The Office Manager coordinates the day to day operations of the facility as dictated by the company's policies and procedures under the direct supervision of the Director, IOP. The Office Manager is also responsible for verification of benefit eligibility and for utilization review. This position interfaces directly with the client to determine ability to pay and is responsible for billing and collections.
Essential Duties and Responsibilities
Responsible for answering and triage all incoming calls and for providing all necessary information to inquiries.
Schedules patient appointments and coordinate with all external providers. Provide weekly calendar to clients.
Establish system for managing medical records to ensure compliance with regulations and accuracy of records.
Responsible for conducting new patient admissions.
Interacts with clients and/or financial guarantors to determine ability to pay, negotiates and collects payment.
Establishes credit and collection policy, consistently meeting collection goals.
Ensures practices meet CARF and HIPPA rules and regulations.
Conducts period self audits to ensure the accuracy of all records along with billing/collection processes.
Verifies insurance benefits and conducts utilization reviews. Files appropriate paperwork timely for payment.
Generate monthly patient invoices and creates and monitors financial reports for all patient accounting.
Serves as resident expert on TIER and ensures proper use of system for entering and tracking client records.
Oversees weekly patient urine drug screen program.
Responsible for facility operations to include management of all outsourced vendors and contractors.
Maintains accurate records of daily patient census to ensure accurate billing and reporting.