Office Manager - continued

Pediatric Services of America, Inc.

Location Job Description

Office Manager

Description of Responsibilities

Responsible for overall supervision and function of general office and reimbursement activities within the Location.

Reporting Relationship

Location Director

Scope of Supervision

Two or more office staff (Human Resources Coordinator, Payroll Clerk, Billing Clerk, Medical Records Specialists, Medical Office Assistant, Nursing Scheduler, Therapy Intake Coordinator)

FLSA Status: Exempt

Responsibilities

  1. Ensure telephone coverage for receiving telephone communication with referral sources and customers.
  2. Preparation of bi-weekly payroll for Director review and signature.
  3. Monitors referrals from physicians, hospitals, insurance companies, etc utilizing Company documentation obtaining all necessary information for accurate billing.
  4. Receives and processes bills and invoices to Corporate Accounts Payable.
  5. Inventory Control of all office supplies, forms, etc. Prepares requisitions for supplies as appropriate.
  6. Coordinate all patient information and process paperwork to Corporate Office for billing. Must be able to attend ENCORE system training at the Corporate Office.
  7. Obtains and maintains ongoing training and demonstrates a strong knowledge of basic payer guidelines and company reimbursement standards.
  8. Maintains confidentiality of all Company information, including pricing, patient/employee records, etc.
  9. Maintain patient information for billing purposes.
  10. Maintain daily logs (ie.,referral, call, etc.)
  11. Assist in Customer Service activities, ie.,over-the-counter sales, proper handling of cash/credit receipts or money and end-of-day balancing.
  12. Assist Corporate Reimbursement Department in A/R management.
  13. Works all appropriate ENCORE reports (unbilled, denials, stopped auths, etc)
  14. Maintains personnel files according to state and federal regulation as well as Company policy.
  15. Assists with HR functions as appropriate.
  16. Maintains imprest account.
  17. Prepares correspondence, minutes, reports, etc as appropriate.
  18. Prepares and sends specialized bills, as designated by the Reimbursement Department.
  19. Participate in IOP Plan as appropriate.
  20. Types letters, minutes, reports, etc.
  21. Prepares supply requisitions.
  22. Other duties as assigned by supervisor.

Minimum Qualifications

  1. Ability to file, perform accounting functions, maintain records, reimbursement knowledge, good typing and telemarketing.
  2. Two years’ experience in insurance office, physician’s office, 3 years general office experience preferred.
  3. High school education required with minimum two years college preferred.
  4. Effective verbal and written communication skills.
  5. Knowledge of basic computer skills and programs. (MS Office, Word, excel , etc.).
  6. Knowledgeable of major guidelines and patient’s eligibility for coverage by third party payors.
  7. Familiar with product line and services to meet customer needs.

Physical Requirements

  1. Frequent walking, climbing stairs.
  2. Repeated or prolonged standing, bending, stooping, kneeling, or crouching.
  3. Occasional rapid movement and physical agility.
  4. Frequent lifting, carrying, pushing, or pulling, up to 25 lbs.
  5. Occasional lifting, carrying, pushing, or pulling up to 50 lbs.
  6. Must be able to see and hear to monitor lights, sounds and alarms on equipment.
  7. Must have sufficient strength and manual dexterity to safely operate equipment, including grasping and manipulating small objects.
  8. Must be able to discern changes in temperature or texture by touch.
  9. Must be able to respond to emergency situations. This may require physical strength, agility, and ability to function under stressful circumstances.
  10. Must be able to function in a wide variety of environments which may involve exposure to communicable disease, latex, or other sources of allergic response and that cannot always be controlled by the employer.

I understand and agree to comply with this job description.

Employee Signature / Date
Supervisor Signature / Date

221/1/06