ST. JOSEPH’S SURGERY CENTER
JOB DESCRIPTION: REGIONAL BUSINESS OFFICE ASSISTANT
TITLE
REGIONAL BUSINESS OFFICE MANAGER
Main function
Under the direction the Administrator, BOM and/or Director of RCM, supervises business office personnel in the areas of insurance verification, compliance, scheduling of surgical procedures, and transcription of operative procedures in accordance with facility policies, procedures, philosophy, and objectives. Coordinates billing/coding/accounts receivable with billing company. Maintains accounts payable records and supervises payment of supplies to include monitoring back orders. Responsible for payroll monitoring and reporting, daily backup of computer files, and security of backup tapes/disks. Coordinates activities with other departments and participates in obtaining and maintaining qualified personnel. Responsible for environmental control of area. Promotes a favorable image of the facility to physicians, patients, insurance companies, and the general public. May delegate duties as he or she deems necessary.
Duties and
responsibilities
- Philosophy
- Communication
- Supervisory duties
- Compliance program
- Performance-improvement program
- Safety/Risk-management program
- Professional competence
- Payroll
- Financial practices
- Accounts payable
- Scheduling
- Medical records
- Credentialing
- Supports the facility’s ideology, mission, goals, and objectives
- Performs in accordance with the facility’s policies and procedures
- Follows the facility’s standards for ethical business conduct
- Conducts self as a positive role model and team member
- Recognizes patients’ rights and responsibilities and supports them in performance of job duties
- Participates in facility committees, meetings, in-services, and activities
- Communicates effectively and professionally with patients, visitors, physicians, and coworkers
- Interacts with others in a positive, respectful, and considerate manner
- Directs supervision of business office personnel, including orientation, performance appraisal, and maintenance of business office personnel records
- Ensures that business office duties are carried out according to facility policies and procedures
- Ensures that business office duties are carried out efficiently and accurately
- Works closely with clinical director/management company to ensure the efficient, timely flow of overall operation
- Works closely with administrator/management company to promote the facility
- Works closely with billing company to ensure the efficient computer entry of all necessary demographic and insurance information to allow timely coding and billing
- Backs up computer files daily and secures tapes/disks
- Recommends revisions in business office policies and procedures to maintain compliance with federal and state rules and regulations
- Contributes to the progress and development of the organization’s adopted compliance program
- Performs according to established compliance policies and procedures
- Remains current on all federal and state guidelines regarding business office practices (e.g., fraud, abuse, and anti-kickback statutes)
- Contributes to the progress and development of the organization's adopted performance-improvement program
- Performs according to established performance-improvement policies and procedures
- Adheres to safety policies and procedures in performing job duties and responsibilities
- Reports observed or suspected safety violations, hazards, and policy/procedure noncompliance to safety officer or other designated person
- Participates in continuing education and other learning experiences
- Shares knowledge gained in continuing education with staff
- Maintains membership in relevant professional organizations
- Seeks new learning experiences by accepting challenging opportunities and responsibilities
- Welcomes suggestions and recommendations
- Reviews time cards accuracy and compliance with facility policies
- Maintains records regarding vacation, sick leave, etc.
- Inputs all information to SJMC so that payroll may be completed in a timely manner
- Uses facility resources appropriately and avoids wasteful practices
- Reports wasteful practices
- Analyzes work area and makes recommendations for potential cost-effective improvements
- Maintains appropriate and accurate accounts-payable financial records
- Ensures that financial transactions follow generally accepted accounting principles and facility policy
- Works with clinical director/management company to develop and maintain case cost analyses
- Reviews prequalification of procedures by third-party payers
- Serves as a positive liaison with insurance companies
- Reviews facility fees for accuracy, uniformity, and continuity
- Oversees timely and accurate delivery of billing information to billing company
- Reviews delinquent accounts with billing company and administrator before approving for collection, according to facility policy/procedure
- Reports patient disputes to administrator
- Evaluates accounts payable and purchasing procedures to maintain compliance with federal and state rules and regulations
- Reviews invoices with clinical director for accuracy and status (e.g., back order, filled) before approving for payment
- Performs price comparisons on frequently purchased items and contracted services
- Monitors accounts payable to take advantage of discounts
- Submits timely payment of utilities and other operational costs to prevent interruption of services
- Recommends revisions in accounts payable policies and procedures to maintain compliance with federal and state rules and regulations
- Oversees scheduling tasks to maintain efficient patient flow
- Works closely with clinical director to ensure appropriate time allowances and special-equipment requests are communicated in a timely manner
- Monitors physician block time and makes recommendations for effective utilization to administrator
- Oversees scheduling manager for compliance with facility policies and procedures
- Serves as a positive liaison with physicians and their office personnel
- Oversees medical record maintenance to ensure timely dispensation of completed charts
- Monitors medical record charts for accuracy, completeness, and compliance with federal and state rules and regulations
- Maintains security and confidentiality of medical records
- Works with hospital credentialing entity to monitor timeliness of reapplications
- Ensures computer scheduling module contains current licensure, malpractice insurance, and delineation of privilege information
RESPONSIBILITY FOR ASSETS
- Responsible for all office supplies and business office equipment
- Responsible for petty cash
- Responsible for scheduling book/computer module
- Responsible for medical records
- Responsible for human resource and business office reference materials
- Responsible for financial and payroll records
QUALIFICATIONS
- Cooperative work attitude toward co-employees, management, patients, visitors, and physicians
- Ability to promote favorable facility image with physicians, patients, insurance companies, and general public
- Ability to make decisions and solve problems
REQUIREMENTS
Required
- High school diploma or GED certificate
- Training or courses in business office activities
- Two years of medical facility or medical business office experience
- Strong ethical and moral character references
Preferred
- Supervisory experience
- Medical field experience
- Strong accounting background in a medically related environment
- Basic knowledge of accounting procedures
- Strong knowledge of computers (e.g., word processing, spreadsheets, automated computer billing systems)
- Strong managed-care expertise with Medicare, Medicaid, and/or third-party payers
- Good oral and written communication skills
- Basic knowledge of medical terminology
- Basic knowledge of anatomy
Job quality
REQUIREMENTS
- Accuracy
- Attention to detail
- Timeliness
- Organization
- Little supervision needed to accomplish tasks
DEPENDABILITY
- Attendance
- Punctuality
- Ability to follow instructions
- Ability to meet deadlines
PHYSICAL/MENTAL REQUIREMENTS
- Ability to sit/stand for long periods; ability to walk
- Visual and auditory acuity for frequent use of computer and telephone, and occasional use of other office equipment
Working conditions
(ENVIRONMENTAL)
- Well lit and ventilated, with non-hazardous and hazardous equipment
- Category III: exposure to blood borne pathogens and may encounter chemical hazards
REPORTS TO
BOM/RCM Administrator/management company
SUPERVISES
Staff directly related to business office
CONTACTS
- Patients
- Patients’ family/significant others
- Physicians and physician office personnel
- Insurance company personnel
- Facility personnel
- Vendors
- Administration
- Medical director
- Governing body
- Committees
Required Skills Required Experience
Qualifications:
PRESCHOOL LEAD TEACHER REQUIRED SKILLS:
- High school diploma or GED required
- Childhood Development Associate (CDA) or Associate's degree in Early Childhood Education (ECE) preferred
- Previoushands-on preschool teaching or classroom leadership experiencepreferred
- Must be at least 18 years old
* Ability to review, correct and discuss financial matters with management.
* Excellent problem-solving and analytical skills.
* Ability to analyze financial data and develop meaningful financial reports for management.
* Ability to plan, assign, and oversee the work of support staff.
* Ability to review existing processes and make recommendations for improvement.
* Highly-organized and ability to demonstrate leadership skills.
* Ability to manage/meet multiple deadlines.
* Strong work ethic, professional attitude, and attention to detail.
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