Business Office Director

Company: OakLeaf Clinics
Location: Eau Claire
Posted on: May 13, 2022

Job Description:

Reports to: Chief Financial Officer
Direct Reports: Coding Lead, Customer Service Lead, Cash Management Lead, Billing/Follow Up Lead, Registration Lead

Position Description:
The Business Office Director will oversee all areas of the Business Office, Revenue Cycle functions and management of staff. - -The position will develop and implement policies and procedures that ensure timely and accurate billing, manage the collection process from third-party payers and patients and be responsible for all Daily Operational activities.

Major Areas of Responsibility:
Manages the systems, policies, procedures and personnel of the Business Office.
Supervises and is directly responsible for the staff doing billing and collecting, charge entry, coding, credentialing, payment posting, denial tracking, accounts receivable, follow up and education.
Works with the CFO and Clinic Managers to ensure outstanding billing compliance and efficiency.
Creates and monitors reports for financial and operational performance (daily, monthly and year-end).
Sets fee schedule and monitors payer agreements to ensure third parties are reimbursing at contracted rates. Supports an analysis of third-party contract negotiations.
Monitors cash flow applied to AR to analyze deficiencies and create and apply corrective action to assure accurate and timely receipt of payment from Patients, Government Agencies, and Commercial insurers.
Establish and maintain revenue cycle duties that include prioritization of work (e.g., Ensure a system of prioritization for claims processing and accounts receivables management depending on the volume, revenue, payer mix, etc.)
Data extraction from Epic.

Primary Accountabilities:
Reinforces and abides by our Clinic's core values of Patient First, Respect, Teamwork, Joy, Innovation and Continuity of Care. Ensures team members abide by the same core values.
Monitors productivity of staff members. Clearly communicate the standards of best practice performance and quality expectations to all staff members.
Facilitates the rapid and successful conversion of patient revenue into cash, minimize debt, improve cash flow and manage overall health of the Clinic's receivables.
Analyzes, understands, interprets, and communicates key revenue cycle and productivity data to determine current performance and identify areas needing improvement.
Analyzes practice fees on an annual basis and makes rate recommendations to ensure appropriate income/cash flow.
Participates on various committees to provide input from a Business Office perspective.
Leads Business Office Staff Meetings.
Conducts reimbursement monitoring for individual insurance carriers.
Develops communication materials for providers and staff to explain new regulatory requirements, process changes, etc.
Conducts training presentations for providers and staff as necessary.
Collaborates with other entity leaders on various clinical initiatives and improvement projects.
Understands Epic and other informational systems used within the Clinic related to coding and billing and assists with interfaces, set up, and maintenance of such systems.
Manages and analyzes Accounts Receivable report requests for various supervisors in the clinic

Expectations:
Ensures optimal customer service to our patients and Providers through guidance, goals, direction.
Collaborates across the organization to develop, implement and maintain processes that impact cash and accounts receivables.
Assures all staff are treated fairly and consistently in accordance with the organization's Human Resources policies and procedures.
Maintains a positive work environment by ensuring employees are held accountable for their daily activities, performance and behavior as well as treat other employees with respect.
Ensures the highest level of compassionate, patient-centered care is provided to our patients.

Education/ Qualifications:
Bachelor's and/or Master's degree, preferably in health care administration
Knowledge of business systems and design
Enhanced knowledge of ICD-10 and CPT coding preferred
Minimum of 5 years of experience in a physician practice revenue cycle
Working knowledge of Microsoft Office Suite and products
Ability to effectively communicate and work efficiently with administration, physicians, patients and staff.
Ability to demonstrate independent judgment and initiative.
Extensive experience in Epic.
Two plus years of demonstrated Management and Leadership experience

Keywords: OakLeaf Clinics, Eau Claire , Business Office Director, Administration, Clerical , Eau Claire, Wisconsin