Job Description

JOB SUMMARY

The Central Business Office (CBO) Manager is primarily responsible for managing the Central Business Office employees in compliance with the philosophy, policies, procedures and goals of Urology San Antonio and the department. This position is also responsible for ensuring accurate and timely submission of claims to all payers both electronically and paper, collections and proper reconciliation of accounts receivables to include denials management.

DUTIES AND ESSENTIAL JOB FUNTIONS

1. Plans, supervises, and coordinates revenue cycle activities with respective CBO unit supervisor(s) to ensure billing, collections and appropriate follow-up of accounts receivable is conducted in an accurate and timely manner.

2. Directly manages work assignments for supervisor(s) necessary to meet key performance indicators.

3. Directly supervises cash posting and denials management workflows and employees assigned these accounts receivables job functions.

4. Establishes controls and reviews process workflows in accordance with established third-party payer regulations and guidelines.

5. Performs regular audits of accounts to determine appropriateness of account billing, follow-up and timely reimbursement in compliance with established third-party regulations and requirements.

6. Identifies issues with practice management system and collaborates with CBO Director and contracted vendor partner to address enhancements and/or corrections necessary to meet established third-party requirements and/or Urology San Antonio standard practices and workflows.

7. Performs duties in a way that ensures the employee's own safety and that of others using the services and facilities of the department and Practice.

8. Motivates staff and maintains a high level of morale among department personnel.

9. Measures and achieves objectives for the department, consistent with the Practice's goals.

10. Conducts hiring and development of CBO employees in accordance with USA policies.

11. Insures performance evaluations are conducted in a timely manner, and that performance evaluations are fair and consistent and that performance expectations are communicated.

12. May develop, review or revise departmental policies and procedures.

13. Assists in problem identification and inter / intra departmental coordination of problem resolution.

14. Assures Patient Health Information (PHI) is secure at all times. Respects the confidentiality of information through one’s employment.

15. Promotes positive image of the organization.

Other functions and Responsibilities

This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

COMPETENCIES

1. Patient & Customer Focus

2. Ethical Conduct

3. Flexibility

4. Initiative

5. Personal Effectiveness/Credibility

6. Stress Management/Composure

QUALIFICATIONS

Required

Bachelor’s degree from a four-year University or equivalent years of combined education and experience in a healthcare setting required.

PREFERRED EDUCATION / LICENSES / CERTIFICATIONS

Certified Professional Coder Certification preferred.

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