POSITION SUMMARY:

Exercises general supervision over business office staff directing all areas of credit and collections of the Surgery Center. Plans, organizes and directs all aspects of the Business Office including the administration of all policies on accounting, insurance, internal controls, accounts payable, auditing of patient accounts, scheduling, admissions, medical records, and claims processing.

REPORTING RELATIONSHIPS:

1.Reports directly to the Administrator / Center Director

2.Indirectly to the Regional Vice President

WORKING RELATIONS:

1. Collaborates with the Administrator, Director of Clinical Services, Business Staff, Nursing Staff, as necessary to provide appropriate financial information and promote positive teamwork.
2. Serves as the first line supervisor for the business office staff and assumes a significant responsibility for maintaining financial documents.
3. Maintains positive employee relations and effective communications with physicians, staff and administrator.

PRINCIPAL ACCOUNTABILITIES:

• The Business Manager monitors and directs the day-to-day operations utilizing the following performance guidelines:
• Directly supervises the Medical Records personnel, the Admissions and Scheduling personnel, and Accounts Receivable personnel.
• Supervises and coordinates the reimbursements of patient accounts, accounts payable, claims processing, and cashiering.
• Establishes and recommends credit and collection policies.Makes a recommendation for improvement.Establishes and implements a system for the collection of delinquent accounts.
• Reviews billing and collection patterns and makes corrective recommendations.
• Gathers and analyzes information.Develops new procedures to improve the quality and quantity of work processed.
• Solves difficult payment and associated business office problems.Audits problem accounts.
• Interprets and enforces third party payer rules and regulations, including Medicare requirements.
• Supervises and trains/orients assigned personnel.Evaluates performance of business office personnel with the administrator and recommends merit increases, promotions, and disciplinary actions.
• Initiates and answers pertinent correspondence.Prepares and writes reports.Maintains required records and files.
• Maintains knowledge of and compiles with established policies and procedures.
• Evaluates monthly Accounts Receivable reports prior to monthly closure of computer database.
• Prepares monthly accounts receivable analysis and reviews with General Partnership.
• Directs the medical record’s department in the maintenance of facility medical records.
• Maintains regulatory and legal requirements of the medical records department.
• Directs the preparation and distribution of the facility surgery schedule.
• Coordinates the pre-admitting and interviewing processes for patients.
• Audits accounts to assure compliance with applicable laws and regulations relative to fraud and abuse issues.
• Supervises the analysis of costs and makes rate recommendation to ensure the appropriate income/cash flow.
• Establishes and monitors internal controls.
• Provides support for the computer database.
• Maintains the strictest confidentiality.
• Performs related work as required.
• Keeps administrator informed of all BOM activities and copies administrator on all financial reports.

QUALIFICATIONS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.The requirements listed below are representative of the knowledge, skill, and/ or ability required.Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

1. Bachelor’s degree in business or related business experience.
2. Three years of management experience including three years in a health care organization.
3. Additional appropriate education may be substituted for two years of fiscal management experience.
4. Thorough understanding of the insurance industry.
5. Knowledge of governmental regulations.
6. Maintains a high level of proficiency in computer applications.
7. Skills in exercising a high degree of initiative, judgment, discretion and decision-making to achieve organizational objectives.
8. Skills in establishing and maintaining effective working relationships with patients, staff, and the general public.
9. Ability to communicate clearly and effectively with all levels of management regarding fiscal policies.

PHYSICIAL REQUIREMENTS

• Must exhibit desirable trunk and extremity mobility and strength to perform job duties.
• Must be able to lift a minimum of 35 pounds safely
• Must be able to see, hear and speak English.
• Must be able to sit for long periods.

.

WORKING ENVIRONMENT

In the work environment of the center, there may be potential exposure to communicable diseases, contaminated blood and body fluids, and hazardous materials. In addition fluoroscopy is utilized which may expose the employee to radiation.