Business Office Manager

3 weeks ago


Portland, Oregon, United States Siletz Tribal Gaming Comm Full time
Job Summary

We are seeking a highly skilled Business Office Manager to join our team at Siletz Tribal Gaming Comm. The successful candidate will be responsible for managing and supervising the day-to-day activities of the Business Office, Purchased/Referred Care, Medical Support, and Patient Accounts.

Key Responsibilities
  • Oversee the day-to-day operations of the clinic billing department and serve as onsite support for the billing company.
  • Monitor, audit, and review compliance of third-party billing companies.
  • Establish and monitor metrics for all aspects of the revenue cycle to improve KPI and research deviations of expected outcomes.
  • Ensure all activities of the billing operations are conducted in a manner that is consistent with overall department protocol and in compliance with Federal, PRC, and third-party program rules, regulations, and procedures.
  • Audit and test NextGen system enhancements.
  • Audit patient accounts balances and prepare statement reports.
  • Audit patient accounts for billing discrepancies compared to the insurance's ERA/EOB and make the appropriate corrections in that account as needed.
  • Sign in as clinic EHR/EPM admin/super-user to add or update database information.
  • Explain benefits and services covered by insurances and other third-party payers to patients and clinic providers.
  • Assist and answer patient concerns with explanation of benefits (EOB's) and insurance denials.
  • Prepare and analyze accounts receivable reports, weekly and monthly financial reports.
  • Collect and compile accurate statistical reports.
  • Analyze trends impacting charges, coding, collection, and accounts receivable. Take appropriate action to realign staff and revise policies and procedures.
Requirements
  • Associate's degree in Accounting or related field, and two years of progressively responsible experience in accounting or finance with 1 year supervisory experience -OR- an equivalent combination of education and/or experience.
  • Knowledge of medical terminology, diagnosis, coding, and insurance terminology, preferred.
  • Regulations related to Medicare, Medicaid, and commercial insurance.
  • Medical billing procedures, preferred.
  • Statistics to assess patient workload and establish quality controls.
  • Electronic and manual billing, preferred.
  • Continuous process improvement concepts and practices.
  • ICD-10, CPT, HCPCS coding systems as well as professional claim forms such as CMS-1500 and UB-04 and billing practices.
Preferred Qualifications
  • Advanced computer skills with specific knowledge of database, word processing, spreadsheets applications, EHR/EMR systems, and basic online billing and transmission procedures.
  • Budget development and monitoring experience, preferred.
  • Hiring, supervising, and performance reviews of team members.
  • Tracking and auditing third-party and private payments.
What We Offer

We offer a competitive salary of $40.59 per hour and a comprehensive benefits package.



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