Senior Office Manager

Overview

St. John's Riverside Hospital is a leader in providing the highest quality, compassionate health care utilizing the latest, state-of-the-art medical technology. Serving the Westchester community from Yonkers to the river town communities of Hastings-on-Hudson, Ardsley, Dobbs Ferry and Irvington, St. John's Riverside has been and continues to be a unique and comprehensive network of medical professionals dedicated to a tradition of service that spans generations.

 

St. John’s has been an integral part of the community since the 1890's and its’ commitment to provide the community with the most advanced medical services available continues to be the hospitals’ vision, mission and value. St. John's Riverside Hospital built itself around an early foundation of nursing and community service. In 1894, the Cochran School of Nursing, the oldest hospital-based school of nursing in the metropolitan area, was founded, thus making the St. John's Nursing Staff more than just the backbone of the hospital, but the heart and soul. St. John’s dedicated nurses give superior attention to those who need it most with a strong emphasis on patient and family-focused nursing care.

 

St. John’s Riverside Hospital staff is committed to making life better for all patients. The hospital continues to elevate the services provided with the goal of increasing the quality of life for all who entrust St. John's Riverside Hospital to their care.

 

St. John’s Riverside Hospital  is an equal opportunity employer. We maintain a policy of non-discrimination in providing equal employment to all qualified employees and candidates regardless of race, creed, color, national origin, sex, age, disability, marital status, or other legally protected classification in accordance with applicable federal, state, and local law.

 

Personalized care together with advanced technology is what it means to be Community Strong

 

 

Responsibilities

The Senior Office Manager – Outpatient Services BHS oversees and manages all aspects of patient registration, methadone and outpatient billing with appreciation for ongoing fiscal viability of the program. Supervises registration and clerical staff, patient reception and manages all daily office functions to maintain efficient and effective office and program operations. Responsibilities extend to clinic additional locations.

 

Responsibilities

1. Oversees timely and accurate patient registration process including preparation of weekly caseload list for staff.2. Oversees all aspects of patient billing and related documentation to ensure accuracy and to maximize program revenue under Hospital guidelines and the APG methodology. Communicates all pertinent changes in eligibility or plan requirements to staff in a timely manner. Supervises daily reconciliation of patient encounters, cash receipts and deposits to Hospital.3. Coordinates with staff, including Finance Department representatives, all efforts to verify and otherwise maximize insurance coverage for patients. Maintains updated knowledge of all hospital insurance contracts.4. Responsible for maintaining and forwarding all managed care authorization, re-certification and denials to clinicians and clinical supervisors.5. Responsible for verification and reporting of Medicaid/insurance eligibility and reporting changes to staff and business office. Updating of all patient demographic, financial and insurance information.6. Maintains all administrative and financial records in an organized, accessible, and secure manner and in compliance with all applicable regulatory requirements.7. Directs and coordinates the patient accounting function to consistently produce accurate bills which are paid in a timely manner.

8. Responsible for billing practices including standard codes sets, OASAS APG, CPT4 & ICD-9 coding9. Reviews denials, payments, and adjustments reports. Creates Billing reports as required.

10. Assists with, and responds to inquiries from patients, insurance companies, Medicare, and other parties regarding charges and/or billing activity reports.

11. Contacts third party payers to identify and resolve account collection problems for maximum collection results

12. Follow-up on billing queries with Netsmart (i.e., Claim submissions, denials, insurance changes, AR, etc.)13. Review and reconcile remittance files for Medicaid FFS, Medicaid Managed Care, Medicare B, and Commercial payers. Review client ledger and apply Bundled Billing where applicable.14. Export billing and submit data to Netsmart. Follow-up on billing queries with Netsmart (i.e., Claim submissions, upload remittance files, denials, insurance changes, AR, etc.) 15. Track and log D.O.C. (Department of Correction