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Business Office Manager
2 months ago
- Market Leadership: SWRSC is one of the largest ambulatory surgery centers in the Pacific Northwest. We are aligned with Rebound Orthopedics.
- Clinical Leader: Featuring a fast paced multi-specialty ASC performing over 10,000 cases annually. High volume specialties include orthopedics, total joints, neuro, general surgery, total joints, and pain management. We have a highly skilled team of nurses and clinical staff that provide clinical excellence, supporting patients and the surgeons in all phases of the surgical process.
- Company Growth: Newly opened Interventional Procedural Center and expansion of operating rooms allowing for an additional 1,800 – 2,000 surgeries annually.
- Accreditation: SWRSC earned an accreditation from the Accreditation Association for Ambulatory Health Care (AAAHC), confirming our adherence to excellence in patient care.
The Business Office Manager is responsible for the comprehensive management and oversight of the business office within our Ambulatory Surgery Center. This role involves ensuring the effective operation of all revenue cycle processes, maintaining compliance with healthcare regulations, and fostering strong relationships with insurance payers. The ideal candidate will possess strong leadership skills and a deep understanding of healthcare billing, coding, and insurance contracting, supported by at least 3 years of management experience in a healthcare setting.
What You Will Do:
- Manage day-to-day business office operations, ensuring efficient patient registration, insurance verification, billing, and collections processes.
- Monitor and optimize revenue cycle workflows to ensure timely and accurate processing of patient accounts, including claims submission, coding accuracy, denial management, and accounts receivable follow-up.
- Implement and maintain performance metrics to track and improve operational efficiency.
- Collaborate with the Director of Revenue Cycle Management to develop strategies for reducing AR days and improving cash flow.
- Ensure timely resolution of billing issues and proactively address any disruptions in the revenue cycle.
- Lead the business office’s efforts in understanding and managing insurance contracts, including terms, reimbursement rates, and compliance requirements.
- Foster a collaborative and productive work environment, encouraging team engagement and continuous learning.
- Conduct regular training sessions on billing, coding, and compliance standards to ensure staff proficiency and adherence to best practices.
- Prepare and analyze financial reports related to billing, collections, and accounts receivable, providing actionable insights to senior leadership.
- Address patient inquiries and concerns related to billing and insurance, ensuring a high level of customer service and satisfaction.
- Resolve complex billing issues and escalations in a timely and effective manner.
- Collaborate with clinical and administrative teams to streamline workflows, improve patient flow, and enhance the overall efficiency of the business office.
- Participate in cross-functional initiatives aimed at optimizing revenue cycle processes and driving organizational growth.
- Stay informed about industry best practices, healthcare regulations, billing codes, payer-specific requirements, and technological advancements, integrating new tools and methods to enhance business office operations.
- Other duties as assigned.
What You Will Need:
- Associate’s degree in Business Administration, Healthcare Management, or a related field; Bachelor’s degree preferred.
- Certified Professional Coder (CPC) or Certified Medical Reimbursement Specialist (CMRS) preferred.
- Certification in Healthcare Compliance (CHC) is a plus.
- Minimum of 3 years of management experience in a healthcare setting, with a strong background in business office operations, revenue cycle management, and insurance contracting.
- Proven leadership abilities, with experience in staff supervision, performance management, and team development.
- Strong understanding of revenue cycle processes, medical billing, coding (CPT, ICD-10), and insurance contract management.
- Proficiency in healthcare management software and electronic health records (EHR) systems.
- Excellent organizational, problem-solving, and analytical skills.
- Strong communication and negotiation skills, with the ability to build and maintain relationships with insurance payers.
- Knowledge of healthcare regulations and compliance standards.