Business Office Manager Riverton Gastroenterology Center Riverton, UT Job Details Full-time 1 day ago Benefits Health savings account Health insurance Dental insurance Paid time off Vision insurance 401(k) matching Life insurance Qualifications Outpatient surgery experience Staff supervision Medicare High school diploma or GED Medicare regulations Centers for Medicare and Medicaid Services (CMS) Medicaid regulations Medicaid Medical terminology Full Job Description

JOB TITLE

: Business Office Manager

GENERAL SUMMARY OF DUTIES

: The Business Office Manager (BOM) assists the Facility Director and Clinical Manager in running the Center in an efficient, cost-effective and patient-centered manner.

EDUCATION/EXPERIENCE

: Demonstrated experience using computerized accounting and billing systems High school diploma (or equivalent) required College degree in Business or Accounting preferred A minimum of 5 years experience in an ASC or hospital business office Minimum 3 years supervisory experience

QUALIFICATIONS

: The BOM must: Have the ability to lead and motivate the business office staff and is responsible for supervising non-clinical personnel Be able to communicate effectively with upper management, center staff, physicians and their staffs, patients, their families, marketing, insurance and sales representatives Have the ability to promote favorable center image with physicians, patients, insurance companies and the general public Have knowledge of medical terminology; medical billing and coding; Medicare and Medicaid regulations

POSITION SUMMARY

The Business Office Manager is responsible for the business office functions of the Surgery Center including: Procedure Scheduling Pre-service Insurance Verifications Auth Verifications Estimates Case Profitability Pre-registration calls Cash Log (by deposit date) Record deposits & refunds on cash log Record deposits & Waystar refunds (check refunds recorded by AP) into Solomon (N/A for centers with legacy accounts) Records all payments posted that were posting in HSTPM from the ME9006 Review variances weekly Physician Office Relations Employee Relations Ordering Month End Reconciliation & Close Reconciles all deposits and AR for all accounts for month end: Bank, Cash Log, HSTPM, and Solomon HST Month End Reconciliation Checklist Run/Upload Month End Reports to SharePoint HST Close TOS collections/ up-front payment arrangements Registration Health Information Management Documentation of visit is complete and signed Path/lab reports in HSTPM, eChart, and sent to coding as needed. Ensures chart completeness and close chart Physician coding queries Op note distribution to physician offices Sends invoice copies to billing when implants/supply is billable. Medical record requests Billing record requests Medical Coding Oversight Charge Entry / Billing / Claim Submission Oversight Unbilled review weekly

Claim Rejections Oversight Payments:

Deposit checks/cash Daily Deposit Log (by transaction date) Sort and upload daily packets (mail) to SharePoint Work daily packets Payment Posting in HSTPM (by deposit date) Lockbox (when available) Mail Accounts Receivable Denials Aging insurance AR Appeals Adjustments Request adjustment Adjustments approval Adjustment Posting Billing Review/Corrected Claim Coding Review Coding Dispute Patient Statements Patient AR Patient Collection Review Patient Collection Approval Credit Balances Credit Balance Reports Request Refund Refund Review Initial review & add it on refund log Secondary review Refund Approval Refund Processing Waystar refund AP refund Refund Posting Maintain Monthly KPIs & Scorecards Other BOM Responsibilities Credentialing Employee Files Financial Projects Budget planning Cost saving initiatives Identifying profitable/not-profitable procedures Timesheets Board and MEC Prep Pulling financials Making reports Taking minutes Scheduling, dinner, etc. Capital Requests Corporate changes/implementations Affiliation Agreements Facility Specific Tasks Business License Contracts Admin assignments Joint Commission Prep/Policy Compliance Badge Printing and Security Access Specimens Keeping track of all specimen reports

Vendor Log Internal Camera Access and Monitoring Privacy Officer Physician and Employee Onboarding Benefits:

Comprehensive health, dental, and vision insurance Health Savings Account with an employer contribution Life Insurance PTO 401(k) retirement plan with a company match And more! Equal Employment Opportunity & Work Force Diversity Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.