Senior Business Operations Manager

1 week ago


Lewisville, Texas, United States Guidehouse Full time

Job Summary:

The Senior Business Operations Manager will be an extension of a client's business office staff as well as our in-house client specific training program. This role will perform any and all job-related duties as assigned, providing training to staff members for all projects and positions assigned to their role related to revenue cycle reimbursement. Under general supervision and according to established policies and procedures, the Senior Business Operations Manager will perform a variety of duties related to customer service and self-pay recovery functions of Call Center Support Operation.

  • Assists manager and supervisor in coordinating all activities related to PFS Follow up
  • Serves as Subject Matter Expert in all areas of assigned client project(s)
  • Reviews work of and provides feedback and training to Patient Account Reps
  • Assists in the implementation of standards and guidelines
  • Answers questions and routinely assists employees in area to ensure performance goals are met
  • Reviews reimbursement to ensure payments received are timely and accurate
  • Performs other duties as assigned by direct supervisor

Key Responsibilities:

  • Must be self-directed/self-motivated
  • Good communication and interpersonal skills
  • Account Review
  • Appeals & Denials
  • Medicare/Medicaid
  • Insurance Follow-up
  • Customer Service
  • Billing
  • UB-04 & CMS 1500
  • Reporting
  • Training
  • Subject Matter Expert and remains current in all areas of designated project/client
  • Complete all business-related requests and correspondence from patients and insurance companies
  • Audits patient accounts as requested
  • Assists management with coordinating activities
  • Train new employees and facilitates project specific refresher training sessions
  • Performs functions assigned by Supervisor/Manager to ensure team objectives are met
  • Manages and reports on task dashboard and work queue (desk) daily/weekly/monthly
  • Provide continuing education for current employees
  • Assists employees and answers questions to make certain team's performance goals are met
  • Assists in the implementation of standards and guidelines
  • Prepares daily productivity, call and payment reports
  • Provides timely feedback to appropriate management
  • When working AR responsible for working on up to 40 Accounts Per Day
  • Complete all assigned projects in a timely manner
  • Assist client and patients in all requested tasks
  • Communicate to Guidehouse management areas of concern or areas of improvement
  • Provide client specific training for patient account representatives
  • Review and update production reporting

Client Responsibility:

  • Update patient demographic information and initiate account adjustments
  • Try to resolve account balances to zero prior to accounts being forwarded to an outside agency for collections

Requirements:

  • High School Diploma/GED or 3 years of relevant equivalent in lieu of diploma/GED
  • Typically requires 8 years of relevant experience

Preferred Qualifications:

  • HB experience
  • Three to five years of experience in the healthcare field
  • PC skills in a Windows environment are required. Knowledge and utilization of desktop applications to include Word and Excel is essential
  • Ability to initiate and follow through on projects and work independently with minimal supervision required

What We Offer:

Guidehouse offers a comprehensive, total rewards package that includes competitive compensation and a flexible benefits package that reflects our commitment to creating a diverse and supportive workplace.

Benefits include:

  • Medical, Rx, Dental & Vision Insurance
  • Personal and Family Sick Time & Company Paid Holidays
  • Position may be eligible for a discretionary variable incentive bonus
  • Parental Leave
  • 401(k) Retirement Plan
  • Basic Life & Supplemental Life
  • Health Savings Account, Dental/Vision & Dependent Care Flexible Spending Accounts
  • Short-Term & Long-Term Disability
  • Tuition Reimbursement, Personal Development & Learning Opportunities
  • Skills Development & Certifications
  • Employee Referral Program
  • Corporate Sponsored Events & Community Outreach
  • Emergency Back-Up Childcare Program


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