Medical Business Office Manager, Full Time

Business Office Manager – Patient Financial Services Northwest Florida Community Hospital (NFCH), in Chipley, FL, is seeking a full‑time experienced, energetic and dedicated Medical Business Office Manager to provide exceptional care for our patients in support with medical providers and staff in our Patient Financial Services Department. At NFCH, our strength lies in our promise of “Your Health…Our Mission”, where we get to know our patients and residents, care for them, and ease their way. Working at our organization means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best‑in‑class benefits and we foster an inclusive workplace where diversity is valued, and everyone is essential, heard and respected. We are a community where all people, regardless of differences, are welcome, secure, and valued. We value respect, appreciation, collaboration, diversity, and a shared commitment to serving our communities. Join our team of passionate caregivers and make Northwest Florida Community Hospital your new home. Job Summary Provides managerial leadership for hospital business office functions that contribute to the billing and collection of patient service revenue. Responsibilities include best practices and principles related to patient accounting, insurance reimbursement, governmental and other payer source billing, credit and collections and cashiering related to hospital and long‑term care services. Knowledge of functions, capabilities and operation of computer‑based billing and patient accounts management systems, including but not limited to CPSI (EHR), Quadax or similar (Clearinghouse) and Microsoft applications (Word, Excel, Powerpoint, etc.). Education Associate’s degree from an accredited college or university required; a bachelor’s degree in business, finance, accounting, management or closely related discipline preferred. Experience A minimum of five (5) years management experience in healthcare receivables required. Work record that demonstrates in‑depth knowledge of hospital and long‑term care billing and reimbursement, knowledge of medical terminology, negotiating skills, and knowledge of healthcare industry financial statistical information. Licenses, Certifications and/or Registrations None. Specialized Knowledge and Skills Principles and practices of patient accounting, insurance reimbursement, governmental and other payer source billing, credit and collections and cashiering related to hospital and long‑term care services. Knowledge of functions, capabilities and operation of computer‑based registration, billing and patient accounts management systems. Requires sufficient knowledge in the use of basic computer software. Must use software to develop spreadsheets for analytical purposes. Supervised By CFO, COO and CEO Supervises (Headcount) 6 – 10 Supervises (Job Titles) Patient Financial Services associates Interrelations/Contacts Works with all departments on accounting and/or human resource issues. Essential Functions of Competent Performance for This Position Demonstrates in‑depth knowledge of hospital and professional billing to ensure compliance with relevant regulations, standards, and directives from regulatory agencies and third‑party payors. A deep understanding of how a CAH (Critical Access Hospital) operates as it relates to insurance and financial matters. Demonstrates up‑to‑date knowledge related to CMS guidelines, ICD‑10 requirements, UB/1500 claim submission data and elements required for clean claim submissions. Manages billing operations that cover all aspects of government payers, third‑party and patients to ensure accurate and timely processes occur. Ability to analyze and resolve problems that affect the claim submission process, regardless of whether the problem originates in an area under direct or indirect control. Satisfactorily mediate and resolve conflicts regarding billing inquiries from patients and/or third‑party payors. Implement patient‑friendly billing guidelines. Maintain appropriate internal control safeguards over AR records and collection of cash. Maintain compliance standards for providing accurate information on hospital billing system. Has a good understanding of how insurance contracts work between hospitals/health systems and third‑party payers. Has a good understanding of how government payers adjudicate and process claims. A solid understanding of the various payment methodologies from Medicare and Medicaid is critical. Promptly audit remittance advices to ensure timely and optimal payment. Communicate deficiencies to applicable department managers to resolve issues related to uncollected revenues. Ensure timely collection of AR to maintain consistent cash flows. Maintain days in AR at acceptable level (e.g. 45 day). Provide decision support (generate reports) to financially analyze data to identify trends and/or variances with regard to billing and collections. Make procedure changes as necessary. Develop billing and collection policies, procedures and standards that promote “best practice” guidelines that improve productivity and efficiency throughout the revenue cycle process. Oversee physician coding function and train staff to ensure that physician clinics receive appropriate reimbursement and conforms to applicable guidelines and regulations. Assure the accuracy and timeliness of the physician coding process. Displays knowledge in ICD‑9 and CPT‑4 coding. Acts as a liaison between patients, patients’ relatives, and the healthcare organization; communicate patients’ questions, complaints, problems and concerns to appropriate staff members. Explain policies and procedures to patients and refer them to the proper services required. Coordinate CDM review and change process; review appropriateness of CPT and revenue codes and determine if care provided corresponds to the charges submitted; serve as resource for department heads regarding annual CPT code changes. Demonstrate teamwork; support, assist, and praise fellow associates whenever possible; feel a sense of ownership and take pride in the Health System; look beyond assigned tasks to achieve goals. Communicate with staff; conduct regular departmental meetings to inform staff; stay accessible to staff and provide assistance, education and/or training if necessary; keep Administration informed of departmental issues. Implement new and innovative ways to reduce cost or increase productivity; increase working knowledge of CPSI system; improve departmental customer service standards. Demonstrate a strong commitment to budget guidelines; participate in the budget process; recommend methods to increase revenue or decrease costs; maintain current CDM (if applicable); comply with billing requirements. Participate in Health System activities; take initiative in process improvement; promote the Health System throughout the community; enforce Health System policies; exhibit leadership qualities. Benefits We are an Equal Opportunity Employer and boast an enjoyable, team oriented working environment that offers a number of benefits to full‑time associates including, but not limited to: medical, dental, vision, disability, life, paid time off, and a voluntary match 401(k) retirement savings plan. Perks for our team: 401(k) with employer match Medical, dental, vision and life insurance FREE Services with NFCH Providers A generous PTO plan Competitive pay Health and Wellness Discounts Job Type Full time – Day Shifts, Monday – Friday. Eight (8) hours per day, five (5) days per week; additional hours as needed. Pay Based on years’ of experience. Working Conditions Normal office environment; fluctuations in workload. Additional Information Northwest Florida Community Hospital is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at Northwest Florida Community Hospital are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. Northwest Florida Community Hospital will not tolerate discrimination or harassment based on any of these characteristics. We encourage applicants of all ages. In addition, as part of our commitment to quality and excellence, Northwest Florida Community Hospital will continue to maintain a safe, healthy environment for you by requiring all applicants, who are tentatively selected for a position, to submit to a criminal history check and screening for illegal drug use prior to appointment for a job. Final confirmation of any job offer will be contingent upon successful completion of all pre‑employment requirements, to include undergoing a pre‑employment drug screening, and that failure to submit to such screening, the falsification of a screen, or a positive finding on a test will remove the applicant from consideration for employment for one year. #J-18808-Ljbffr Northwest-Florida-Community-Hospital