Director, Central Business Office

Company: Boice-Willis Clinic
Location: Rocky Mount
Posted on: May 14, 2022

Job Description:

Director of Central Business Office

Boice-Willis Clinic is a multi-specialty clinic and medical practice nestled in charming Rocky Mount that provides quality healthcare to the citizens of eastern North Carolina for over 100 years. -Boice-Willis provides a friendly, collaborative work environment where everyone is valued and appreciated for their contribution to the Clinic.

Summary

The Director of Central Business Office is responsible for directing and coordinating all aspects of an independent, multi-specialty physician practices central business office. -The areas of responsibility for this position include claims processing and billing, government and commercial payer reimbursement and contracting, patient collections, coding, and compliance. -The Director of Central Business Office works in dyad partnership with Director of Physician Practices to ensure healthy revenue cycle for the practices.

Responsibilities

Analyze month-end physician billing, 3rd party reimbursement, denials, collection, and coding data and workflows to identify trends and efficiencies.
Develop and monitor revenue cycle key performance indicators (KPI's) and implement processes to improve billing, claims and collections workflows.
Maintain effective and productive working relationships with billing companies and 3rd party payers to ensure the ability to resolve claim payment and administrative issues occurring with payer contracts.
Participate in evaluation and negotiation of Managed Care contracts.
Review account aging on monthly basis, identify and report inconsistencies, and correct errors as appropriate.
Develop and review detailed business office policies and procedures, standard operating procedures, training, and workflow documentation.
Communicate, train, and support all key stakeholders in revenue cycle across all departments to ensure optimum performance and profitability.
Maintain in-depth knowledge of governmental and commercial insurance rules and regulations to ensure compliance as well as optimal financial performance.
Ongoing training and coaching of all multi-departmental staff within Boice-Willis Clinic, for optimum performance and profitability.
Collaborate with Compliance Chair and participate on Compliance Committee. -Must have a thorough knowledge of practice compliance audits and reviews.
Collaborate with Clinic IT department and 3rd party vendors to ensure maximum operability of practice management, claims management and collection software and tools.
Develop and maintain collaborative partnership with team members.
Manage credentialing applications for initial application and reappointments.
Set department goals to reduce days in Accounts Receivable and uncollectible accounts.

Qualifications

Education Requirements:
BS in Business or Healthcare Administration.

Licensure/Certification Requirements:
RRA, ART, CCS, or CPC preferred.

Knowledge/Skills/and Abilities Requirements:
Thorough knowledge of Medical Terminology and HCPCS/CPT/ICD-10-CM coding.
In depth knowledge, of business office and clinical operations with seven years prior experience, and proven track record of performance in Accounts Receivable Management.
Demonstrated ability to effectively produce a high quality of work without supervision.
Thorough knowledge of practice management systems and can implement new programs in department as needed.
Analytical ability to resolve and bring to closure Accounts Receivable challenges in the workplace.
Personnel Management.
Excellent written and verbal communication skills.

Keywords: Boice-Willis Clinic, Rocky Mount , Director, Central Business Office, Executive , Rocky Mount, North Carolina