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Business Office Manager Billing and Coding Professional Billing

Company: All Children's Hospital
Location: Saint Petersburg
Posted on: October 13, 2019

Job Description:

Business Office Manager Billing and Coding Professional Billing Requisition #: 196453
Location: Johns Hopkins All Children's Hospital, St. Petersburg, FL 33701
Category: Leadership
Work Shift: Day Shift
Work Week: Full Time (40 hours)
Weekend Work Required: No
Date Posted: Sept. 30, 2019

Johns Hopkins Health System employs more than 20,000 people annually. Upon joining Johns Hopkins Health System, you become part of a diverse organization dedicated to its patients, their families, and the community we serve, as well as to our employees. Career opportunities are available in academic and community hospital settings, home care services, physician practices, international affiliate locations and in the health insurance industry. If you share in our vision, mission and values and also have exceptional customer service and technical skills, we invite you to join those who are leaders and innovators in the healthcare field.
POSITION SUMMARY:
Manages and oversees performance of a variety of business office personnel. Monitors staff productivity and work quality to ensure that departmental goals and objectives are met or exceeded. Manages workload and implements efficient workflow processes to accelerate billing, coding, or account resolution. Allocates staffing resources as needed to meet goals. Identifies, implements and monitors process improvement initiatives for the revenue cycle. Collaborates with hospital and/or ACSP practices to improve revenue cycle related processes.
KEY ACCOUNTABILITIES:

  • Responsible for the daily management of the assigned business office personnel. Ensuring staff is meeting or exceeding productivity and quality goals. This includes development, implementation and monthly evaluation of performance and quality indicators. Develops, implements and maintains action plan when staff metrics are not meeting and exceeding established goals.
  • Monitors billing inventory or account receivable activity to ensure KPI's are being met or exceeded. Initiates appropriate corrective measures as needed and implements, develops and maintains an action plan when KPI's are not meeting goal. Allocates resources to ensure ensures that staff are taking appropriate measures to handle assigned process within required timeframes.
  • Responsible for managing the activities related to specific tasks such as shared services, Charge review rules and edits, payment processing, denial posting, coding, charge capture, eligibility and/or reconciliation (both manually and electronically). Ensures that staff is working them within designated timeframes and doing so accurately.
  • Manages business partners and affiliates, including the setup and maintenance of approved business partners with IT workflows. Holds regular business partner meetings, monitors business partner performance, and ensures accurate reconciliation of business partner's placement files and invoices. Processes business partner invoices timely and accurately avoid payment delays. Responds to business partner's requests timely and reports concerns when appropriate to the director. Arranges regular business partner onsite or conference calls for status checks, address issues and education with business providers staff as appropriate. Works with affiliates to obtain access needed to medical records, newborn logs and census.
  • Manages Human Resources for assigned work units, including recruiting and training, time management, performance reviews, job description development and maintenance, coaching, corrective action and performance improvement plans.
  • Responsible for the coordination of activities and ensures continual compliance with regulatory standards and hospital and departmental policy and procedures.
  • Responsible for the coordination of activities and ensures continual compliance with regulatory standards (i.e. TJC, CMS, AHCA, etc.)
    QUALIFICATIONS:
  • Bachelor's degree is required
  • Minimum of 5 years of physician professional billing or hospital billing related experience
  • Minimum 2 years management / supervisory experience in revenue cycle management, physician professional billing or hospital/technical billing with experience in hiring and managing employees is required
  • Demonstrated history of process improvement leading to improved operational performance (i.e. reduced A/R)
  • Excellent computer skills with intermediate or better use of Excel (i.e. sorting, pivot tables, graphs, etc.)
  • Strong math aptitude required for analyzing and calculating throughput and staffing ratios, etc.
  • Must have excellent communication skills (including written, oral and listening)
  • Basic knowledge of medical terminology, CMS-1500, CPT, ICD-10, HCPCS, and Modifiers and/or UB-04, DRG, APDRG, EAPG, Revenue Codes, ICD-10
    Johns Hopkins Health System and its affiliates are Equal Opportunity/Affirmative Action employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, gender identity, sex, age, national origin, disability, protected veteran status, and or any other status protected by federal, state, or local law.

    Company Description:

    All Children's Hospital provides expert pediatric care for children and families from all across the state of Florida and beyond. Named a top 50 children's hospital by U.S. News & World Report,--we provide compassionate, state-of-the-art care for infants, children and teens with some of the most challenging medical problems. We are a 259-bed pediatric hospital.--

Keywords: All Children's Hospital, St. Petersburg , Business Office Manager Billing and Coding Professional Billing, Executive , Saint Petersburg, Florida

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