Business Manager - Full Time - Day

Hackensack University Medical Center•Hackensack, NJ

72d

About The Position

Our team members are the heart of what makes us better. At Hackensack Meridian Health we help our patients live better, healthier lives - and we help one another to succeed. With a culture rooted in connection and collaboration, our employees are team members. Here, competitive benefits are just the beginning. It's also about how we support one another and how we show up for our community. Together, we keep getting better - advancing our mission to transform healthcare and serve as a leader of positive change. The Business Manager acts as business manager for HUMC Pediatric Associates/Children's Hospital (CH) and provides management resources for this multi-specialty CH practices/programs. This position serves as business manager for the Children's Hospital faculty practices and programs and is a resource to all office/nurse managers for all professional or facility services financial issues.

Requirements

Bachelor's degree.
Computer knowledge - Microsoft, billing and scheduling software, etc.
Minimum of 5 to 7 years of hospital/facility and professional billing/finance and supervision/office management.

Responsibilities

Ensures integration of operations and billing practice in all programs working collaboratively with Children's Hospital Administrative Directors.
Coordinates/expedites the hiring process for salaried, clinical physicians and APN's hired by the Department of Pediatrics at HUMC to assure that all hiring and managed care credentialing documents have been submitted prior to a start day.
Prepares dept files re: all new hires or potential hires for the physicians and nurse practitioners in Department of Pediatrics being presented at Credentialing Committee.
Manages the 'front-end' reception and respective practice staff by assisting in the training and supervision of staff as it relates to patient registration scheduling and charge posting for each identified practice site.
Oversees CMS compliance on Pediatric practices in conjunction with Corporate Compliance department.
Audits and assures JCAHO compliance in the practices/programs.
Acts as Business Manager for HUMC Pediatric Associates/Faculty Practice/Children's Hospital programs and provide management resources for this multi-specialty practitioner group.
Develops and presents detailed monthly billing reports, Profit and Loss statements for each practice to Children's Hospital Executives/Chairman/Directors on a monthly basis.
Performs financial and contractual analysis of third party payor contracts, as requested and recommends appropriate changes and/or actions based on established criteria.
Maintains billing policy and procedures manual.
Provides billing specific supervision to clerical staff associated that is associated with the aspects of computerized data and patient account management.
Develops and implements information collection systems with each business entity and their support staff.
Provides training to physician, ancillary and support personnel concerning general and specific third party payor procedures for information retrieval of business-related information and reports (i.e. revenue and usage, IDX, responsibility summaries, flex reports, etc).
Establishes and regularly carries out feedback system to ensure timely and complete retrieval of all business reports as noted in #14 including payroll as needed. 15. Established and maintains billing cycles for each medical practice, patient follow up procedures and financial records systems for each pediatric practice/program.
Oversees cash and check deposits for applicable banking institution on a daily basis for each practice/program according to established procedures.
Reviews cash receipts journal for each pediatric practice/program.
Reviews all requests for account adjustments and write-offs and presents valid requests for appropriate Pediatric Administrative approval.
Oversees the communicating/reporting of denials/REQs and reports status on a regular basis to Pediatric Administration.
Provides patients and pediatric practices/programs with support in accessing hospital business/financial services.
Follows up on overall physician practice and facility concerns regarding patient billing matters.
Acts as consultant to new physicians and/or hospital programs in setting up billing/coding practices, including but not limited to, securing provider identification numbers, setting up charge tickets and other, charge masters, providing data concerning fees and procedures training, etc.
Adheres to the standards identified in the Medical Center's Organizational & Managerial Competencies.