Business Office Team Manager

General Summary of Duties: The Business Office Team Manager is responsible for overseeing a team of specialists by managing daily operations, ensuring accurate billing and timely collections, monitoring performance metrics, maintaining Unlimited Financial accuracy, and providing leadership that aligns with company goals.

Essential Duties And Responsibilities

Team Management

• Lead and monitor a team of revenue cycle staff including insurance verifiers, charge specialists, pre-authorization specialists, and accounts receivable specialists.
• Assign tasks, monitor workloads, and address performance issues.
• Conduct regular team meetings to discuss goals, challenges, and performance updates.
• Provide coaching and training to team members on billing guidelines, coding updates, and compliance requirements.
  
  

Patient Account Management

• Review patient demographics and insurance verification to ensure accuracy.
• Monitor outstanding patient balances and work with patients on payment plans or collections efforts.
• Address patient inquiries and concerns related to billing and payment.
  
  

Daily Task Completion

• Conduct initiating daily task of preauthorization coordination for Radiation Oncology
• Demonstrates the ability to conduct daily charge review for assigned CPN service line
• Ensures billing completion by monitoring all unsigned charges
• Monitors timely submission of all claims and charges
  
  

Operational Oversight

• Identify areas for improvement and implement process changes to optimize revenue cycle performance.
• Ensure compliance with all healthcare billing regulations and industry standards.
• Analyze billing data to identify trends and potential issues, taking corrective actions as needed.
  
  

Payer Relations

• Collaborate with payers to resolve billing disputes and denials.
  
  

Reporting and Analysis

• Identify trends and opportunities for improvement based on data analysis.
• Analyze denial trends and implement strategies to reduce denial rates.
  
  

Education And Training

• High School Education, bachelor's degree preferred
• Medical office/Coding/Insurance or Case Management training or equivalent experience preferred
• Clinical/nursing education or equivalent experience preferred
  
  

Experience

• Minimum of two years' experience working in a medical office with billing and/or prior authorization, or an equivalent combination of education and/or experience
  
  

Knowledge, Skills And Abilities

• Communication - communicates clearly and concisely, both verbally and in writing, use active listening skills, ability to handle a large volume of incoming and outgoing calls
• Customer oriented - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding customer/provider and referring facilities expectations.
• Interpersonal skills - ability to work effectively with other employees, patients and external parties. Must be able to work independently as well in a team environment.
• Computer skills - demonstrates proficiency in PC applications as required. must be able to multi-task.
  
  

Schedule

• Day shift
• Monday to Friday
• No nights or weekends
  
  

Working Conditions

• Requires sitting and standing associated with normal office environment
• Work load: consistent with unscheduled calls and requests to coordinate with co-workers
• Requires close visual acuity including viewing computer terminal. Extensive reading and reviewing of paperwork
• Requires spending large amounts of time talking on the telephone
• Must be able to receive and interpret oral communications accurately to draw valid conclusion regarding insurance coverage and patient financial situations