Full-Time Back Office Manager Remote

Position: Back Office Manager (With Optometry Experience)

Location: Remote

Type: Full-time

We are seeking a detail-oriented Back Office Manager well-versed in pre-authorization processes, medical copays, and CPT codes. This role is crucial for managing the financial operations of our healthcare facility, ensuring accurate billing practices, and maintaining efficient filing systems to support our revenue cycle management.

Key Responsibilities

1. Leadership and Supervision:

   • Build, oversee, and manage the Billing and Filing Department.
   • Train, mentor, and evaluate billing and filing staff.
   • Delegate tasks and set deadlines.
   • Conduct performance appraisals and implement corrective actions.

2. Operational and Back-Office Management:

   • Develop and implement best practices for billing, filing, and back-office processes.
   • Create, revise, and enforce Standard Operating Procedures (SOPs).
   • Oversee patient records, insurance claims, and financial documents.
   • Conduct regular audits and risk assessments for compliance and efficiency.
   • Optimize document management and storage.
   • Identify and implement automation opportunities to streamline workflows.
   • Collaborate with cross-functional teams.

3. Core Billing and Filing Functions:

   • File insurance for medical and vision.
   • Handle claim submissions (electronic and paper).
   • Process orders for glasses and contacts through insurances.
   • Final audit of daily invoices.
   • Manage insurance payment postings.
   • Oversee insurance check deposits.
   • Manage follow-ups and corrections for rejected claims.
   • Direct insurance appeals.
   • Coordinate benefits between medical and vision insurances.
   • Stay abreast of industry regulations.

4. Revenue Management:

   • Manage accounts receivable, auditing for accuracy and optimal A/R levels.
   • Develop and execute strategies to increase revenue.

5. Customer Service and Communication:

   • Manage patient inquiries about statements.
   • Facilitate regular staff training sessions.
   • Produce training material (documents, videos, and classes).
   • Provide updates, changes, and feedback to team members.

Metrics for Performance:

• A/R amounts at 30, 60, 90, 120+ days
• A/R goal: Maintain under $100k total with zero at 120+ days
• Write-off amounts relative to client goal
• Team performance to goals

Qualifications

• Bachelor’s degree in healthcare administration, finance, or related field.
• 5+ years of billing management experience in healthcare.
• In-depth knowledge of medical billing, CPT coding, and pre-authorization processes.
• Proficiency in billing software and EHR systems.
• Experience in training, mentoring, and leading teams.
• Strong analytical skills and attention to detail.
• Excellent communication skills.

Desired Attributes

• Ability to work under pressure and manage multiple priorities.
• Highly organized with strong leadership and team development skills.
• Proactive attitude with commitment to compliance.

Soft Skills:

• Strong leadership qualities
• Excellent communication skills
• Advanced computer proficiency
• Ability to multitask
• Strategic problem-solving skills
• Superior time management
• Collaborative team player

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