Business Office Director: Florida Orthopaedic Institute

Business Office Director

Fax (813) 972-2078 No phone calls, please

Position Summary:

Define and articulate strategic direction of the business office in accordance with executive strategic plan. Define and monitor key statistical indicators to ensure that defined objectives are met in accordance with strategic plan. Provide guidance and leadership to departmental staff to ensure that daily job functions conform to defined objectives. Ensure that daily functions are completed in a timely manner to produce the maximum amount of reimbursement legally permissible. Handle disciplinary actions to ensure all Florida Orthopaedic Institute (FOI) policy & procedures are being followed.

Qualifications:

B.A. or B.S. in business related major preferred

Finance, Accounting, Economics, Information Technology Management or Management

Advanced Degree or Certification a plus (M.B.A, M.S.A, M.Acc, C.P.A, C.I.A)

Healthcare Professional Certification a plus (CPC)

Minimum of 3-years Healthcare Reimbursement Experience;

Large Multi Specialty or Physician Surgical Experience a plus

Minimum 2 years management experience for small to medium work groups (5 – 50 employees)

Key Responsibilities:

· Monitors daily performance and productivity of the staff via key statistical indicators and performance reviews (monthly audits) compiled by supervisory staff.

· Audits – Reviews monthly audits dashboards for all key BO revenue cycle components

· Productivity – Reviews weekly productivity statistics to ensure that department members are remaining productive and keeping up with the workload

· Weekly meeting with Business Office Management team to align weekly targets with quarterly goals.

· Weekly Ad Council meeting with other Directors to address FOI goals and identify any issues affecting department productivity.

· Handles appropriate disciplinary actions when needed. [Including personnel meetings, verbal warnings, written verbal warnings, written warnings and recommendations for termination.]

· Oversees workload volume to ensure backlog does not occur. [If a backlog is occurring in any area the supervisor should first assess the situation to find out why there is a backlog. A proposal on how to clear up the backlog should be presented to the Business Office Director for approval of putting the plan in to action.]

· Assist with the review of high dollar manual adjustments

· Ensures daily/weekly/monthly statistics are run and input in excel file for Collectors viewing.

· Provides expertise to staff as needed to problem solve. Questions from Supervisors should be in writing as well as response from Director in writing.

· Develops and maintains policies and procedures for the department.

· Ensures compliance with FOI policies, customer service and patient satisfaction.

Florida Orthopaedic Institute

Position Description

· Ensures annual training schedule is followed and kept up to date for all employees

· Annual reviews for employees done jointly with Business Office Manages and Supervisors. [The BOS will provide a draft of the annual review to the Business Office Director for review prior to delivery.

· Monitors and calculates monthly and quarterly incentive based compensation for Business Office.

· Ensures required reports are run and/or monitored.

· Filemaker Database. Identify areas of continued improvement for Filemaker database system.

· All other duties as assigned.

Coding

· Monitor posting date of charges to ensure charges are posted within 3 days of receipt into the department.

· Review Auto Charge report to ensure auto surgical charges are handled as soon as they are received into the department.

· Monthly departmental meeting - Meet with employees to go over any new coding changes and updates.

· Maintain and Update P&P’s for Coding Hat.

· Hosted Claims Manager – ensuring front end edits are handled within 3 days of rejection. Meeting weekly with Coding Manager representative to review progress on front end edits and backend denials.

Payment Posting

· Monitor posting date of payments to ensure payments are posted within 3 days of receipt into the department.

· Monthly departmental meeting - Meet with employees to go over any new coding changes and updates.

· Maintain and Update P&P’s for Coding Hat.

www.floridaortho.com