Business Office Manager

Business Office Manager St. Luke's University Health Network - 3.6 Allentown, PA Job Details Full-time 6 hours ago Qualifications Staff supervision Research High school diploma or GED Health insurance knowledge Computer skills Medical claims submission Full Job Description St. Luke's is proud of the skills, experience and compassion of its employees. The employees of St. Luke's are our most valuable asset! Individually and together, our employees are dedicated to satisfying the mission of our organization which is an unwavering commitment to excellence as we care for the sick and injured; educate physicians, nurses and other health care providers; and improve access to care in the communities we serve, regardless of a patient's ability to pay for health care. The Manager, Business Office is responsible for management of our Accounts Receivables (AR) for our network hospitals. Responsible for the implementation of effective processes for continuous management of AR in order to maximize financial outcomes. Development and maintenance of manuals used to educate the business office staff on the processes to be followed for effective billing and AR collections within our billing systems. Develop processes to decrease denials.

JOB DUTIES AND RESPONSIBILITIES

Ensures cash flow maximization and reimbursement optimization through the constant monitoring of accounts receivable activity. Researches and implements new regulations as they pertain to billing and collection of AR accounts to ensure billing compliance. Performs ongoing analysis of accounts receivable reports and determines probable causes of inefficiencies inhibiting maximum collection performance. Development of policies and procedures that accurately reflect business office operations. Ongoing training and education with staff to ensure accurate billing and collection of accounts. Participates in the network-wide revenue cycle audit initiative, encompassing the review of randomly selected accounts for their flow through the revenue cycle. Assists in the trouble shooting and resolution of issues arising from the revenue cycle audits. Establishes and maintains productivity measures to ensure appropriate staffing levels for maximum department effectiveness. Assists department managers across the network in the development of billing protocols for new and/or existing services. Assists in the necessary research of third party coverage guidelines for new and/or existing services. Performs duties with a minimum of supervision, exhibits innovations and good judgment. Ensures timely and accurate response to patient, physician office and insurance carrier inquiries regarding billing issues. Able to direct personnel in a professional and courteous manner

PHYSICAL AND SENSORY REQUIREMENTS

Sitting for up to 8 hours per day, 3 hours at a time. Consistent use of hands and fingers for typing, telephone, data entry, etc. Occasional twisting and turning. Uses upper extremities to lift and carry up to 10 pounds. Stoops, bends and reaches above shoulder level to retrieve files. Hearing as it relates to normal conversation. Seeing as it relates to general vision. Visual monotony when reading reports and viewing computer screen.

EDUCATION

High School Diploma / GED required. Bachelor's Degree with a focus in Business Administration preferred.

TRAINING AND EXPERIENCE

Five years of experience in business office healthcare functions and revenue cycle functions and business office management required. Three years experience in a supervisory role required. Previous experience and t horough knowledge and application of all billing functions and claims submission process for all major carriers and intermediaries required. Previous experience and proficiency in computer skills required. Please complete your application using your full legal name and current home address. Be sure to include employment history for the past seven (7) years, including your present employer. Additionally, you are encouraged to upload a current resume, including all work history, education, and/or certifications and licenses, if applicable. It is highly recommended that you create a profile at the conclusion of submitting your first application. Thank you for your interest in St. Luke's!! St. Luke's University Health Network is an Equal Opportunity Employer.