Business Office Manager

We are seeking a proactive, strategic and highly organized Business Office Manager to support daily operations at our endoscopy centers.

An overview of the daily, weekly, monthly and quarterly responsibilities are as follows:

Note: This is not an all-inclusive list.

Daily

• Walk floor, check workload for the day and redirect people with light loads

• Are there any problems?
• Is the days’ schedule heavy or light?  If it’s a light day, direct front office staff regarding and special work since they will be finished early

• Check with the Nurse Manager (Clinical Director)

•   Is the schedule running smoothly? If no, work with nurse manager and front desk to resolve any issues

• Confirm all cases have been verified for the next day and patients have been called

• Are there any late add-ons?
• What date are the verifiers on? Confirm that ins verifications are at least 1 week out

• Check with Medical Records

• How old are your delinquent records
• Do the doctors that are at your facility today have any outstanding records they need to sign or dictate

• Review the bank log activity and enter in the Digital Deposit Log (DDL)

• Reconcile deposits.

• Check to see if there is any cash listed on the receipt book for the day.  Compare to the bank deposit slip for that day - make sure these totals match.
• Reconcile and initial receipt books to confirm deposits balance
• Compare the bank’s validated receipt to the center’s deposit and to the deposit log entry for that day.
• Make sure money is deposited in bank daily and securely locked until deposited.

• Ensure billing is completed daily.

• Monitor billing lag is under 5 days.

• Ensure all payments are posted daily and within 2 days of receipt.

• Review Payment Batches for unapplied payments.
• Review and make refunds requested daily.
• Monitor overpayments to ensure overpayments are done in a timely manner.

• Monitor collections and correspondence is worked with in 2 days of receipt.

• Review and make adjustments requested daily.
• Make sure appeals are done.

• Make sure daily Expected Payment Log is recorded on Monthly Summary

• A/P-Enter invoices daily or send to AP processor to enter.

Weekly

• Balance cash to PAS and cash log.

• A/P-Cut Checks

• Confirm refunds are being processed on a weekly basis, via Patient Refund Portal or Oracle reports.
• Confirm or post refunds from PAS.

• Payroll-Review prior weeks for employees with incomplete cards, PTO used and overtime.

• Make sure all employee reviews are done timely.

Monthly

• Review, and upload the Monthly Credit Balance report.

• Close month (MERGE)

• Make sure all payments are posted and cash reconciled.
• Confirm all cases are billed or TEMP billed if needed.
• Reconcile implant log to make sure all implants were billed as appropriate.
• Run month end reports (if applicable).

• Prepare for MOR

• review month end reports post AR close.

• Review A/R Activity report for mis-used journal codes or large adjustments.

• Understand why any out of period adjustments were completed (corrections to write-offs or write-offs)

• Know whether you are headed for an unfavorable or favorable quarterly adjustment and why.

• Carrier issues and what is being done to resolve them and the cash flow affect.

• Review aging for bad debt and accounts that should be sent to collections.

• AR aging, If aging greater than 90 days is more than 17% of total aging know why and review with team.

• Review collection comments.

• Check for employees’ reviews that are due soon.

• Update white board (if applicable).

• Plan for any upcoming coverage needed for vacations, etc.

• Work bank reconciliations from the accountant.

Quarterly

• State reporting (if applicable)

• Review deadlines for submission, review and certifications of state reporting.

• Review and work the 18-month Credit Balance Report per accountant.

• Review total credit balance report for all credits and rework those still showing to government payers & patients

This position will require traveling between 2 locations weekly:

Lowcountry Endoscopy Center: 207 McBride Lane, Summerville, S.C., 29486

Charleston Endoscopy Center: 1962 Charlie Hall Boulevard, Charleston, S.C., 29414