Top Business Office Executive - Healthcare jobs in Utica, NY

Description

JOB SUMMARY: An integral part of this role is to create new initiatives to increase efficiencies across various departments within the Business Office to improve the patient experience from the time of arrival throughout the revenue cycle processes. The Business Office Coordinator is responsible for streamlining all functions within the Business Office. Starting with patient services such as the check in process, accuracy of patient demographic/insurance information throughout billing and collections processes within the Epic Prelude/Resolute applications. The Business Office Coordinator is also responsible for ensuring the submission of claims and follow up of insurance denials are completed within the contracted time frames as well as any payments received are posted within Epic upon receipt in timely fashion. 

DUTIES & RESPONSIBILITIES:

1. Responsible to work the SDMG Insurance Balances missing from Follow-Up, SD Employee and Provider Discount, and the SD Co-Pay Self-Pay Balance with equal Insurance Credit work queues.
2. Responsible to work the Insurance Adjustment Tier 1 and Self-Pay Refund Tier 1 work queues.
3. Responsible to work the Retro Review work queue by approving/declining changes as applicable. Communicates issues to the applicable Managers/Training Educator for educational and process improvement purposes.
4. Reviews and approves time off requests for applicable staff, enters time clock adjustment forms. Ensures time clock is completed each week by designated time. Provides time clock coverage for the Collection and, Reception Managers and Business Office Director.
5. Provide cross coverage for the Reception and Collection Managers.
6. Maintain a working knowledge of current third party and governmental regulations.
7. Ensures all governmental insurance credits are reported within the federally mandated time frame
8. Responsible to open/close the Reception department which includes following the safe opening/closing policy and procedure, cash bag policy and procedure, petty cash policy and procedure, and preparing reports and the deposit for the Accounting Department.
9. Responsible to distribute/collect the cash bags (if applicable) to the Business Office Collection Team.
10. Assists with ensuring all reception desks are staffed for hours of operation. Prepares weekly schedule as well as the daily break/lunch schedule. Will provide desk coverage as patient flow demands.
11. Assists with the completion of various registration work queues.
12. Assists the Business Office staff with registration errors that result in claim denials.
13. Assisting in submission of the initial Medicaid ePACES enrollment forms as well as all annual provider (Physician, NP, PA, PT, LCSW, etc.) recertification’s to ensure there is no lapse in active status within the ePACES system that would have a negative impact on AR.
14. Develop, monitor, and evaluate productivity to attain departmental goals.
15. Works closely with the Business Office Director on staffing issues.
16. Assists in the development of policies and procedures as applicable to the PB billing.
17. Responsible for communicating with Physician’s and Department Heads any issues regarding staff. 
18. Schedule and conduct weekly and monthly meetings with team members.
19. Communicate to the staff any changes that affect the Business Office.

20. Assists in the development of policies and procedures as applicable to the Business Office.

21. All other duties as assigned.

22. May be exposed to hazardous drugs.

23. Attends OSHA training upon initial orientation and annually completes OSHA competency.

RELATIONSHIP WITH OTHERS: Maintain and foster collaborative relationships with Physicians and staff; assistants in education and billing matters. Work collaboratively with representatives of third party agencies.

Requirements

EXPERIENCE AND TRAINING: Three years’ experience in the medical insurance industry or Professional Billing environment. Graduated from High School or completed GED requirements. Supervisory experience preferred.   

PHYSICAL REQUIREMENTS: Requires sitting, standing bending and reaching. May require lifting up to 20 pounds. Requires manual dexterity sufficient to operate standard office equipment such as computer, fax, calculators and telephone. Requires normal hearing and vision.