Business Office Manager, RCM
19 hours ago
Ovation Healthcare is a dynamic, integrated professional services company delivering innovative and executable solutions through experience and thought leadership, while valuing trust, respect, and customer-focused behavior. Our mission is to strengthen independent community healthcare by providing independent hospitals and health systems with the support, guidance, and tech-enabled shared services needed to remain strong and viable.
Job Summary
The Business Office Manager is a key member of our team, responsible for overseeing the Patient Financial Services areas of Patient Access, Scheduling, Insurance Verification, Pre-Registration, Financial Counseling, Billing, Collections, Cash Posting, and Adjustments necessary to finalize medical accounts. This role requires strong leadership capabilities, including answering relevant questions, setting goals, allocating resources, monitoring, trending of AR, and staff accountability. Hands-on training of staff is a key element of this position, with 70-80% travel to client sites required.
Key Responsibilities
• Oversee daily billing and collections for all AR financial classes (Medicare, Medicaid, Worker's Compensation, BCBS, HMOs/PPOs, commercial insurance, self-pays, etc.)
• Interpret and follow up on contracts with insurance companies pertaining to rates, discounts, and filing instructions
• Utilize federal and state credit collection regulations and guidelines
• Review Unbilled report and billing edits to identify ways to improve the clean claim rate
• Supervise on-site or remote analysts and/or hospital staff
• Establish and conduct weekly staff meetings
• Facilitate and coordinate staff training and education
• Handle HR-related issues, including new hire orientation, staffing coverage, time off approvals, timecards, counseling/discipline, and evaluations
• Prepare and timely submit all Company and client required reports
• Track and monitor staff productivity
• Understand relevant RCM KPIs to analyze and plan strategies to increase cash and reduce AR
• Coordinate agenda and present findings on all scheduled conference calls
Requirements
• Minimum five (5) years of general hospital business office billing and collections experience
• Minimum of two (2) years of management experience
• High level of professionalism displayed by appearance and conduct
• Understands A/R management concepts for CAH/general hospital and business office operations
• Expert-level billing and/or collections with Medicare, Medicaid, commercial, and/or self-pay
• Medical billing software expertise in (but not limited to): Meditech (MAGIC, Client Server or Expanse), CPSI, Medhost, EPIC, Meditech, Rycan, Emdeon, Change, Relay Health, Trubridge, Athena, etc.
• Excellent written and verbal skills and demonstrates the ability to manage workload and prioritize while multi-tasking in a fast-paced environment
• Critical thinking skills
Education
• High school diploma or GED required; college degree or some college preferred
• Additional certification/training via CMS MedLearn, HFMA, AHAM, AMA preferred
Travel Requirements
• 50-60% travel to client sites required
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