[Hiring] Business Office Coordinator @Signet Health Corporation

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Overview

Business Office Coordinator

Permian Basin Behavioral Health Center

Midland, TX

Signet Health is currently seeking a Business Office Coordinator for a New, free-standing psychiatric hospital located at Permian Basin Behavioral Health Center in Midland, TX.

The Business Office Coordinator is responsible for coordinating daily Business Office operations and supporting the full Revenue Cycle Management (RCM) process. It ensures operational compliance, documentation integrity, financial accuracy, and continuous survey readiness in accordance with:

• DNV NIAHO® Hospital Accreditation Requirements
• CMS Conditions of Participation (as applicable to psychiatric hospitals)
• Texas Health & Human Services regulations
• HIPAA privacy and security standards

This role functions as the operational lead for revenue cycle activities and serves as a liaison between Admissions, Utilization Review, Clinical Services, and external payers to promote accurate reimbursement and regulatory compliance.

Primary Responsibilities

Business Office Coordination

• Coordinate day-to-day virtual Business Office workflow to ensure timely and compliant revenue cycle operations.
• Maintain written policies and procedures consistent with DNV standards and hospital Quality Management System (QMS).
• Ensure proper documentation standards are followed across all financial processes.
• Serve as point of contact for financial inquiries from patients, families, and internal departments.
• Support financial counseling documentation and patient responsibility communication.
• Maintain audit-ready documentation and organized records for survey review.
• Participate in internal tracers and quality improvement initiatives.

Revenue Cycle Responsibilities

Pre-Service

• Verify insurance eligibility and benefits.
• Confirm authorizations and maintain tracking logs.
• Document financial clearance processes.

Mid-Cycle

• Coordinate accurate charge capture.
• Reconcile clinical documentation with billing data.
• Collaborate with Utilization Review to ensure medical necessity documentation supports reimbursement.

Post-Service

• Ensure timely and accurate claim submission.
• Monitor claim status and payer responses.
• Track denials and coordinate appeals.
• Follow up on Accounts Receivable balances.
• Assist with payment posting verification and reconciliation processes.
• Monitor and trend key performance indicators (KPIs), including:
  • Days in Accounts Receivable
  • Clean Claim Rate
  • Denial Rate
  • Net Collection Rate
  • Authorization-related adjustments
• Escalate trends or compliance concerns to leadership and assist in developing corrective action plans.

Compliance & DNV Continuous Readiness

• Maintain documentation required for DNV survey review, including:
  • Revenue cycle policies
  • KPI dashboards
  • Denial logs and appeal tracking
  • Internal audit results
  • Corrective action documentation
• Ensure Business Office activities align with the hospital’s Quality Management System.
• Support compliance with CMS billing regulations and payer guidelines.
• Participate in risk assessments related to billing accuracy.
• Ensure HIPAA safeguards are maintained in remote work environment.
• Assist leadership during accreditation surveys and regulatory inspections.

Internal Controls & Financial Integrity

• Support segregation of duties within billing and cash handling processes.
• Assist with reconciliation of receivables and month-end reporting.
• Monitor for billing discrepancies or potential compliance risks.
• Ensure timely documentation retention in accordance with hospital policy.
• Support external and internal audit requests.

Requirements/Qualifications

Education

• Associate’s or Bachelor’s degree in Healthcare Administration, Business, Finance, or related field preferred.

Experience

• Minimum 3–5 years of hospital business office or revenue cycle experience.
• Behavioral Health or psychiatric hospital experience preferred.
• Experience supporting accreditation surveys (DNV, Joint Commission, or CMS) preferred.
• Knowledge of Texas Medicaid, Medicare, and commercial payer processes.

Knowledge & Skills

• Strong understanding of hospital revenue cycle workflow from pre-admission through collections.
• Familiarity with DNV NIAHO accreditation structure and quality documentation.
• Proficiency in hospital EHR and billing systems.
• Strong organizational and analytical skills.
• Ability to maintain audit-ready documentation.
• Excellent communication skills in virtual work environment.

Performance Expectations

• The Business Office Coordinator is accountable for:
• Maintaining continuous survey readiness.
• Supporting revenue cycle benchmarks established by leadership.
• Reducing denial rates and improving clean claim performance.
• Ensuring compliance with DNV and CMS standards.
• Maintaining accurate and timely documentation.
• Demonstrating financial stewardship and regulatory awareness.

Work Environment & Compliance Requirements

• Fully remote position with secure, encrypted system access.
• Must maintain HIPAA-compliant workspace.
• Must comply with hospital IT security and confidentiality policies.