BUSINESS OFFICE ASSISTANT MANAGER

ReGen Rehab Hospital; Selangor; On-site; MYR 40,000 - 80,000; Full time

Job summary

An established industry player is seeking a dedicated Manager for the Business Office to oversee daily operations and ensure efficient billing processes. This role involves leading a team of billing specialists, managing insurance claims, and ensuring compliance with healthcare regulations. You will collaborate across departments to enhance service delivery and maintain high-quality standards. With a focus on continuous improvement, you will play a vital role in fostering a culture of exemplary patient service. If you have a passion for healthcare administration and a proven track record in a hospital setting, this opportunity is perfect for you.

Qualifications

• 7-10 years of experience in a hospital setting required.
• Strong analytical and communication skills are essential.

Responsibilities

• Supervise the Billing Team and ensure timely processing of medical claims.
• Oversee claims management and revenue cycle efficiency.
• Promote exemplary patient service and lead process improvement initiatives.

Skills

Analytical Skills

Problem-Solving Skills

Communication Skills

Time Management

Interpersonal Skills

Education

Bachelor's degree in Healthcare Administration

Bachelor's degree in Business Administration

Job description

Under the supervision of the Director Allied Health & Services/or any other assigned personnel, the Manager Business Office will be responsible for the day-to-day operations of the Business Office and Front Office, serving as a member of the support team to contribute to the development and efficiency of overall business objectives and activities that facilitate the smooth running of the organization.

For avoidance of conflict, this scope of duty shall be revised and amended from time to time to meet the most current and recent requirements of the position in line with the organizational directions and needs. Such revisions shall be made in writing to the employee for immediate compliance without any notice period.

Job Duties

A. Administrative

1. Supervise Billing Team: Lead, train, and manage a team of billing specialists to ensure timely and accurate processing of medical claims, in compliance with healthcare regulations.
2. Claims Management: Oversee preparation, submission, and follow-up of insurance claims to maximize reimbursement and minimize denials. Review and resolve claim denials and rejections, working with insurance companies, payers, and healthcare teams.
3. Revenue Cycle Oversight: Ensure efficiency and accuracy of the revenue cycle from patient registration to final payment, identifying areas for process improvement.
4. Compliance and Regulations: Ensure adherence to healthcare billing regulations including HIPAA, Medicare, Medicaid, and payer guidelines.
5. Reporting & Analysis: Prepare and present reports on billing performance, including claim volume, denials, reimbursement rates, and revenue cycle metrics.
6. Collaborate Across Departments: Work with healthcare providers, coding teams, insurance companies, and other departments to resolve billing issues and discrepancies promptly.
7. Customer Service: Address patient billing inquiries and disputes professionally and empathetically.
8. Audit Preparation: Assist with billing audits, ensuring documentation and processes are thorough and accurate.
9. Continuous Improvement: Regularly assess billing processes and systems, recommending improvements to increase accuracy and collections.

B. Resource Management

1. Create, maintain, and keep accurate records of documents and correspondence.
2. Manage and update contacts database.
3. Ensure continuous professional development to meet organizational needs.

C. Facilities Management

1. Ensure availability of adequate facilities and equipment to meet departmental objectives.
2. Maintain environment of care standards continuously.

D. Quality Assurance Program

1. Ensure high-quality performance within the department.
2. Develop, monitor, and evaluate quality indicators related to front office management.
3. Report quality outcomes to hospital and Medical Staff committees.

E. Training

1. Plan, conduct, and coordinate in-service education, training, and on-the-job training as needed.

F. Service Delivery

1. Promote exemplary patient/customer service throughout the organization.
2. Lead process improvement initiatives to enhance service standards.
3. Educate patients about insurance plans, co-payments, room upgrades, and upfront collections.
4. Implement predictive billing strategies, including room upgrades and exclusions.
5. Advise on estimated procedural deposits pre-admission and educate on potential costs if complications arise.
6. Assist with payment plans and financial clearance, including monitoring deposits and follow-up on accounts.
7. Identify and assist patients unable to pay their liabilities, exploring all potential sources of payment including insurance, government bodies, and charitable organizations.

Minimum Skills, Knowledge & Abilities

Education / Professional Qualifications

• Bachelor's degree in Healthcare Administration, Business Administration, or related field.
• 7-10 years of experience in a hospital setting.

Professional Experience / Minimum Requirements

• Professional image and grooming.
• Self-confidence and interpersonal skills.
• Analytical and problem-solving skills.
• Excellent verbal and written communication skills.
• Ability to operate independently with minimal supervision.
• Effective time management and prioritization skills.
• Maintain professionalism under stress.
• Operate within customer service protocols.