Business Manager (10563)

Northern Light Health
Job Description

Northern Light Eastern Maine Medical Center

Department: Cardiology Clinic

Position is located: Northern Light Cardiology

Work Type: Full Time \ 40 Hours per Week \ 8:00 AM to 5:00 PM

To Apply Click: Business Manager

For More Information: Text "10563" to (207) 506-0033

Summary:

Responsible for financial oversight of Cardiovascular Service Line, (invasive and non-invasive cardiology) NECA and Cardiothoracic Surgery of Maine .

Responsibilities:

• Communicates Effectively

• Demonstrates effective and courteous Customer, Physician/Practice Staff and other hospital staff communication skills.

• Answers all calls promptly and courteously

 • Responds to and resolves issues promptly through effective communication.

 • Uses appropriate chain of command. 

 • Is a recognized team player that provides coverage to best of abilities.

 • Has employee evaluations completed in a timely manner. Assures that staff are up to date with ICARE.

 • Monitors staff for efficiency and productivity. Holds staff to standards required.

 • 100% documented evidence of attendance of mandatory meetings.

 • Responsible to oversee collection of all records requested for medical reviews.

 • Oversees the research of all charge questions for EMMC Patient Accounts and forwards relevant information.

 • Reviews processes of pharmacy charges for accuracy and adjusts as needed.

 • Supervises all patient services and coding staff for CCOM MO/RO

 • Holds staff accountable for outcomes of work.

 • Refers potentially sensitive or public relations concerns.

 • Assist with orientating and training/cross-training of new and established employees as assigned.

 • Competently covers positions on emergent basis.

 • Coordinates and oversees all billing activity for CCOM- outpatient, inpatient, and outside clinics. 

• 100% compliance of: iCARE, Employee Updates, and any other in-services/meetings and training as assigned. 

• Keeps charge master updated.

 • Monitors and adjusts systems to assure all updates to charges/codes are implemented. 

 • Maintains current understanding and ability to utilize current CPT billing standards utilized in oncology and radiation.

 • Monitors staff overtime and works with employees to minimize.

 • Monitors preauthorization needs and assures these are complete for patient's services.

 • Facilitator for CCOM and Internal and External audits. 

• Monitors medication assistance programs to maximize usage and decrease CCOM liability

 • Updates all price files to keep with current technology/billing requirements.

 • Is visible at community events to represent the program and meet the department needs.

Other information:

Bachelors Business degree or equivalent required or completed within first year . CPC (Certified Procedure Coder) required. Supervisory experience preferred. 

3 years experience in patient accounts and billing for medical or hospital practice. Knowledge of CDMs, coding and billing. • Five years office experience in a health care setting. • Proficient with Microsoft Office Professional and database management skills • Proven ability to oversee service line financial needs, budgets, and action plans 

  Competencies and skills:

Essential:
5+ years of relative work experience required.
* Behaves with Integrity and Builds Trust: Acts consistently in line with the core values, commitments and rules of conduct. Leads by example and tells the truth. Does what they say they will, when and how they say they will, or communicates an alternate plan.
* Cultivates Respect: Treats others fairly, embraces and values differences, and contributes to a culture of diversity, inclusion, empowerment and cooperation.
* Fosters Accountability: Creates and participates in a work environment where people hold themselves and others accountable for processes, results and behaviors. Takes appropriate ownership not only of successes but also mistakes and works to correct them in a timely manner. Demonstrates understanding that we all work as a team and the quality and timeliness of work impacts everyone involved.
* Word processing, spreadsheets, data entry, database experience and other computer related skills.
* Practices Compassion: Exhibits genuine care for people and is available and ready to help; displays a deep awareness of and strong willingness to relieve the suffering of others.

Credentials:
CPC (Certified Procedure Coder) 

Education:
Bachelors degree in business or equivalent required or completed within the first year. 

Working conditions:

Essential:
* Work with computers, typing, reading or writing.
* Extend body and limbs to reach items.
* Continuous sitting.
* Continuous standing.
* Continuous walking.

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