Job Description

THIS JOB IS BEING POSTED ON BEHALF OF A HEALTHCARE FACILITY

THIS POSITION IS LOCATED IN CARTERSVILLE, GA

The Practice Manager is responsible for the daily operations of the clinical Administration staff and Billing/Accounting staff. This includes the supervision of all assigned clinical operations staff and technicians. The role includes the recruitment, training, mentoring, performance evaluations and the allocation of monitoring resources. The practice manager is also responsible for workflow, performance, and the overall management of clinic operations.

Essential Functions:

• Responsible for the accuracy of the monthly revenue cycle.
• Supervise the Billing manager.
• Ensure accurate and redundant processes are in place to capture billing, collections and cash postings and to identify errors.
• Coordinate and manages daily operations of the practice while maintaining a professional workplace.
• Ensures staffing is appropriate for day-to-day operations.
• Responsible for the interviewing, hiring and training and well as designated evaluation periods to ensure maximal competency and efficiency.
• Lead monthly staff meetings.
• Develop and oversee the schedules of the administrative staff.
• Provide oversight of the staff to ensure patient calls, voicemails and messages are returned and addressed within the appropriate time frame.
• Promote excellent customer service by all levels of the staff.
• Sets operational and patient relation standards and policies, and measures and responds to patient satisfaction.
• Manage Provider schedules and clinic schedule structure to allow a seamless experience.
• Primary grievance officer for patient concerns/complaints.
• Coordinate with HR regarding benefits enrollment, onboarding and off boarding.
• Oversees IT systems and processes in coordination with the local IT and EMR vendors. Systems- including but not limited to MS Office Suite, Athena Practice, and Phreesia.
• Maintains and manages all filing and organizational systems for the practice.
• Ensures regulatory compliance with HIPAA, OSHA, current healthcare regulations, medical laws and ethics as applicable to the practice.
• Ensures compliance with all rules for billing/insurance/CMS, etc.
• Is the designated Compliance Officer.
• Responsible for Practice specific inventory management and maintain accurate and updated logs.
• Responsible for ensuring facility upkeep and safety by being primary contact with security company, Utility Companies and Sanitation/Maintenance.

Additional Responsibilities include:

• Compiles required monthly and quarterly reports requested to physician owners.
• Ensures all insurance contracting is up to date.
• Responsible for oversight of Medical Shared Savings Program (MSSP) efforts Maintains and submits credentialing for providers including NP’s, MD’s and PA’s to include at minimum:
• Insurance credentialing
• State licensure
• Hospital privileging
• CMS/CAQH
• Tracks licenses, registrations, and certifications.
• Monitors and ensures accreditation standards are met and maintained for the sleep center Certified Medical Manager (CMM) or Certified Medical Practice Executive (CMPE) an advantage.
• Completes special projects assigned by Physician Owners.
• Coordinate and organize communication with ALL external vendors.

Qualifications:

• Excellent accounting skills and knowledge
• Excellent written and oral communication skills. Must be able to communicate with referral sources such as physicians and administrators as well as clients
• Demonstrated ability to analyze complex situations and apply policy
• Conscientious and precise delivery of work even when under pressure
• Proactive, positive attitude
• Effective time management skills
• English reading and technical writing skills
• Computer skills including keyboard entry, word processing
• Knowledge of medical terminology, patient care, infection control, and BCLS
• Demonstrated leadership abilities
• Excellent problem-solving skills
• Positive motivator and great supporter of team building initiatives and innovations

Education and Experience:

• Five years of management experience, preferably in a clinical setting
• Three to five years of functional/clinical/business operational experience
• Bachelor’s degree from a four-year college or university preferred
• Certified Medical Manager (CMM) or Certified Medical Practice Executive (CMPE) an advantage
• Knowledge of accounting, data and administrative processes and principles
• Knowledge of HR management principles and practices
• Knowledge of medical coding
• Knowledge of medical issues and terminology
• Knowledge of applicable regulations and state/federal laws
• Computer skills including knowledge of relevant software
• Experience with billing A/R, collection and payment process management
• Experience with contract negotiation and fee schedule implementation

Work Environment and Physical Demands:

• Required to walk, sit, kneel or crouch at least 1/3 of the time
• Required to sit in front of computer terminal at least 1/3 of the time
• Must lift, carry and/or move up to 10 pounds 1/3 of the time
• Must exhibit ability to use hands, handle or feel, reach with hands and arms, climb or balance
• Close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus are required
• Oral Expression — The ability to communicate information and ideas in speaking so others will understand
• Speech Clarity — The ability to speak clearly so others can understand you.
• Speech Recognition — The ability to identify and understand the speech of another person
• Written Comprehension — The ability to read and understand information and ideas presented in writing.
• Written Expression — The ability to communicate information and ideas in writing so others will understand.
• Deductive Reasoning — The ability to apply general rules to specific problems to produce answers that make sense.
• Inductive Reasoning — The ability to combine pieces of information to form general rules or conclusions.

Requirements set out above are the minimum levels of skill, knowledge and abilities to qualify for a position. Where appropriate, the Practice may offer possible modifications to reasonably accommodate an individual who cannot perform the essential functions of a job, as long as that reasonable accommodation does not pose an undue hardship to the Practice or pose a direct threat or significant risk to the health and safety of the employee or to others.

HR Partners Inc. began its history as Lowden and Associates Inc. in Atlanta, Georgia, in May of 1998, as a Human Resource Consulting and Payroll Services firm. Our first clients were two GE companies who needed to integrate recently acquired businesses into their existing businesses. We continued to grow providing Human Resource solutions, PEO and ASO services to businesses in over 19 different industries, covering over 22 states.

Job Tags

Similar Jobs