Business Office Manager

JOB TITLE: Business Office Manager

DEPTARMENT: Business Office

GENERAL SUMMARY OF DUTIES: An exempt position. Responsible for managing, directing and supervising the reimbursement/coding activities on all services furnished by the physicians/providers of Alaska Heart Institute. Ensures accurate patient billing and efficient account collection to maximize cash flow.

SUPERVISON RECEIVED: Reports to Chief Revenue Officer

SUPERVISION EXERCISED: Supervises billing office staff which consists of charge posting, payment posting, Insurance/ Medicare research, collections, patient/insurance refunds and bank deposits.

ESSENTIAL FUNCTIONS: 

• Develops departmental objectives and organizes the work of the department.  Reviews work of billing office personnel.
• Responsible for managing human resources of the billing department staff.  Hires, orients, evaluates performance goals and objectives, recommends merit increases, promotions, and disciplinary actions for supervised staff.
• Maintains accounting controls established by AHI through staffing and assignment of duties.  Job descriptions will be developed to ensure a division of duties that results in accountability and protection against fraud and abuse.  Changes to department job descriptions will be approved by the Chief Revenue Officer.
• Plans and directs patient insurance, billing, collections and data processing to ensure accurate patient billing and efficient account collection.  Identifies billing and processing problems in a timely manner.  Recommends and implements approved solutions.  Responsible for ongoing monitoring of all business office functions.
• Works with the Chief Revenue Officer to prepare monthly accounts receivable reports and analysis.  These may be given to the CEO for presentation to the physician members.
• Participates with updates to the AHVI fee schedule and CPT codes according to the most current published information to ensure compliance.  The Chief Revenue Officer will review and approve. 
• Establishes workflow benchmarks for billing department personnel relating to accuracy, account follow-up, production, collections and timeliness regarding patient accounts.
• Monitors patient and insurance credit balances.  Receives signed refund checks and prepares posting batches for payment posters, so they have a balancing tool.
• Assists in the yearly budgeting process with the AHI Management Team in those areas relating to the billing department.
• Review Medicare, Medicaid, VA, Blue Cross, Tricare, and any other insurance carriers that AHI participate with to insure timely submission of charges and proper reimbursement.

PAY RANGE: $90K - $110K to start (dependent upon experience)

EMPLOYEE BENEFITS:

• Medical

• Dental

• Vision

• Colonial Life Elective Benefits

• Life Insurance

• Profit Sharing 401K

• HSA

• FSA

• Employee Assistance Program

• Wellness Program

• PTO- starting at up to 5.84 hours per pay period (increases with years of service)

• 8 paid holidays per year

• FMLA

This job description is intended to provide basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities, and working conditions may change as needs evolve.