Business Office Manager
90010 ClearSky Health Acquisition, LLC
Albuquerque, NM (In Person)
Full-Time
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Job Description
Essential Functions:
Assist in supervising and directing Business Office and end-to-end Revenue Cycle operations across all ClearSky entities, including inpatient services and hospital billing/collections This is a working manager position that will be responsible for the billing and collections process of 1 or more hospitals Oversee front-end and back-end RCM functions, including admission accuracy, authorization processes, charge capture, claims submission, and denial management Ensure timely filing and effective insurance and patient follow-up while monitoring billing, cash accounting, and overall reimbursement processes Manage billing, claims, and work queues for accuracy and completeness; follow up on pending claims and support denial resolution and appeals Monitor and report on key performance indicators (KPIs), including days in A/R, denial rates, and collection percentages, to drive performance improvements Lead, train, and supervise revenue cycle staff, including A/R follow-up, contractual posting accuracy, and daily operational support Support employee performance management, providing coaching and recommendations for development and improvement Identify and implement process improvements to enhance efficiency, accuracy, and revenue capture Assist with month-end and year-end close processes, ensuring compliance with financial policies and procedures Support development and maintenance of RCM policies, reporting, and staff training programs Ensure compliance with federal and state regulations, including Medicare and Medicaid guidelines Performs other duties as assigned Completes trainings, as required. Minimum Job Requirements Minimum Education & Experience High school diploma or GED equivalent required 5+ years of experience in hospital revenue cycle management required 2+ Proven leadership and team supervision experience required Strong knowledge of medical billing, and reimbursement methodologies required Experience with in-patient Rehabilitation Hospital billing preferred Experience with hospital billing systems and electronic health records (EHR) Experience with Medicare, Medicaid, and commercial insurance processes required Required Licenses, Certification, and /or Documentation None Required Knowledge, Skills, and Abilities Knowledge in CMS hospital regulation and reimbursement. Knowledge of payer types in the healthcare industry. Demonstrates general computer skills including data entry, word processing, email, and records management. Demonstrates exceptional customer service skills and communication. Demonstrates effective conflict resolution in customer service. Ability to prioritize, meet deadlines, and complete complex tasks. Ability to maintain quality and safety standards. Ability to maintain proper levels of confidentiality. Ability to work closely and professionally with others at all levels of the organization. Effective organizational and time management skills. Effective written and verbal communication skills. Physical Requirements over the course of a shift A significant amount of sitting, often for prolonged periods of time Both gross and precise motor functions Lifting/exerting of up to 10 lbs Sufficient manual dexterity to operate equipment and computer keyboard Close vision and the ability to adjust focus Ability to hear overhead pages. Authentic. Inspiring. Transformative. ClearSky Health and our affiliated Hospitals provide high-quality care that transforms the lives of those living with disabling injuries and illnesses. We distinguish ourselves through our commitment to excellence, to our patients, to our employees, and to the communities we serve. We value our employees' skills, talents, and input. We believe in maintaining hospital environments where employees are: Valued Treated with dignity Respected Provided educational and training opportunities Recognized Rewarded ClearSky Health has plans to open a medical rehabilitation hospital at the location listed below. If you are interested in learning more, please email us and send your resume to jobs@clearskyhealth.com. Eau Claire, WISimilar remote jobs
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