Careers
Manager, Business Office
May 07, 2012
SCOPE:
Responsible for managing the functions of the business office, including patient billing and reimbursement, computer operations, and collections; ensures optimum reimbursement for medical services through accurate and timely reporting of all physician and ancillary services; is responsible for timely submission of all insurance claims and adjustments; directly supervises accounts receivable; generates monthly reports and ensures their accuracy; solves problems and improves efficiency to ensure the lowest possible accounts receivable. Supervises and oversees front office functions. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
-Directs the daily operation of the business office to ensure accuracy and timeliness in all area of responsibility including the handling of monies.
-Recruits, hires and supervises front office staff in addition to developing and attaining performance goals and objectives. Evaluates performance and recommends merit increases, promotions, and disciplinary actions.
-Oversees the pick up and preparation of daily charge tickets; works with physicians on charge procedures, including consistent use of procedure codes; coordinates revisions as needed to obtain correct reimbursement; identifies and resolves discrepancies.
-Ensures that daily, weekly, and monthly billing functions are performed and accurate.
-Demonstrates thorough understanding of and oversees all aspects of coding functions, to include optimum reimbursement and compliance with regulations.
-Negotiates managed care, PPO, and indemnity plan contacts.
-Schedules month-end cutoffs; ensures that all areas meet cutoff and generates monthly management reports from medical accounts and receivable system.
-Monitors aged balances of all accounts and ensures that delinquent accounts are followed up.
-Provides follow-up on contract accounts and acts as liaison with managed care plans and insurers.
-Prepares monthly financial analysis on accounts receivable, collection percentages, billing statistics, etc.
-Acts as liaison between physicians, administration and business departments.
-Implements Reimbursement Policies and Procedures to maximize efficiency. Ensures compliance with appropriate industry regulations.
-Maintains computer master parameters including CPT-4 and ICD-9 code files.
-Assists with budgetary activities under direction of Executive Director and Controller. Maintains and monitors departmental budget.
-Recruits, hires and supervises office staff; assists with developing and attaining performance goals and objectives. Evaluates performance and recommends merit increases, promotions, and disciplinary actions.
-Maintains working knowledge of applicable laws and regulations as they relate to assigned responsibilities.
-Maintains confidentially of all information related to patients, medical staff, finances and cost effective health care delivery issues. Directly supervises business office personnel.
MINIMUM QUALIFICATIONS:
High school diploma or equivalent required, Bachelors degree preferred. Minimum seven years of medical office management experience.
PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Requires full range of body motion including manual and finger dexterity and eye-hand coordination. Requires standing/sitting for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.
WORK ENVIROMENT:
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work is performed in an office environment. Involves frequent interaction with staff, patients, and the public.
RN Sr-OCN (New Braunfels)
Apr 24, 2012
Under minimal supervision, provides professional nursing care for patients following established standards and practices. Demonstrates knowledge of age specific differences in the patient population including late adolescence, adulthood, middle age, and the elderly. This includes physiological, physchological, and developmental differences unique to each group. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.
ESSENTIAL DUTIES AND RESPONSIBILITIES:
-Mixes and administers chemotherapy, hydration and other medications under the direction and supervision of a physican.
-Assists physician with exams and procedures. Maintains efficient and appropriate patient flow in and out of the exam rooms.
-Records patient data prior to each physician visit, including but not limited to, vital signs, height, weight, allergies, medication changes.
-Maintains all exam room disinfection protocols. Assesses patients for changes in condition, including but not limited to adnormal labs, x-rays, scans, drug reactions, and initiates inappropriate action.
-Maintains knowledge of reimbursement procedures. Completes all chemotherapy charge forms. Assures pre-authorization and appropriate consent forms ar obtained prior to administration of therapies.
-Demonstrates knowledge of ambulatory infusion pump use and mainenance, cleaning pumps after use, and proper documentation of pump usage.
-Facilitates dose modification by assessing patient, assessing labs, consulting protocol or treatment plan, calculating dose, and consulting physician regarding dosage modifications, problems, and symptom management.
-Performs venipuncture, accesses implanted ports and maintains central lines catheter devices.
-Administers all medications/blood products using correct medication/blood products using correct medication/blood product, dosage/amount, route, time and technique.
-Displays appropriate technical skills for the administration of chemotherapy, medications and blood products, to include, but not limited to: venipuncture, central line access and infusion devices.
-Programs portable infusion pumps for continuous drug delivery and provides instruction to the patient and/or caregiver in the use of the pump at home.
-Documents nursing assessments, patient teaching and fluid and medication administration in the patient chart. Communicates all perinent information and any interventions to the physician.
-Assures nursing charges are accurate and complete on patient fee slips. Acts as a resource person to the medical assistants.
-Triages patient phone calls as needed and documents relevant information in the patient's chart. Assesses patient/family needs and provides teaching and other instructional material. Demonstrates awareness of community resources available to patients and assists with referrals if necessary.
-Manages patient medication refill requests from the pharmacy telephone line and records the information in the patient chart.
-Follows OSHA guidelines when handling cytotoxic agents, biohazardous waste and any other material potentially infected with a blood borne pathogen.
-Maintains patient confidentiality.
MINIMUM QUALIFICATIONS:
BSN degree with at least seven (7) years nursing experience, including at least three years oncology nursing experience, with currect OCN certification required. Experience and kowledge of the purpose and use of medications in the treatment of cancer. RN state license and current registration with the State Board of Nursing in practicing state. Current CPR certification required. Must maintian continuing education requirements.
PHYSICAL DEMANDS:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accomodations may be made to enable individuals with disabilites to perform the essential functions. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.
WORK ENVIROMENT:
The work enviroment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accomodations may be made to enable individuals with disabilities to perform the essential functions. Exposure to communicalbe diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic enviroment.
