ITAC

Business Office Director

Birmingham,

Onsite
Job ID: 32002
Posted: 2022-06-23
Employment Type: Direct Hire

 

Business Office Director

Fast paced and one of the largest medical practices in the Southeast is looking for a highly motivated strategic visionary Business Office Director. This position serves as the practices accounts receivable manager and is responsible for the day-to-day operations of a multi-faceted medical and surgical business office. The qualified candidate must have knowledge and experience in all facets of medical office management, including accounts receivable, management, provider insurance credentialing, revenue cycles, ICD 10 coding and billing, and personnel management, including hiring training counseling and evaluating all staff. Must be aware of laws and regulations that govern medical practice and can effectively interact with physicians, patients, and other staff members.

 

What you’ll be doing:

  • Attracts high caliber people. Accurately assesses strengths and development needs of staff. Gives timely, specific feedback and helpful coaching. Provides challenging assignments and opportunities for their development
  • Manage and direct the efforts of the business office supervisor and recommend personnel actions including, but not limited to hiring, performance management, scheduling and work assignments, disciplinary action, promotions, and transfers
  • Coordinate regular staff meetings and ensure staff are kept abreast of departmental and organizational activities, goals, and policies
  • Establish accurate and consistent productivity expectations and revise as needed
  • Ensure the department complies with all financial policies and procedures
  • A good educator who is trustworthy and willing to share information and serve as a mentor
  • Make recommendations regarding staff requirements to meet departmental needs and achieve maximum productivity

 

Department Essential Responsibilities:

  • Handle confidential patient files and medical records, carrying out the necessary and related functions in a highly professional and discreet fashion
  • Coordinate daily activities within the business office to make it possible for other people to function efficiently
  • Serve as a liaison within the company among departments and interact with outside vendors for the benefit of the organization
  • Establish credibility throughout the organization and with the CEO, Managing Partner, and the Board as an effective leader and developer of solutions to business challenges
  • Interact with other managers to provide consultative support to planning initiatives through financial and management information analyses, reports, and recommendations
  • Assist physicians, non-physician practitioners, patients, patients' families, referring physicians, and third-party carriers to resolve patient related issues
  • Supervise and coordinate charge entry, third-party billing, the application of payments, and insurance claim follow-up, ensuring the medical data is secure, accessible, and accurate for billing purposes
  • Maintains knowledge of payer insurance contracts and communicates updates with billing staff, Medical Executive Committee (MEC), Revenue Cycle Committee, or Billing and Coding Committee
  • Review and analyze payor contracts
  • Develops and implements appropriate policies and procedures to ensure accurate and timely billing and collection and educates staff on same, with regular updates and systematic verification of compliance
  • Oversee patient financial billing and counseling
  • Prepare various reports as directed (i.e., standard benchmarking as well as special projects and analyses)
  • Works with physicians and leadership to develop financial policy provided to patients that outlines expectations regarding the business aspect of their care
  • Leverages technology to ensure that the revenue cycle is taking advantage of the latest technologies to streamline and optimize revenue cycle performance; works effectively to resolve technical issues
  • Understands all aspects of insurance billing, patient billing, facility billing, compliance, payer requirements, government requirements, and financial assistance. Can educate and assist staff with these issues
  • Identifies issues and makes timely and reasoned decisions to correct problems and improve outcomes
  • Monitors Alternate Payment Models (APMs), including MIPS, BPCI, etc.
  • Establishes streamlined and up-to-date processes for the conduct of Registration to include demographic and insurance information updates. Authorization to include pre-certification processes
  • Works with Patient Access departments regarding insurance verification and benefits eligibility, including identification and collection of time-of-service payments. Charge captures to include safeguards to ensure full capture of all charges
  • Coding process to include complete, accurate, and timely coding of services rendered
  • Charge submission to include accurate and timely entering of charges and monitoring of charge lags
  • Payment posting and the use of contractual and non-contractual adjustment codes, payment codes, and denial mapping strategies
  • Account follow-up to include work queue strategies and management oversight claims follow-up, and appeal processes
  • Patient follow-up and collections to include follow-up and transfer of accounts to collection agencies
  • Reimbursement management to include identification of under-payments from payers and ensure accurate contract compliance related to reimbursement
  • Serves as Compliance Officer for the organization and leads the efforts of the Compliance Committee, and ensures adherence to the elements of the organization’s compliance plan
  • Maintains current knowledge of compliance plan requirements for healthcare providers
  • Perform other responsibilities associated with this position as deemed appropriate

Qualifications to be Successful:

  • Analytical – Processes complex or diverse information
  • Delegation – Delegates work assignments, gives authority to work independently, sets expectations, and monitors delegated activities
  • Judgment – Displays willingness to make decisions, exhibits sound and accurate judgment, and makes timely decisions
  • Leadership – Inspires and motivates others to perform well and accepts feedback from others
  • Management skills – Includes staff in planning, decision-making, facilitation, and process improvement; makes self-available to staff; provides regular performance feedback; develops subordinates’ skills and encourages growth
  • Oral communication – Speaks clearly and persuasively in positive or negative situations, demonstrates group presentation skills, and conducts productive meetings
  • Planning/Organization – Prioritizes and plans work activities, uses time efficiently, and develops realistic action plans
  • Problem Solving – Identifies and resolves problems in a timely manner and gathers and analyzes information skillfully
  • Quality Management – Looks for ways to improve and promote quality and demonstrates accuracy and thoroughness

 

 

Education and Experience:

  • Bachelor’s degree in Finance, Business, or equivalent
  • Five years of revenue cycle management experience in a physician practice setting
  • Experience using medical billing and practice management systems
  • Microsoft Office products

 

Preferred Qualifications:

  • Medical billing and practice management systems (Systemedx, EMR/PM)
  • CPC Certified
  • Strong knowledge of medical insurance billing and collections with CPT, ICD 10, and HCPC coding and medical terminology
  • Knowledge of regulations related to Medicare, Medicaid, and commercial insurance.
  • Knowledge of managed care products (HMO, PPO, etc.).
  • Knowledge of HIPAA
  • Proficient skill in using analytical tools
  • Strong customer service skills
  • Skill in writing procedures and policies
  • Skill in using healthcare software and computer systems

– INDACC

 

 

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