FSH Business Office Manager

United Surgical Partners International, Inc; Fresno (CA); On-site; USD 78,000 - 104,000; Full time

Benefits offered by this job

Comprehensive Benefit Package

Job summary

United Surgical Partners International, Inc. seeks a Revenue Cycle Manager to oversee in-house and outsourced billing, registrations, and insurance verification in Fresno.

You will drive performance against KPI targets and collaborate with the Central Business Office to optimize collections and reimbursements. The ideal candidate will have healthcare revenue cycle leadership experience, strong communication, and knowledge of Medicare/Medicaid policies.

Qualifications

• High School graduate or GED; a Bachelor's degree is preferred.
• Five years of related healthcare experience preferred.
• One year as medical biller team lead preferred.

Responsibilities

• Oversee daily management of assigned departments to meet goals.
• Develop policies and procedures in line with federal/state guidelines.
• Balance accounts and ensure timely completion of assignments.
• Support month-end close and reporting; assist in audits.

Skills

Insurance verification

Medicare/Medi-Cal policies

Hospital workflow

Managed care plans

Joint Commission regulations

Clear communication

English communication

Customer service

PC proficiency

Team collaboration

Education

Bachelor’s degree preferred

High School diploma or GED

Job description

To provide high quality of care through compassion to all we serve by creating a supportive environment for our patients, clinical staff and employees.

Job Summary

This position is accountable for management of all in-house, outsourced and contracted revenue cycle functions ensuring that Fresno Surgical Hospital meets or exceeds all established goals and objectives. Day-to-day management to include patient registration, insurance verification/authorization, as well as dual responsibility for patient scheduling and providing applicable financial operations support to the Chief Financial Officer, as needed. Collaborative teamwork with the Central Business Office (CBO) is also necessary, ensuring collection and billing are operating at peak efficiency. Provides leadership to departmental personnel ensuring top performance of Team, as measured by USPI revenue cycle key performance indicators (KPIs). Participates in performance improvement and continuous quality improvement (CQI) activities, as well as reporting to the QAPI committee.

Reasonable Accommodation

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the position without compromising patient care.

Required Skills

• Understands the evolving requirements for insurance verification to ensure patient coverage and hospital reimbursement
• Familiar with medical policies for private pay and Medicare and how to utilize them
• Familiar with hospital settings and the flow of the business office functions
• Knowledge, experience, and proficiency in Medicare, Medi-Cal, and contracted managed care plans
• Knowledge of Joint Commission and state regulations in non-acute care hospitals preferred.
• Ability to demonstrate clear oral and written communication skills
• Ability to effectively communicate in English, both verbally and in writing.
• Ability to maintain collaborative working relationships to ensure a positive and productive work environment.
• Ability to plan and prioritize work
• Ability to provide exceptional customer service.
• PC competency, working knowledge of Microsoft Office Products (Word/Excel)

Essential Functions

• Day-to-day management of assigned departments ensuring strategic focus while meeting or exceeding established departmental goals and objectives.
• Composes departmental policy and procedure in compliance with Federal and State guidelines providing Team "Best Practice" guidelines
• Develops Team assignments ensuring balance of assigned accounts and timely completion of
• Facilitates month-end close and reporting process
• Performs periodic audits of aged receivable and insurance verification accounts ensuring action being taken by Representatives meet established
• Other duties as assigned.

Education and Work Experience

• High School graduate or GED. Bachelor’s Degree Preferred.
• Five years of related experience in the healthcare industry preferred.
• One year experience as a medical biller team lead preferred.

Required Licenses/Certifications

• N/A

Benefits

• Comprehensive Benefit Package-Medical, Dental, Vision, Life, Voluntary Life, Flexible Spending Accounts and 401 K.

Salary Range

$37-$50, salaried exempt (dependent on years of experience)