Falls Church, VA, USA
3 days ago
Manager Business Ops

The Manager of Business Operations directs the operation of the assigned department while leading and coordinating key functional services to support department objectives and organizational goals. Integrates programs with other departments/services as necessary. Develops and implements an effective insurance denial management program geared towards root cause analysis and denial prevention. Operationalizes financial information, such as budget, capital, and productivity data, to achieve service line goals. Manages the tracking and trending of contract issues. 

Schedule: Monday-Friday (Flex hours Daytime or Early Morning) ; 100% On-Site

Job Responsibilities 

 

Acts as a liaison with clinics and all operating units regarding denials and avoidable write-offs. Establishes performance expectations and provides direction, feedback, and guidance to team members. Considers the impact of assigned projects and program development initiatives on efficient/effective processes. Develops and implements schedules/processes with staff input to optimize department functioning and customer service. Researches and resolves underpayments from insurance companies and assesses managed care contracts for appropriate reimbursement. Ensures that department/functional operations are in full compliance with accrediting and regulatory agency standards. Provides oversight of all business (back office) processes including interconnectivity with clinical operations and billing operations. Provides analysis of patient visits and other applicable data to assist in monthly decision-making on services, programs, and financial goals. Proactively identifies revenue enhancements and cost reduction opportunities related to services rendered. Develops and fosters relationships with key business partners, staff, and physicians. Oversees assigned department or functional area to ensure it is performing effectively, which may include but not limited to, hiring and training team members, creating and implementing business strategies, managing performance of team members, and delegating tasks. May perform additional duties as assigned.



Additional Requirements 
 

Experience - Five years of professional work experience in a relevant environment with one year in a management or leadership role

Education - Bachelors Degree in Business Administration (or 4 years of experience in lieu of degree)

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