Business Office Manager

Business Office Manager

We are seeking a proactive, strategic and highly organized Business Office Manager to support daily operations at our endoscopy centers.

An overview of the daily, weekly, monthly and quarterly responsibilities are as follows:

Daily

• Walk floor, check workload for the day and redirect people with light loads
• Are there any problems? Is the days' schedule heavy or light? If it's a light day, direct front office staff regarding and special work since they will be finished early

Check with the Nurse Manager (Clinical Director)

• Is the schedule running smoothly? If no, work with nurse manager and front desk to resolve any issues

Confirm all cases have been verified for the next day and patients have been called

• Are there any late add-ons?
• What date are the verifiers on? Confirm that ins verifications are at least 1 week out

Check with Medical Records

• How old are your delinquent records
• Do the doctors that are at your facility today have any outstanding records they need to sign or dictate

Review the bank log activity and enter in the Digital Deposit Log (DDL)

Reconcile deposits.

• Check to see if there is any cash listed on the receipt book for the day. Compare to the bank deposit slip for that day - make sure these totals match.
• Reconcile and initial receipt books to confirm deposits balance
• Compare the bank's validated receipt to the center's deposit and to the deposit log entry for that day.
• Make sure money is deposited in bank daily and securely locked until deposited.

Ensure billing is completed daily.

• Monitor billing lag is under 5 days.

Ensure all payments are posted daily and within 2 days of receipt.

• Review Payment Batches for unapplied payments.
• Review and make refunds requested daily.
• Monitor overpayments to ensure overpayments are done in a timely manner.

Monitor collections and correspondence is worked with in 2 days of receipt.

• Review and make adjustments requested daily.
• Make sure appeals are done.

Make sure daily Expected Payment Log is recorded on Monthly Summary

A/P-Enter invoices daily or send to AP processor to enter.

Weekly

Balance cash to PAS and cash log.

A/P-Cut Checks

• Confirm refunds are being processed on a weekly basis, via Patient Refund Portal or Oracle reports.
• Confirm or post refunds from PAS.

Payroll-Review prior weeks for employees with incomplete cards, PTO used and overtime.

• Make sure all employee reviews are done timely.

Monthly

Review, and upload the Monthly Credit Balance report.

Close month (MERGE)

• Make sure all payments are posted and cash reconciled.
• Confirm all cases are billed or TEMP billed if needed.
• Reconcile implant log to make sure all implants were billed as appropriate.
• Run month end reports (if applicable).

Prepare for MOR

• Review month end reports post AR close.

Review A/R Activity report for mis-used journal codes or large adjustments.

Understand why any out of period adjustments were completed (corrections to write-offs or write-offs)

• Know whether you are headed for an unfavorable or favorable quarterly adjustment and why.

Carrier issues and what is being done to resolve them and the cash flow affect.

Review aging for bad debt and accounts that should be sent to collections.

AR aging, If aging greater than 90 days is more than 17% of total aging know why and review with team.

• Review collection comments.

Check for employees' reviews that are due soon.

Update white board (if applicable).

Plan for any upcoming coverage needed for vacations, etc.

Work bank reconciliations from the accountant.

Quarterly

State reporting (if applicable)

• Review deadlines for submission, review and certifications of state reporting.

Review and work the 18-month Credit Balance Report per accountant.

• Review total credit balance report for all credits and rework those still showing to government payers & patients

This position will require traveling between 2 locations weekly:

Lowcountry Endoscopy Center: 207 McBride Lane, Summerville, S.C., 29486

Charleston Endoscopy Center: 1962 Charlie Hall Boulevard, Charleston, S.C., 29414