Job Details

Job Location: Bernalillo, NM 87004

Position Type: Full Time

Salary Range: $37.08 - $44.12 Hourly

Job Shift: Day

Job Category: Health & Social

Position Summary

The Business Office Manager is responsible for the overall daily operations and financial stewardship of the Health Center Business Office, including revenue cycle management, accounts receivable, third-party payer contract management, patient registration, scheduling, and other business office functions. The position oversees the Tribal Member Health Insurance Program and supports business office functions related to Purchased Referred Care (PRC).

Responsibilities

• Provide leadership, direction, supervision, training, and performance management for Business Office staff.
• Oversee the complete revenue cycle to ensure timely and accurate charge capture, coding, claim submission, payment posting, denial management, follow-up, collections, and resolution of outstanding accounts.
• Monitor accounts receivable aging, denial trends, reimbursement patterns, clean claim rates, collection performance, and other key revenue cycle indicators.
• Ensure billing and coding practices comply with applicable federal and state regulations.
• Review and monitor third-party payer contracts, reimbursement rates, payer requirements, and operational impacts.
• Oversee patient registration and scheduling processes.
• Support and coordinate Business Office functions associated with Purchased/Referred Care (PRC).
• Serve as the Health Center's HIM lead and provide oversight of health information management practices.
• Coordinate provider credentialing, recredentialing, payer enrollment, and accreditation-related requirements.
• Develop, implement, and maintain Business Office policies, procedures, internal controls, workflows, and standard operating practices.
• Prepare and present regular financial, revenue cycle, operational, and performance reports to Health Center leadership.
• Participate in budget development, financial planning, forecasting, and monitoring of Business Office operations.
• Respond to and assist with internal and external audits, accreditation reviews, compliance monitoring, payer audits, and other regulatory or financial reviews.

Qualifications

Education and Experience Required: High School Diploma, GED certification or equivalent; Bachelor’s degree from an accredited college or university; Three (3) years’ experience with business operations and software.

License/Certifications/Registrations: Must be able to successfully pass a stringent background investigation and character investigation.

Physical Requirements/Working Conditions

The following selected physical activities are required to perform the essential functions of this position.