Billing Office Manager

POSITION TITLE: Billing Office Manager

REPORTS TO: Practice Manager

SUMMARY: Under the direction of the Practice Manager, the Billing Office Manager position is primarily responsible for the management of the day to day operations in the Billing Office.

DUTIES AND RESPONSIBILITIES:

• Effectively direct and supervise Billing Department staff.
• Recruitment, retention and human resource review of the billing office staff.
• Ensure efficient operation of Billing Department (e.g., office systems, work load, equipment).
• Coordinates and ensures various roles within billing department are successful (i.e. worker’s compensation, referrals, DME/Splinting, collections)
• Works effectively with 3rd party billing company to ensure billing office goals are achieved
• Works effectively with other department managers within the organization
• Ensure third party payer, federal and state policies are adhered to by Billing staff and make changes as needed to meet regulations.
• Maintain collections of monthly statistics and analysis within the department.
• Ensure all billing/ charging procedures are done accurately and in a timely manner per

SSO policy. Provides training and education as needed.

• Maintain effective relationships with third party payers, physician offices, staff and patients.
• Oversee utilization of eMDs practice management system. Attain and maintain level of eMDs SuperUser.
• Promote staff development.
• Ensure confidentiality of all SSO related activities.
• Identify opportunities for improvement and makes recommendations.
• Demonstrate understanding of SSO policies and procedures including but not limited to

HIPAA, OSHA and other SSO compliance policies and procedures

• OTHER SIMILAR AND RELATED DUTIES AS ASSIGNED.

REQUIRED QUALIFICATIONS (Knowledge, Skill & Abilities);

Experience:

· Five years billing experience preferably in a medical practice or equivalent

· Three years management experience.

Skills:

· Computer literate: Knowledge of Microsoft office applications

· Excellent Customer Service skills.

SUPERVISORY RESPONSIBILITIES: Supervises Billing Office staff.

PHYSICAL AND SENSORY REQUIREMENTS: (with or without the aid of mechanical

devices)

· Sits, stands, bends, reaches and moves intermittently throughout the work day

· Occasionally lifts and /or moves up to 15 pounds.

· Must be able to see, hear, and walk or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met.

· Must be in good general health and demonstrate emotional stability.

· Potential exposure to communicable diseases.

WORK ENVIRONMENT:

· The noise level in the work environment is usually moderate.

· Numerous interruptions may be expected since the employee is continuously interactive with staff and providers

CONDITIONS OF EMPLOYMENT:

· Successful candidate must submit to reference check, pre-employment physical examination/ medical history check

EVALUATION:

· Performance of the job will be evaluated twelve months from time of hire and annually thereafter.

· Informal and formal feedback will also be provided as necessary.

SUCCESS FACTORS:

· Thorough and dependable

· Good organizational skills

· Must be detail-oriented

· Good judgment skills

· Ability to manage multiple tasks in a busy medical office

· Strong customer service skills: ability to work effectively with family, patients, staff and providers

· Ability to express oneself clearly and in writing.

· Ability to work with and maintain patient confidentiality

· The ability to work as a team member

About South Shore Orthopedics www.southshoreorthopedics.com

South Shore Orthopedics is a group practice with a dynamic and progressive culture. The highest quality orthopedic care is delivered with a modern and efficient approach. Each and every member of our organization exhibits honesty, integrity and respectful behavior. Our team will continue to grow and advance to meet the musculoskeletal needs of our community.

Our mission is to provide the highest quality orthopedic care in an accessible, safe, respectful and efficient manner.

As a group orthopedic practice, it is critical that our organization functions as a team and we collectively strive to create a work environment that is cooperative and collegial. Effective communication is vital.

Each and every member of our team understands the competitive nature of our industry and, therefore, strives for excellence, both as an individual and on behalf of South Shore Orthopedics.

Professional development at all levels is supported and encouraged to deliver the safest and highest clinical care.

Our patients, our referring physicians and their offices are our customers. Their referrals are vital to our success. They will always be treated with respect and compassion.

Success and vitality are assured through a fiscally conservative management, anticipation of opportunities and flexibility to change.

Hard work will be rewarded, humor and fun appreciated and mutual respect demanded.

Job Target Profile

Billing Office Manager

JOB DESCRIPTION

SUMMARY: Under the direction of the Practice Manager, the Billing Office Manager position is primarily responsible for the management of the day to day operations in the

Billing Office. DUTIES AND RESPONSIBILITIES: Effectively direct and supervise Billing

Department staff. Recruitment, retention and human resource review of the billing office staff. Ensure efficient operation of Billing Department (e.g., office systems, work load, equipment). Coordinates and ensures various roles within billing department are successful

(i.e. worker’s compensation, referrals, DME/Splinting, collections) Works effectively with 3rd party billing company to ensure billing office goals are achieved Works effectively with other department managers within the organization Ensure third party payer, federal and state policies are adhered to by Billing staff and make changes as needed to meet regulations.

Maintain collections of monthly statistics and analysis within the department. Ensure all billing/ charging procedures are done accurately and in a timely manner per SSO policy.

Provides training and education as needed. Maintain effective relationships with third party payers, physician offices, staff and patients. Oversee utilization of eMDs practice management system. Attain and maintain level of eMDs SuperUser. Promote staff development. Ensure confidentiality of all SSO related activities. Identify opportunities for improvement and makes recommendations. OTHER SIMILAR AND RELATED DUTIES AS

ASSIGNED. REQUIRED QUALIFICATIONS (Knowledge, Skill & Abilities); Experience: ·

Five years billing experience preferably in a medical practice or equivalent · Three years management experience. Skills: · Computer literate: Knowledge of Microsoft office applications · Excellent Customer Service skills. SUPERVISORY RESPONSIBILITIES:

Supervises Billing Office staff. PHYSICAL AND SENSORY REQUIREMENTS: (with or without the aid of mechanical devices) · Sits, stands, bends, reaches and moves intermittently throughout the work day · Occasionally lifts and /or moves up to 15 pounds. ·

Must be able to see, hear, and walk or use prosthetics that will enable these senses to function adequately to ensure that the requirements of this position can be fully met. · Must be in good general health and demonstrate emotional stability. · Potential exposure to communicable diseases. WORK ENVIRONMENT: · The noise level in the work environment is usually moderate. · Numerous interruptions may be expected since the employee is continuously interactive with staff and providers CONDITIONS OF

EMPLOYMENT: · Successful candidate must submit to reference check, pre-employment physical examination/ medical history check EVALUATION: · Performance of the job will be evaluated twelve months from time of hire and annually thereafter. · Informal and formal feedback will also be provided as necessary. SUCCESS FACTORS: · Thorough and dependable · Good organizational skills · Must be detail-oriented · Good judgment skills ·

Ability to manage multiple tasks in a busy medical office · Strong customer service skills: ability to work effectively with family, patients, staff and providers · Ability to express oneself clearly and in writing. · Ability to work with and maintain patient confidentiality · The ability to work as a team member

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THEY

Will be

Intense

Restless

Driving

Will need

Variety

Opportunities to work at a faster than average pace

Mobility

Will Like Hearing

Manage multiple priorities

Take the Initiative

Lead the conversation

Explore new frontiers

NOTEWORTHY BEHAVIORS

Proactive

Takes initiative

Competitive

Driven to get things done

Positive response to pressure

Quick to connect

Fluent

Fast-talking

Lively

Enthusiastic

SUMMARY

The focus of this job is on achieving results which are aligned with the larger picture of the organization and its strategic goals. Initiative, coupled with a sense of competitive drive, and the ability to stay focused on results despite changing conditions, is the key to achieving the performance objectives of this job. Because environmental and organizational conditions change rapidly, the work involves innovation and creativity in generating ideas for quick response. Decision-making is focused on implementing practical, timely solutions. The job requires getting things done quickly and handling a variety of activities. Self-assurance, and the confidence to purposely drive toward results while constantly problem-solving and engaging the commitment of others is essential. A leadership style that is firm and goal oriented, and yet motivates, trains, and engages others in an enthusiastic way is important.
The emphasis on building rapport and relationships with individuals and groups requires an outgoing, poised and persuasive communication style. Because the pace of the work is faster than average, the ability to learn quickly and thoroughly while continually recognizing and adapting to changing conditions is critical. The scope of the job may require effective delegation to proven people. Especially routine and repetitive details should be delegated but with responsibility for follow up and accountability for timely results. While the job requires the ability to act independently, a sense of urgency and the confidence to handle a variety of challenges, a full commitment to the success of the business and high standards of achievement are expected in this position. The emphasis is on results, and effective systems that achieve results through and with people, rather than on the details of

implementation. The job environment is flexible, constantly changing and provides growth opportunity, recognition and reward for the achievement of business results.

JOB CHARACTERISTICS

• Sense of urgency for goal achievement Varied activities Multiple, simultaneous projects Multi-tasking Fast-paced environment
• Results focus Idea generation, innovative and creative problem solving Rapport and relationship building focused on achieving results Engage commitment of others
• Problem solving orientation
• Risk taking
• Action-oriented and somewhat collaborative decision-making
• Quick decision making in response to changing conditions
• Extroverted, confident, enthusiastic, persuasive Influences, stimulates others to action Collaboration focused on results
• Authoritative leadership based on generalist expertise, knowledge of systems
• Directive leadership to assure business results are achieved
• Delegation of details as necessary, with follow up on timeliness and quality
• Accountability for results

Job Type: Full-time

Salary: $70,000.00 - $95,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Disability insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Supplemental pay types:

• Bonus pay

Ability to commute/relocate:

• Hingham, MA 02043: Reliably commute or planning to relocate before starting work (Required)

Education:

• High school or equivalent (Required)

Experience:

• Medical billing: 5 years (Preferred)
• Management: 5 years (Preferred)