Manager, Business Office

Position Summary:

The Business Office Manager reports to the CFO and is responsible for financial data integrity and quality assurance. The goal of this position is to ensure high quality service for accuracy of information.

Position Responsibilities:

Clinical / Technical Skills (40% of performance review)

• Daily Census Reconciliation: Running reports, balancing census and resolving error/variances to completion
• Outpatient charge entry-understanding contractual setup or relevant charge data, ensuring all outpatient charges fall within insurance guidelines/requirements and enter them into WellSky
• Monitors physician charges and resolve discrepancies timely
• Ensures patients that are underinsured and unfunded are connected to available resources and/or verify financial status, if meets SUN charity guidelines request and post charity adjustments post discharge
• Ensure single case agreements on OON payors have been initiated/completed and enter payment rate in WellSky to ensure claim drops appropriately.
• Ensures patients are properly admitted to the correct type of room; communicates inaccuracies to CFO, Intake and UM
• Verifies patients that are denied have been identified on the denial log. Update expected denied days and expected denied dollars
• Prepares denial log for AR meeting and EOM, works closely with UM to ensure data is accurate
• Audit/completes upfront collection log for usage, accuracy, and collection efforts weekly with additional review/completion by month end
• Audit admissions and communicates findings pertaining to insurance verification, financial counseling, and demographic accuracy
• Processes incoming mail in a timely manner according to established procedures
• Processes Business Office email timely and efficiently.
• Offers guidance to employees related to Point-of-Service collective activity
• Effectively utilizes and understands the departmental computer system to realize its optimal potential and to be able to evaluate and answer staff member questions regarding the mechanics of the system.
• Responsible for ensuring Efts are set up and depositing to the correct bank account.
• Responsible that check deposits are scanned to the bank timely and set up EFTs for all manual checks.
• Monitors insurance table in WellSky and request new Iplans, if appropriate
• Resolve/refund AR credit balances
• AR Analysis and report findings to the CFO
• Responsible to prepare end of month reports for CFO
• 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.

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.

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, as established by job description, policies, or hospital leadership
• Exemplifies professionalism through good attendance and positive attitude, at all times.

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

Education

• Required: High school diploma or GED. Basic medical terminology.
• 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 Wellsky system a plus
• May substitute experience for education