Job Description

Essential Job Duties:

  • Manages Business Office Staff and Operations
  • Directs and oversees all business office staff, to include hiring, training, evaluating, and conducting disciplinary actions and other personnel actions as required.
  • Facilitates and promotes orientation, operational training, hands-on coaching, and other staff development tools and resources for all business office staff, and monitors performance.
  • Gathers and reports accurate data to facilitate and support leadership requests, and internal and external audits as required.
  • Directs, develops and implements policies and procedures regarding business office operations.
  • Engages in strategic planning activities and implements strategic decisions into operational plans.
  • Attends and participates in leadership, management, Continuous Quality Improvement, and other staff meetings as needed.
  • Assists in system administration of NextGen by reviewing and editing billable service items and other menu items and templates that affect billing.
  • Conducts regular operational staff meetings effectively.

Assists in Maintaining Financial Strength of CCHCI

  • Ensures that Month End closings are completed in a timely and accurate manner.
  • Reviews the End of Month balances of Patient Accounts Receivable for accuracy.
  • Analyzes aging of patient Accounts Receivable on a monthly basis and directs billing staff to improve payment statuses.
  • Ensures that charges and payments are posted daily.
  • Manages claim denials to identify causes, corrective actions and ensures timely resubmission.
  • Manages patient accounts regarding payment arrangements, collections and resolution of complaints and correction of errors.
  • Conducts routine internal audits of charges, payments and adjustments.
  • Ensures that unbilled encounters and un-submitted charges are addressed.
  • Assists in negotiation and renegotiation of contracts.
  • Assists with various projects in support of Leadership.

Required Education, Experience, Certificates & Licenses, Required Language Skills:

  • Associates and/or Bachelor’s degree in healthcare administration, public health, business management or a related field preferred.
  • Supervisory or other leadership experience preferred
  • Four or more years of experience in Billing and/or Credentialing.
  • Any combination of education and/or experience that provides the necessary skills and sensitivity.
  • Certified Professional Coder Certification required (can be in progress).
  • Automobile and valid driver’s license necessary as position requires occasional travel.
  • Ability to comprehend and compose instructions, correspondence and communications in English in both oral and written format.
  • Ability to effectively present information in one-on-one and small group situations to patients, internal providers and staff and other agency staff working in cooperation with the organization.
  • Ability to occasionally exert enough force to move objects weighing up to 10 pounds.