Business Office Manager
Remote
Job Summary
Business Office Manager to provide operational support across admissions/intake, billing, collections, and denials within a facility's revenue cycle. Oversees non-medical staff, ensures HIPAA compliance, training, annual evaluations, and ethical billing practices. Acts as a working manager and backup for business office duties; coordinates with Admissions, Case Management, Compliance, Marketing, outsourced billing, and WellSky. Responsible for contract interpretation with third-party payers, monitoring billed/denied reports, optimizing claim billing and appeals, and participating in software setup (insurance plans, charge master, physician data). Requires extensive experience in medical billing, insurance verification, pre-certification, and strong analytical, organizational, and communication skills. Remote contract role with no location restrictions.
Required Qualifications
- Minimum of five years of experience in a medical facility (UB04 claim form) related billing environment required- IRF experience a plus
- Medical terminology knowledge required
- Experience with patient admissions, scheduling, verification of benefits, pre-certification, calculating days available per spell of illness, estimating patient out of pocket expense
- An understanding of how insurance processes work including the verification, completion of third-party liability requirements, secondary payer forms and authorizations
- Computer experience, Excel, Word, Medical Billing Software and Applications
- Must display excellent communication skills and phone etiquette
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