Exercises general supervision over business office staff directing all areas of credit and collections of the Surgery Center(s). Plans, organizes and directs all aspects of the Business Office including the administration of all policies on accounting, insurance, internal controls, accounts payable, auditing of patient accounts, scheduling, admissions, medical records, and claims processing.

WORKING RELATIONS:

1. Collaborates with the Administrator, Director of Clinical Services, Business Staff, Nursing Staff, as necessary to provide appropriate financial information and promote positive teamwork.
2. Serves as the first line supervisor for the business office staff and assumes a significant responsibility for maintaining financial documents.
3. Maintains positive employee relations and effective communications with physicians, staff and administrator.

PRINCIPAL ACCOUNTABILITIES:

The Regional Business Office Manager monitors and directs the day-to-day operations utilizing the following performance guidelines:

• Directly manages the Administrative and Front Desk Personnel.
• Reviews billing and collection patterns of scheduled patients by daily monitoring of front desk applications and informs office management of any patients that continues to present with outstanding balances.
• Gathers and analyzes information. Develops new procedures to improve the quality and quantity and efficiency of work processed.
• Solves difficult payment and associated office problems. Audits problem accounts and reports to Administrator and office management.
• Interprets and enforces rules and regulations, including Medicare requirements. Maintains knowledge base, prepares staff, and participates in both internal and external audits from regulatory bodies and accrediting agencies.
• Maintains accurate logs of licensing and expirations
• Affiliation/Credentialing requests for physicians and insurance payer requests
• Government reporting as a regulatory requirement of the ASC

• * Supervises and trains/orients assigned personnel. Evaluates performance of business office personnel with the administrator and recommends merit increases, promotions, and disciplinary actions.
  

  • Initiates and answers pertinent correspondence.
  • Prepares and writes reports.
  • Maintains required records and files.
  • Maintains knowledge of and complies with established policies and procedures.
  • Evaluates monthly reports prior to monthly closure of computer database including but not limited to, implant logs, open encounters, and general ledger.
  • Prepares monthly accounts receivable analysis and reviews with General Partnership.
  • Directs the in the maintenance of facility records.
  • Maintains regulatory and legal requirements of the medical records department.
  • Assists the preparation and distribution of the facility surgery schedule.
  • Audits accounts to assure compliance with applicable laws and regulations relative to fraud and abuse issues.
  • Supervises the analysis of costs and makes recommendations to ensure the appropriate income/cash flow.
  • Establishes and monitors internal controls.
  • Provides direction and support for IT tracking, and helpdesk requests.
  • Maintains the strictest confidentiality.
  • Keeps administrator informed of all BOM activities and copies administrator on all financial reports.
  • Demonstrates professionalism and courtesy.
  • Possess the ability to handle and diffuse difficult situations.
  • Update and maintenance of ASC schedule.
  • Establishes regular rotation through all sites in region
  • Credentialing of all new providers and maintains accurate records of existing providers.
  • Maintains accurate employee files.
  • Daily upkeep of encounter tracking, acknowledged appointments and cancelled appointments.
  • Attendance and participation in leadership and management training sessions.
  • Maintains/updates data in payment system and processes payroll and expense reports.
  • Reporting of ASC statistics in regular cadence to leadership.
  • Complete onboarding assignments for new hires.
  • Maintains knowledge and competence in all systems/applications used.
  • Support front desk coverage as needed.
  • Responsible for completing financial transactions.
  • Performs related work as required.

Other Essential Functions and Responsibilities: As assigned.

USPI’S EDGE™ (Every Day Giving Excellence)

USPI’S EDGE™ is the key to the differentiation of USPI as a customer-focused company. The process of completing EDGE™ requirements establishes processes and measurements that are collected, assimilated, and shared throughout USPI. All employees are involved with EDGE™. The involvement can range from doing their jobs to taking on the role of gathering and/or entering data into the computer. All employees shall at some time during their employment be required to participate in the EDGE™ program.

Health Insurance Portability and Accountability Act of 1996

Responsible for knowing the processes involved assuring the standards established by HIPAA, and ensuring they are followed including the practices and records relating to the use and disclosure of Protected Health Information.

Required Skills

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/ or ability required. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions.

• Bachelor’s degree in business or related business experience.
• Three years of management experience including three years in a health care organization.
• Additional appropriate education may be substituted for two years of fiscal management experience.
• Thorough understanding of the insurance industry.
• Knowledge of healthcare governmental regulations.
• Maintains a high level of proficiency in computer applications.
• Skills in exercising a high degree of initiative, judgment, discretion and decision-making to achieve organizational objectives and critically think and determine appropriate course of action in dynamic and complex situations.
• Skills in establishing and maintaining effective working relationships with patients, staff, and the general public.
• Must be able to read, understand, and speak English.
• Ability to communicate clearly and effectively with all levels of management in both oral and written correspondence

· Ability to work independently, exercise good judgment, be creative, attentive to detail, and maintain a positive attitude

· Ability to manage multiple and simultaneous responsibilities and to prioritize work duties appropriately

· Ability to maintain confidentiality of all medical, financial, and legal information

· Ability to complete work assignments accurately and in a timely manner

· Ability to handle difficult situations involving patients, physicians, vendors, co-workers, and others in a professional manner

Job Behavior:

**· **Reflective of Mission Statement and Core Values

USPI’s Mission **** to treat each and every one of our patients, and their families, as if they were our own family member. Each patient, each family, each and every time.

USPI’s Core Values

v Compassion and respect for others and each other, supporting our communities and advocating for our patients

v Acting with integrity and the highest ethical standards – always

v Results delivered through accountability and transparency

v Embracing inclusiveness for all people in our workplace and in the communities we serve

· Demonstrates ability to work as a team member and to communicate directly and professionally.

· Is independent, driven, flexible, reliable, productive, and self-motivated.

· Portrays the facility in a positive light to others.

· Avoids behaviors that promote discord of staff members.

**· **Maintains professional conduct and appearance.

Physical Demands:

• Must exhibit desirable trunk and extremity mobility and strength to perform job duties.
• Must be able to lift a minimum of 35 pounds safely
• Must be able to sit for long periods.
• Must be able to drive to locations within region

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Work Environment:

· High-stress environment with timelines and deadlines

· May include, but not limited to, exposure to any of the following hazards: high-pressure steam, chemical, electrical, laser, mechanical, biohazard, stress, infectious agents, etc.

· May include, but not be limited to, variations in temperature, noise, odors, multi-stimuli, etc.

· May work in interior and exterior work locations that involve hazardous environments requiring protective equipment that conforms to OSHA regulations

**· **May be required to work in confined spaces, on step stools, and ladders

Required Experience

EDUCATION, TRAINING AND EXPERIENCE REQUIREMENTS:

• Bachelor's Degree in Healthcare Administration, Business, or related field
• Minimum of three- five years supervisory experience in a medical setting; hospital, surgery center; physician’s office
• Proficiency in accounting and ability to use computer automated accounting systems
• Experience working with all types of third -party payers. (HMO, PPO, Medicare/Medicaid, insurance plans, etc.)
• Excellent communication and organizational skills.
• Demonstrates accountability, integrity, professionalism, openness, receptive to change, creativity and innovative

Who We Are

We are part of a much larger team with United Surgical Partners International (USPI). **** At USPI, we create relationships that create better care. We partner with physicians and healthcare systems to provide first-class ambulatory solutions throughout the United States. We are committed to providing surgical services in the most efficient and clinically excellent manner.

USPI is committed to, and proud of our inclusive culture. An inclusive culture, in our view, is respectful of differences and nurtures and supports the contributions of each individual, while also embracing and leveraging diversity. A diverse workforce, combined with an inclusive culture, makes USPI stronger and better able to meet the needs of our diverse patient and physician population.