Job Description

Business Office Manager - Patient Financial Services Northwest Florida Community Hospital (NFCH), in Chipley, FL, is seeking a full‑time experienced, energetic and dedicated Medical Business Office Manager to provide exceptional care for our patients in support of medical providers and staff in the Patient Financial Services Department. At NFCH, our strength lies in our promise of “Your Health…Our Mission”. We get to know our patients and residents, care for them, and ease their way. Working at our organization means that regardless of your role, we’ll walk alongside you in your career, supporting you so you can support others. We provide best‑in‑class benefits and foster an inclusive workplace where diversity is valued and everyone is heard and respected. Job Summary Provides managerial leadership for hospital business office functions that contribute to the billing and collection of patient service revenue. Responsibilities include best practices and principles related to patient accounting, insurance reimbursement, governmental and other payer source billing, credit and collections, and cashiering related to hospital and long‑term care services. Knowledge of functions, capabilities and operation of computer‑based billing and patient accounts management systems, including but not limited to CPSI (EHR), Quadax or similar (Clearinghouse) and Microsoft applications (Word, Excel, Powerpoint, etc.). Education Associate’s degree from an accredited college or university required; bachelor’s degree in business, finance, accounting, management or closely related discipline preferred. Experience A minimum of five (5) years of management experience in healthcare receivables required. Work record that demonstrates in‑depth knowledge of hospital and long‑term care billing and reimbursement, knowledge of medical terminology, negotiating skills, and knowledge of healthcare industry financial statistical information. Licenses, Certifications and/or Registrations None. Specialized Knowledge and Skills Principles and practices of patient accounting, insurance reimbursement, governmental and other payer source billing, credit and collections, and cashiering related to hospital and long‑term care services. Knowledge of functions, capabilities and operation of computer‑based registration, billing and patient accounts management systems. Requires sufficient knowledge in the use of basic computer software and the ability to develop spreadsheets for analytical purposes. Supervised by CFO, COO and CEO Supervises (Headcount) 6 – 10 Supervises (Job titles) Patient Financial Services associates Interrelations/Contacts Works with all departments on accounting and/or human resource issues. Essential Functions Of Competent Performance For This Position Demonstrates in‑depth knowledge of hospital and professional billing to ensure compliance with relevant regulations, standards, and directives from regulatory agencies and third‑party payors.A deep understanding of how a CAH (Critical Access Hospital) operates as it relates to insurance and financial matters. Demonstrates up‑to‑date knowledge related to CMS guidelines, ICD‑10 requirements, UB/1500 claim submission data and elements required for clean claim submissions. Manages billing operations that cover all aspects of government payers, third‑party and patients to ensure accurate and timely processes occur. Ability to analyze and resolve problems that affect the claim submission process, regardless of whether the problem originates in an area under direct or indirect control. Satisfactorily mediates and resolves conflicts regarding billing inquiries from patients and/or third‑party payors. Implements patient‑friendly billing guidelines. Maintains appropriate internal control safeguards over AR records and collection of cash. Maintains compliance standards for providing accurate information on hospital billing system. Has a good understanding of how insurance contracts work between hospitals/health systems and third‑party payers. Has a good understanding of how government payers adjudicate and process claims. A solid understanding of the various payment methodologies from Medicare and Medicaid is critical. Promptly audits remittance advices to ensure timely and optimal payment. Communicates deficiencies to applicable department managers to resolve issues related to uncollected revenues. Ensures timely collection of AR to maintain consistent cash flows. Maintains days in AR at an acceptable level (e.g., 45 days). Provides decision support (generates reports) to financially analyze data to identify trends and/or variances with regard to billing and collections. Makes procedural changes as necessary. Develops billing and collection policies, procedures and standards that promote “best practice” guidelines that improve productivity and efficiency throughout the revenue cycle process. Oversees physician coding function and trains staff to ensure that physician clinics receive appropriate reimbursement and conforms to applicable guidelines and regulations. Assures the accuracy and timeliness of the physician coding process. Displays knowledge in ICD‑9 and CPT‑4 coding. Acts as a liaison between patients, patients’ relatives, and the healthcare organization; communicates patients’ questions, complaints, problems and concerns to appropriate staff members. Explains policies and procedures to patients and refers them to the proper services required. Coordinates CDM review and change process; reviews appropriateness of CPT and revenue codes and determines if care provided corresponds to the charges submitted; serves as a resource for department heads regarding annual CPT code changes. Demonstrates teamwork; supports, assists, and praises fellow associates whenever possible; feels a sense of ownership and takes pride in the Health System; looks beyond assigned tasks to achieve goals. Communicates with staff; conducts regular departmental meetings to inform staff; stays accessible to staff and provides assistance, education and/or training if necessary; keeps Administration informed of departmental issues. Implements new and innovative ways to reduce cost or increase productivity; increases working knowledge of CPSI system; improves departmental customer service standards. Demonstrates a strong commitment to budget guidelines; participates in the budget process; recommends methods to increase revenue or decrease costs; maintains current CDM (if applicable); complies with billing requirements. Participates in Health System activities; takes initiative in process improvement; promotes the Health System throughout the community; enforces Health System policies; exhibits leadership qualities. Benefits 401K with employer match Medical, dental, vision, and life insurance FREE Services with NFCH Providers A generous PTO plan Competitive pay Health and Wellness Discounts Details outlining program specifics are available upon request Job Type Full time – Day shifts, Monday–Friday. Eight (8) hours per day, five (5) days per week; additional hours as needed. Pay Based on years’ of experience. Working Conditions Normal office environment; fluctuations in workload. Equal Opportunity Employer and Legal Notice Northwest Florida Community Hospital is an Equal Opportunity Employer and fosters an inclusive workplace. The hospital is committed to providing a work environment free of discrimination and harassment. All employment decisions at Northwest Florida Community Hospital are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV status, sexual orientation, gender identity and/or expression, marital or civil union status, past or present military service, family medical history or genetic information, or any other status protected by the law or regulation in the locations where we operate. Northwest Florida Community Hospital will not tolerate discrimination or harassment based on any of these characteristics. We encourage applicants of all ages. In addition, as part of our commitment to quality and excellence, Northwest Florida Community Hospital will continue to maintain a safe, healthy environment for you by requiring all applicants, who are tentatively selected for a position, to submit to a criminal history check and screening for illegal drug use prior to appointment for a job. Final confirmation of any job offer will be contingent upon successful completion of all pre‑employment requirements, to include undergoing a pre‑employment drug screening, and that failure to submit to such screening, the falsification of a screen, or a positive finding on a test will remove the applicant from consideration for employment for one year. #J-18808-Ljbffr

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