Central Business Office, Manager

Job Summary
The Manager of the Central Business Office supports the Director and is responsible for ensuring staff follow policies and work standard for the accounts receivable management throughout the organization. The accounts receivable management are defined as: cash posting, billing, collections, insurance follow up, vendor management, customer service and denial functions. This position supervises the performance of the employees in the system business functions and supports facility processes and resources with regard to all operational activities associated with patient and third-party billing and follow-up, collections and reimbursement functions. Must be capable of accounts receivable analysis, staff supervision, performance management and process improvement. The objectives are to achieve and maintain high performing accounts receivable standards and strong system cash flow.

Qualifications
2 year / Associate Degree in Business Administration or related field (Preferred)

Work Experience
4 - 5 years Revenue Cycle (AR) management in a healthcare environment, preferably acute care hospital setting (Required)
2 - 3 years Healthcare leadership, managed care, insurance, third party reimbursement experience (Required)

Licenses and Certifications
Required Certifications/Licensures: Certified Patient Account Representative (CPAR) certification or must be obtained within two years of employment 

Essential Functions
Monitors hospital accounts receivable, producing AR analysis and establishing goals to reduce AR days.
Monitors the daily operations of the Medicare, Medicaid, and clinic billing including claim review, claims processing, electronic and hard copy billing, secondary billing, insurance follow-up and insurance denial review.
Monitors the status of accounts receivable with specific focus on AR over 90-days.
Evaluates the current status of patient accounts to identify and resolve billing and processing problems in a timely manner.
Establishes and implements a system for the collection of delinquent accounts ensuring third-party payors are contacted.
Develops and recommends credit and collection policies for front and back-end personnel to administer. Monitors and makes recommendations for improvement.
Solves difficult payment and associated business office problems. Audits problem accounts.
Coordinates the exchange of information with Health Information Management and other departments to obtain and analyze additional patient information to document and process billing, respond to insurance inquiries, and manage liability accounts.
Promotes effective communications between CBO personnel and front-end clinical and registration staff to ensure ongoing education/training and expedite problem resolution.
Monitors daily operating activity of central billing and makes necessary adjustments in work assignments to maintain optimal accounts receivable and customer relations
Manages staff to achieve performance targets, develops specific performance measurement criteria and prepares/distributes a “dashboard of key indicators” to the organization’s management team.
Implements, integrates, and maintains multiple software applications to support the department, hospital and health system; monitors systems to eliminate or reduce system issues that may result in cash flow delays, compliance, or data quality.
Engages and collaborates with multi-disciplinary teams as routinely to promote excellence in departmental practices
Provides regular updates and communication to the VP, CFO and Administration with regard to the state of existing operations and services
Leads by example and pulls team members together across departmental boundaries to establish strong communication, effective work flow, and mutual respect to facilitate a philosophy of excellence through continuous improvement and enhanced integrated, collaborative and multi-disciplinary efforts
Maintain global programs and vision needed to enhance the goals of PPHS. Provide department leadership to foster the team approach and partner with PPHS management to optimize performance.
Adopt a customer approach to collaboration with all PPHS facilities, to meet service level agreement expectations and support all facilities effectively, creating a high level of facility satisfaction.

Additional Duties
Adheres to the hospital and departmental attendance and punctuality guidelines.
Performs all job responsibilities in alignment with the core values, mission and vision of the organization.
Performs other duties as required and completes all job functions as per departmental policies and procedures.
Maintains current Knowledge in present areas of responsibility to include any specialty certification requirements (i.e., self-education, attends ongoing educational programs).
Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.
Demonstrates competency at all levels in providing care to all patients based on age, sex, weight, and demonstrated needs. For non-clinical areas, has attended training and demonstrates usage of age- specific customer service skills.
Wears protective clothing and equipment as appropriate.