Back Office Manager With Optometry Experience - Remote

Position: Back Office Manager (With Optometry Experience)

Location: Remote

Type: Fulltime

About the role

We are seeking a detailoriented Back Office Manager who is wellversed in preauthorization processes medical copays and CPT codes. This position is essential for managing the financial operations of our healthcare facility ensuring accurate billing practices and maintaining efficient filing systems to support our revenue cycle management.

Key responsibilities

Leadership and Supervision

• Build out oversee and manage the Billing and Filing Department.
• Train mentor and evaluate billing and filing staff.
• Delegate tasks and set deadlines for the team.
• Conduct performance appraisals and implement corrective actions when needed.

Operational and BackOffice Management

• Develop and implement best practices for all billing filing and backoffice processes.
• Create revise and enforce Standard Operating Procedures (SOPs) related to billing filing reporting and document management.
• Oversee the management of patient records insurance claims and financial documents.
• Conduct regular audits and risk assessments to ensure compliance and process efficiency.
• Optimize document management and storage solutions to ensure quick retrieval and security.
• Identify and implement automation opportunities to streamline backoffice workflows.
• Collaborate with crossfunctional teams to improve interdepartmental coordination.

Core Billing and Filing Functions

• File insurance for medical and vision.
• Handle claim submission both electronically and on paper for Vision and Medical Insurance.
• Process orders for glasses and contacts through respective insurances.
• Final auditing of daily invoices to ensure accurate charges.
• Manage insurance payment postings (vision and medical).
• Oversee insurance check deposits.
• Manage followups and corrections for rejected medical claims.
• Direct insurance appeals across all providers.
• Coordinate benefits between medical and vision insurances to maximize reimbursement.
• Stay abreast of industry regulations and changes in billing and filing for medical and vision.

Revenue Management

• Manage accounts receivable auditing for accuracy and ensuring optimal A/R levels.
• Develop and execute strategies to increase revenue streams through billing and filing.
• Customer Service and Communication
• Manage patient inquiries about statements.
• Facilitate regular staff training sessions to minimize billing and filing errors.
• Produce training material including documents videos and classes.
• Use effective communication to provide updates changes and feedback to team members.

Metrics for Performance

• A/R amounts atdays
• A/R goal is to maintain under $100k total with zero at 120 days
• Writeoff amounts relative to client goal
• Team performance to goals and creating a high performing team.

Qualifications :

Qualifications

• Bachelors degree in healthcare administration finance or a related field.
• 5 years of experience in billing management within a healthcare setting.
• Indepth knowledge of medical billing procedures CPT coding and insurance preauthorization processes.
• Proficiency in using billing software and electronic health record (EHR) systems.
• Experience in training mentoring and leading teams to higher performance.
• Strong analytical skills with a focus on detail and accuracy.
• Excellent communication skills with ability to work collaboratively with patients staff and insurance providers.

Desired Attributes:

• Ability to work under pressure and manage multiple priorities effectively.
• Highly organized with strong leadership skills and experience in team development.
• Proactive attitude with a commitment to maintaining compliance with healthcare regulations.

Soft Skills

• Strong leadership qualities
• Excellent communication skills
• Advanced computer proficiency including spreadsheets and billing software
• Ability to multitask effectively
• Strategic problemsolving skills
• Superior time management capabilities
• Collaborative team player

Additional Information :

Remote Work :

Yes

Employment Type :

Fulltime