Business Office Supervisor
3 weeks ago
**Description** Job Summary**
Supervises admitting, patient billing, cashiering, credit and collection, data entry and PBX functions of the hospital as assigned. Reconciles accounts receivable balances to general ledger control accounts as directed.
**Essential Functions**
- Supervises business office functions and personnel that may include, but is not limited to, admitting, patient billing, cashiering, credit and collections, data entry, and PBX.
- Recommends new processes and changes in current processes. Implements controls to ensure appropriate submission, billing and credit and collections are kept in accordance with established procedures.
- Implements appropriate procedures for follow-up on third party approvals, billing, and collection of overdue accounts. Ensures that accurate and timely billing is being done by staff members in accordance with established procedures and third-party requirements.
- Coordinates the evaluation of patients’ insurance coverage and determines whether the patients’ benefits are exhausted.
- Tracks pre-certifications and continuous stay authorizations to ensure compliance with insurance and third-party requirements.
- Stays current on all reimbursement billing procedures of third party and private insurance payers. Implements appropriate billing and collection procedures, ensuring that the accounts receivable and records are kept in accordance with established procedures.
- Maintains appropriate internal controls over accounts receivable and cash receipt functions.
- Monitors activities with collection agencies, insurance companies, admitting, medical records, patient, and physicians.
- Supervises charge posting, billing, and collections ensuring compliance with policies and procedures.
- Supervises the procurement of insurance and financial obligation information related to the patient’s ability to pay for treatment performed.
- Consults with other departments concerning services rendered which affect the ability of the hospital to collect charges and/or the willingness of patients to pay.
- Maintains required records, reports, and files.
- Assists in the care and maintenance of department equipment and supplies.
- Attends meetings and participates on committees as directed.
- Schedules and evaluates the work of assigned staff members. Evaluates performance and competency of assigned staff and makes recommendations for personnel actions such as merit increases, promotions, and disciplinary actions.
- Plans and coordinates programs for ongoing staff education.
**Knowledge/Skills/Abilities/Expectations**
- Excellent oral and written communication and interpersonal skills.
- Knowledge of government and non-government payor practices, regulations, standards and reimbursement.
- Knowledge of general patient billing practices, managed care and third-party billing requirements, and fair credit and collection practices.
- Computer skills with working knowledge of Microsoft Office, word-processing and spreadsheet software, healthcare admitting and patient accounting systems.
- Ability to prioritize multiple tasks.
- Sound decision-making abilities.
- Approximate percent of time required to travel: 0
- Must read, write and speak fluent English.
- Must have good and regular attendance.
- Performs other related duties as assigned.
**Qualifications** Education**
- High school diploma or GED.
- Bachelor’s degree in business administration or accounting preferred. Equivalent combination of education, training, and experience may substitute for education requirements.
**Experience**
- Minimum two years' experience in business office management and accounts receivable with supervisory responsibilities in an acute healthcare setting.
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