Business Office Manager - Patient Financial Services - Full-Time - AVALA Hospital - RH375

Summary 

Supervises and coordinates activities of workers engaged in scheduling, calculating, posting and verifying duties to obtain and record financial data for use in maintaining accounting and statistical records of patients. Compiles composite reports from individual reports of subordinates required by management of government agencies. Determines work procedures, prepares work schedules and expedites workflow. Assigns duties and examines work for exactness, neatness and conformance to policies and procedures.  

Essential Duties and Responsibilities

• Demonstrates the ability to direct and coordinate the patient billing and collection function in order to consistently produce accurate “clean” bills which are paid in a timely manner.
• Monitors collections continually with collection agencies, insurance companies, admitting, patients and physicians; coordinates operation and recommends corrective action, as appropriate.
• Demonstrates tact and diplomacy when calculating patient accounts and responding to physicians’ requests to discount patient bills; follows established hospital guidelines.
• Works effectively with auditors in locating various patient files as required; demonstrates cooperation and responsiveness. 
• Maintains a current awareness of third-party reimbursement regulations and contractual arrangements with HMOs and PPOs. Finds and corrects variances in insurance payments to assure the hospital is being paid according to contract.
• Promotes good staffing practices by maximizing the utilization of human resources; forecasts and anticipates the personnel needs of the department with regard to fluctuations in the projected workload; holds staffing at a functional minimum and assures coverage in an employee’s absence.
• Organizes the department in a manner that is consistently responsible to patient/customer needs.
• Assists with all business office functions when needed.
• Consistently demonstrates good organizational skills in the routine accumulation of statistical information and reports it to the Chief Financial Officer (CFO) in an accurate and timely manner.
• Continually works toward establishing an environment within the department that reduces the “paper shuffle” through increased use of computer technology and more effective methods of activity consolidation.
• Demonstrates the ability to devise more efficient methods and systems for processes within in the department and institutes changes in techniques and procedures as necessary.
• Maintains and updates all policies relating to the business office.
• Other duties as assigned.

Core Competencies

Action Orientation - Targets and achieves results, overcomes obstacles, accepts responsibility, establishes standards and responsibilities, creates a results-oriented environment, and follows through on actions.

Communications - Communicates well both verbally and in writing. Effectively conveys and shares information and ideas with others. Listens carefully and understands various viewpoints. Presents ideas clearly and concisely and understands relevant detail in presented information.

Creativity/Innovation - Generates novel ideas and develops or improves existing and new systems that challenge the status quo, takes risks, and encourages innovation.

Critical Judgment - Possesses the ability to define issues and focus on achieving workable solutions. Consistently does the right thing by performing with reliability.

Customer Orientation - Listens to customers, builds customer confidence, increases customer satisfaction, ensures commitments are met, sets appropriate customer expectations, and responds to customer needs.

Interpersonal Skills - Effectively and productively engages with others and establishes trust, credibility, and confidence with others.

Leadership - Motivates, empowers, inspires, collaborates with, and encourages others. Builds consensus when appropriate. Focuses team members on common goals.

Teamwork - Knows when and how to attract, develop, reward, and utilize teams to optimize results. Acts to build trust, inspire enthusiasm, encourage others, and help resolve conflicts and develop consensus in creating high-performance teams.

Professional Requirements

• Meets dress code standards and adheres to policies.
• Completes annual education requirements.
• Maintains regulatory requirements.
• Maintains patient confidentiality at all times.
• Reports to work on time and as scheduled, completes work within designated time.
• Wears identification while on duty, uses computerized punch time system correctly.
• Completes in-services and returns in a timely fashion.
• Attends annual review and department in-services, as scheduled.
• Attends staff meetings annually, reads and returns all monthly staff meeting minutes.
• Represents the organization in a positive and professional manner.
• Actively participates in performance improvement and continuous quality improvement (CQI) activities.
• Complies with all organizational policies regarding ethical business practices.
• Communicates the mission, ethics and goals of the hospital, as well as the focus statement of the department.
• Promotes professional growth of subordinates by sharing knowledge and/or directing them to sources if information appropriate to given situation. Utilizes journals, books, etc. to learn and/or improve new techniques and equipment.
• Assists other staff members in performing any duty that enhances the delivery of patient care.

Regulatory Requirements

• High school diploma.
• At least Five (5) or more years’ experience.

Skills

• Ability to communicate effectively in English, both verbally and in writing.
• Basic computer knowledge.

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to talk and hear. This position is very active and requires repetitive motions, standing, walking, bending, kneeling and stooping all day. The employee must frequently lift or move items weighing up to 10 pounds.