Business Office Manager - United Surgical Partners International Inc (USPI)

Surgical Elite of Avondale is seeking a motivated Business Office Manager to join our team. Surgical Elite of Avondale is a fast-paced environment committed to providing the highest quality service to our patients and their families.

Business Office Manager

Job Summary:

The Business Office Manager is responsible for supervising and directing all Business Office functions, including patient registration and admitting, scheduling, cash collections, establish and maintain personnel files, routine payroll duties, and Medical Staff credentialing. Oversees all business office personnel. Provides administrative support to facility Administrator and Clinical Director.

EXPERIENCE/EDUCATION:

• Must be a High School Graduate or equivalent and have three years of experience in medical office, hospital or clinic office administration with experience in patient services, scheduling, billing, coding or related fields.
• Knowledge of computer software such as Microsoft Office and the ability to type 45 WPM.
• Duties require professional verbal and written communication skills, and proper telephone etiquette.
• Knowledge of medical terminology and surgical procedures. Has a thorough understanding of the requirements of Medicare, Worker’s Compensation and third party payers as related to ASC reimbursement.
• Must demonstrate the desire and ability to work productively within a Team concept while utilizing exceptional interpersonal and communication skills to independently interact with physicians, patients, family members and all levels of staff.
• Ability to think quickly and problem solve independently.
• Maintains current BLS certification.
• Failure to maintain any required licenses, registrations or certifications may result in temporary or permanent disqualification from employment.
• Previous supervisory experience is preferred.

ESSENTIAL JOB FUNCTIONS:

Business Office Systems

• Supervises the Business Office, understands and oversees the following functions: scheduling, registration, insurance verification, admitting, health information management systems, over-the-counter cash collections, patient credit application processing, transcription, medical records filing and maintenance.
• Maintains effective liaison with Central Billing Office to ensure timely transfer of all information needed for billing.
• Responsible for ensuring verification of all patients’ insurance coverage and collection of all patient co-payments, coinsurance and deductibles at time of service.
• Responsible for calculating Self-pay patient quotes in accordance with Center policies.
• Demonstrate a thorough knowledge and understanding of the Center’s Policies and Procedures, Credentialing plan and Bylaws, and the accreditation/credentialing standards established by the center’s current accreditation organization.
• Evaluate Business Office employee job performance, counsel, and discipline as necessary. Prepares and conducts performance evaluations for all Business Office staff.
• Maintains patient confidentiality standards for both medical and financial information in accordance with applicable policies and regulation.
• Participates in loss prevention by protecting company assets and maintaining a safe environment.
• Keeps and ensures approved standardized office procedures are adhered to, and initiates policy and procedures appropriately.
• Orders and maintains adequate stocks of office supplies and forms to ensure continuous business office operations.
• Responsible for ensuring that patients are aware of any potential observers, and initiates proper paperwork to document the patient’s approval.
• Responsible for ensuring that all vendors are properly checked-in before authorizing admittance into patient care areas.
• Responsible for ensuring adequate coverage of Business Office staff functions during staff absences.
• Establishes and maintain personnel files in accordance with USPI and Center policy.
• Perform routine payroll duties
• Assists in continuous quality improvement processes.
• Maintain confidentiality of all physician and Employee data.
• Keeps job related skills current.

Credentialing/Medical Records:

• Ensures that established credentialing/medical record policy, guidelines and standards are adhered to.
• Prepare and maintain all appointment application packets or correspondence with cover letters.
• Maintains the credentialing database in an accurate and timely manner. Works with CACTUS, NPDB and the AMA in credentialing the surgeons.
• Maintains current filing for all practitioners in an organized manner. Maintains practitioner information within the facility’s software application.
• Responds to inquiries regarding a practitioner’s application/credentialing status.
• Responsible for continued compliance with all legal, regulatory, and accreditation standards as it relates to the business office and medical records department.
• Performs other duties as assigned.

• Must exhibit desirable trunk and extremity mobility and strength to perform job duties.
• Must be able to lift a minimum of 35 pounds safely
• Must be able to see, hear and speak English.
• Must be able to sit for long periods.

Position Characteristics

• Present a professional image at all times. May require working overtime to meet job responsibilities. Ability to handle periods of stress.
• This description is a general statement of required major duties and responsibilities performed on a regular and continuous basis. It does not exclude other duties as assigned.

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