Business Office Director

Job Title: Business Office Director

Reports To: Chief Executive Officer

Department: Business Office

Position Overview:
The Business Office Director is responsible for overseeing and optimizing the end-to-end revenue cycle process, from patient intake through to final payment. This includes managing the functions of billing, coding, collections, accounts receivable, centralized scheduling, and ensuring compliance with industry regulations for Speech and Audiology services. The Business Office Director will lead a team that consists of onsite staff and/or outsourced vendors to ensure effective and efficient revenue cycle functions, providing guidance, training, and performance management to ensure accurate and timely reimbursement, effective and efficient scheduling while maintaining high standards of patient experience.

Key Responsibilities:

• Oversee Front Desk, Scheduling and all billing and collection functions for clinic revenue
• Manage all aspects of the revenue cycle, including patient registration, insurance verification, charge capture, coding, billing, collections, point of services collections and denials management to ensure accurate and timely revenue recognition.
• Oversee the centralized scheduling process, ensuring all patient appointments are scheduled accurately and in a timely manner, optimizing provider and resource utilization. Collaborate with clinical teams to streamline workflows and reduce appointment errors, delays, no show/cancellation rates and turnaround time while ensuring a high level of patient satisfaction.
• Foster a culture of collaboration and accountability to achieve departmental goals and maintain high levels of employee engagement.
• Uphold and foster the spirit of THI values including collaboration and teamwork across the organization and between department teams.
• Identify inefficiencies and opportunities to implement process improvements to streamline the revenue cycle workflow including patient access and scheduling to reduce claim denials, increase revenue realization, patient volumes and satisfaction.  Develop and implement best practices and standard operating procedures to ensure improvements occur and are sustained.
• Implement, lead and sustain a proactive and effective denial management process.
• Manage Sliding Fee Scale and financial assistance processes for healthcare and education services.
• Accurately report net revenue and cash receipts during month and year end close processes. 
• Ensure compliance with all applicable federal, state and payer regulations. 
• Ensure a high level of customer service is maintained throughout the department.
• Participate in payer audits and lead managed care contracting initiatives. 
• Provide regular report to senior leadership outlining trends, areas of risk and areas of opportunity.
• Work with the accounting team to project cash receipts projections to assist with facility cash flow projections.
• Be a superuser for THI's EMR and Billing System, being a facility expert in scheduling, billing and related functions of the system. Collaborate with IT and vendors to ensure systems are functioning optimally and new technologies are leveraged effectively.
• Ensure effective onboarding of staff ensuring understanding of THI and department policies and procedures.
• Using industry standards, monitor, report and achieve KPI's for revenue cycle and scheduling functions including, but not limited to:  

o    cash as % of net revenue

o    charge lag

o    AR Days

o    Cancellation and no-show rates

o    Scheduling turn-around-time metrics   

•  Provide actionable insights to senior leadership.
• Oversee internal audits to ensure accuracy and adherence to billing, coding, and scheduling guidelines. 
• Work closely with clinical and administrative departments, including directors, clinical staff, and finance, to resolve revenue cycle and scheduling issues and improve overall operational efficiency.
• Oversee mail and package intake and processing processes for THI
• All other duties as assigned by CEO

 Qualifications:

• Education:  Bachelor’s degree
• Experience:
  • Minimum of 5-7 years of experience in revenue cycle management, with at least 3 years in a leadership or senior management role.
  • Proven experience in billing, coding, patient access, scheduling, and collections processes within healthcare.
  • Strong understanding of healthcare insurance, reimbursement models, and regulatory requirements (e.g., HIPAA, CMS, and payer-specific guidelines). 

• Skills:
  • Strong leadership, team-building, and mentoring skills.
  • Excellent communication, analytical, and problem-solving skills.
  • Proficient in EMR/revenue cycle management software and ability to learn new systems.
  • In-depth knowledge of CPT coding, as well as healthcare billing regulations.
  • Strong technology skills- i.e. Microsoft office, Word and Excel. 

• Certifications:
  • HFMA CRCR preferred.
• Other:
  • Ability to manage multiple priorities in a fast-paced environment.
  • High attention to detail and accuracy.
  • Strong interpersonal skills and the ability to build relationships across departments and all levels of an organization. 

Physical Requirements:

• Ability to sit for extended periods of time.
• Ability to use a computer for long periods.
• Ability to lift up to 15 pounds. 

Position Information:

• Hours Weekly: 40
• Monday - Friday

Benefits:

• Health & Dental Insurance
• Life Insurance
• Long Term Disability Insurance
• 403 (b) Retirement Plan
• 12 Paid Holidays
• 21 Paid Time Off Days 

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