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Business Office Manager

Job in Charleston, Charleston County, South Carolina, 29408, USA
Listing for: Charleston Endoscopy Center
Full Time position
Listed on 2026-07-17
Job specializations:
  • Accounting
    Accounts Receivable/ Collections, Financial Reporting, Bookkeeper/ Accounting Clerk, Accounting Manager
  • Finance & Banking
    Accounts Receivable/ Collections, Financial Reporting, Bookkeeper/ Accounting Clerk, Accounting Manager
Salary/Wage Range or Industry Benchmark: 65000 - 90000 USD Yearly USD 65000.00 90000.00 YEAR
Job Description & How to Apply Below

We are seeking a proactive, strategic and highly organized Business Office Manager to support daily operations at our endoscopy centers.

An overview of the daily, weekly, monthly and quarterly responsibilities are as follows:

Note:

This is not an all-inclusive list.

Daily
  • Walk floor, check workload for the day and redirect people with light loads
  • Are there any problems?
  • Is the days’ schedule heavy or light? If it’s a light day, direct front office staff regarding special work since they will be finished early
  • Check with the Nurse Manager (Clinical Director)
    • Is the schedule running smoothly? If no, work with nurse manager and front desk to resolve any issues
  • Confirm all cases have been verified for the next day and patients have been called
    • Are there any late add-ons?
    • What date are the verifiers on? Confirm that ins verifications are at least 1 week out
  • Check with Medical Records
    • How old are your delinquent records
    • Do the doctors that are at your facility today have any outstanding records they need to sign or dictate
  • Review the bank log activity and enter in the Digital Deposit Log (DDL)
  • Reconcile deposits
    • Check to see if there is any cash listed on the receipt book for the day. Compare to the bank deposit slip for that day - make sure these totals match.
    • Reconcile and initial receipt books to confirm deposits balance
    • Compare the bank’s validated receipt to the center’s deposit and to the deposit log entry for that day.
    • Make sure money is deposited in bank daily and securely locked until deposited.
  • Ensure billing is completed daily
    • Monitor billing lag is under 5 days.
  • Ensure all payments are posted daily and within 2 days of receipt
    • Review Payment Batches for unapplied payments.
    • Review and make refunds requested daily.
    • Monitor over payments to ensure over payments are done in a timely manner.
  • Monitor collections and correspondence is worked with in 2 days of receipt
    • Review and make adjustments requested daily.
    • Make sure appeals are done.
  • Make sure daily Expected Payment Log is recorded on Monthly Summary
  • A/P-Enter invoices daily or send to AP processor to enter.
Weekly
  • Balance cash to PAS and cash log.
  • A/P-Cut Checks
    • Confirm refunds are being processed on a weekly basis, via Patient Refund Portal or Oracle reports.
    • Confirm or post refunds from PAS.
  • Payroll-Review prior weeks for employees with incomplete cards, PTO used and overtime
    • Make sure all employee reviews are done timely.
Monthly
  • Review, and upload the Monthly Credit Balance report.
  • Close month (MERGE)
    • Make sure all payments are posted and cash reconciled.
    • Confirm all cases are billed or TEMP billed if needed.
    • Reconcile implant log to make sure all implants were billed as appropriate.
    • Run month end reports (if applicable).
  • Prepare for MOR
    • review month end reports post AR close.
  • Review A/R Activity report for mis-used journal codes or large adjustments.
  • Understand why any out of period adjustments were completed (corrections to write-offs or write-offs)
    • Know whether you are headed for an unfavorable or favorable quarterly adjustment and why.
  • Carrier issues and what is being done to resolve them and the cash flow affect.
  • Review aging for bad debt and accounts that should be sent to collections.
  • AR aging, If aging greater than 90 days is more than 17% of total aging know why and review with team
    • Review collection comments.
  • Check for employees’ reviews that are due soon.
  • Update white board (if applicable).
  • Plan for any upcoming coverage needed for vacations, etc.
  • Work bank reconciliations from the accountant.
Quarterly
  • State reporting (if applicable)
    • Review deadlines for submission, review and certifications of state reporting.
  • Review and work the 18-month Credit Balance Report per accountant
    • Review total credit balance report for all credits and rework those still showing to government payers & patients

This position will require traveling between 2 locations weekly:

Low country Endoscopy Center: 207 McBride Lane, Summerville, S.C., 29486

Charleston Endoscopy Center: 1962 Charlie Hall Boulevard, Charleston, S.C., 29414

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