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Behavioral Health Business Manager

Methodist Health System Omaha, NE

Job Description

  • Purpose of Job
    • Accountable for the organization, and operation of Behavioral Health. Provide business, and administrative support to the Hospital based clinics at MECC.

  • Job Requirements
    • Education
      • Associate's Degree in Business or healthcare related field required.
      • Bachelor's Degree in Business or healthcare field preferred.

    • Experience
      • Minimum of 2 years business related experience in a similar setting required.

    • License/Certifications
      • Participates in mandatory in-services, and continuing education programs as mandated by policies, and procedures/external agencies, and as directed by supervisor.

    • Skills/Knowledge/Abilities
      • Knowledge of healthcare delivery, and basic financial principles.
      • Interpersonal skills for interacting with patients/families on a daily basis, and communicating effectively with physicians, clients, and other Nebraska Health System departments.
      • Must be able to work independently with excellent organizational skills.
      • Knowledge in office procedures, accounting, human resources management, and insurance knowledge.
      • Effective computer skills including proficiency in Microsoft Word, Excel, and Outlook.
      • Ability to supervise, and counsel others to revolve issues/problems, and create positive outcomes.
      • Ability to process, and manage confidential information with discretion, and according to HIPAA protocols.
  • Physical Requirements
    • Weight Demands
      • Light Work - Exerting up to 20 pounds of force.

    • Physical Activity
      • Not neccessary for the position (0%):
        • Climbing
        • Crawling
        • Kneeling
      • Occasionally Performed (1%-33%):
        • Balancing
        • Carrying
        • Crouching
        • Distinguish colors
        • Grasping
        • Lifting
        • Pulling/Pushing
        • Standing
        • Stooping/bending
        • Twisting
        • Walking
      • Frequently Performed (34%-66%):
        • Fingering/Touching
        • Keyboarding/typing
        • Reaching
        • Repetitive Motions
        • Sitting
        • Speaking/talking
      • Constantly Performed (67%-100%):
        • Hearing
        • Seeing/Visual

    • Job Hazards
      • Not Related:
        • Chemical agents (Toxic, Corrosive, Flammable, Latex)
        • Biological agents (primary air born and blood born viruses) (Jobs with Patient contact) (BBF)
        • Physical hazards (noise, temperature, lighting, wet floors, outdoors, sharps) (more than ordinary office environment)
        • Equipment/Machinery/Tools
        • Explosives (pressurized gas)
        • Electrical Shock/Static
        • Radiation Alpha, Beta and Gamma (particles such as X-ray, Cat Scan, Gamma Knife, etc)
        • Radiation Non-Ionizing (Ultraviolet, visible light, infrared and microwaves that causes injuries to tissue or thermal or photochemical means)
        • Mechanical moving parts/vibrations
      • Note: Safety Officer can assist with identification of job hazards.
  • Essential Job Functions

    • Coordinates office activities through supervising of assigned staff.
      • Facilitates the hiring, and training of staff.
      • Includes hiring, terminating, evaluating, and developing of employees.

    • Ensures that all charges, new patient information, payments, etc. are entered properly, and accounts are handled in an appropriate manner.
      • Maintains knowledge of the billing, and registration systems.
      • Ensures all collected money is accounted for or deposited.
      • Ensures that all patient information is updates, and verified.
      • Monitors denials, and resolves issues regarding the denials.

    • Promotes a collaborative relationship with the Medical Staff.
      • Establishes a good working relationship with the Physicians.
      • Seeks opinions of the Physicians in ways to improve the clinic operations.

    • Maintains knowledge of medical records, authorizations, and coding requirements.
      • Ensures that all Health Insurance Portability and Accountability Act (HIPAA) criteria are followed.
      • Ensures that protocols are set up to properly authorize services.
      • Maintains knowledge of third party allowances, and requirements.

    • Establishes practice protocols that ensure the efficiency of operations.
      • Writes procedures for front office systems that assure consistency in operations.

    • Prepares a departmental budget with the established guidelines, and utilizes human, material, and fiscal resources in accordance with the prepared budget in collaboration with Service Executive.
      • Annually reviews department budget.
      • Demonstrates responsibility in fiscal management of the department.
      • Regularly reviews productivity report.
      • Prepares budget variance reports on a monthly basis.

    • Supervises, and promotes a positive work environment that encourages employee development, employee involvement, and employee satisfaction.
      • Establishes good rapport with staff members.
      • Immediately addresses issues in order to promote a positive work environment.
      • Encourages staff to voice their concerns, and works to address the issues.
      • Encourages staff to seek professional development, and education.

    • Develops, and implements the short, and long range initiatives for the Behavioral Health Clinic which is congruent with the Hospital mission, vision, and core values.
      • Reviews previous, and creates new short, and long range initiatives/goals on an annual basis with the Physician.
      • Reviews the initiatives/goals with staff for input, and acceptance.
      • Presents to the Service Executive annual initiative/goals.

    • Promotes a culture of safety.
      • Assures the compliance with the Joint Commission National Patient Safety Goals.
      • Monitors on an ongoing basis environmental safety issues, and appropriate interventions.
      • Assures completion, and follow-up on Variance Reports, and patient/family concerns.
      • Participates in identification, analysis, reduction, and evaluation of risk issues.
      • Reports issues/trends to Service Executive.

    • Supports the Hospital based clinics at MECC.
      • Works with the clinics regarding pre-authorizations, coding, and denials.
      • Establishes front office procedures for clinics that ensure continuity in services.
      • Oversees the Benefit Exception process.
      • Knowledge of out of network plans, and requirements.
      • Works collaboratively with financial counselors, and oncology social workers to optimize patient financial navigation services.

    • Oversees Behavioral Health services to the Emergency Departments after hours.
      • Assists in the preparation of schedules for on-call therapists for the ED.
      • Provides guidance for procedures in the ED regarding behavioral health consults.

    • Willingly performs other administration duties as assigned.

Job Details

Date Posted July 12, 2019
Date Closes September 10, 2019
Requisition 14107
Located In Omaha, NE
Work At NE Methodist Hospital
Department Behavioral Hlth Emotional Sppt
Shift Daytime
Hours 8-4:30 hours per week
SOC Category 00-0000.00