- Telephone system switch and call center operations including patient registration, appointment scheduling, insurance verification and procedure authorization
- Computer network operations including all hardware, software, and network components including deployment, security, access, virus protection, etc.
- Medical records and patient information management
- Facilities management
- HIPAA compliance
- Charge capture, posting and claims submission
- Payment posting and account follow-up and collections
- Accounts receivable management and analysis
- Coding and documentation
- Medicare compliance, including MIPS reporting
- Monthly completion of reports and production/revenue trend analysis and recommendations
- Analysis/evaluation and recommendations on current and proposed managed care payer contracts
- Analysis of current payer mix and trend analysis and recommendations
- Vendor selection and performance
- Review and analysis of accounts payable, vendor terms and overall expenses Human Resources/Risk Management:
- Final approval of all staff selected for hire in conjunction with the physician owner
- Participation as needed in employee evaluations and disciplinary process including employment termination decisions as needed
- Administration and review of all staff salary rates and adjustments
- Development and maintenance of Employee Handbook
- Benefits program review and recommendations including health, dental, vision, and STD/LTD insurance options, 401(k)/profit sharing plan
- Credentialing, licensing, registration and certification of all practice providers as required including maintaining provider CME data
- Risk management and evaluation/negotiation of malpractice insurance coverage options
- Management of relationships with outside accountant/CPA support for financial reporting, tax preparation, and business licenses.
- Assist in the strategic planning process and the development of strategic business plans
- Create agenda for and provide direction for monthly business meetings
- Assist in governance-related issues as new partner physicians join group and established physician partners retire from group
- Function as liaison between practice and hospital partners
- Function as liaison between practice and other outside vendors providing service including attorneys, consultants, accountants, bankers and others
- Assistance as needed with structure and function of related corporate entities established for purposes of real estate holdings, clinical research, etc.
- Five years of progressively complex prior experience in medical practice management including broad responsibility for supervision of staff and for operations across multiple functional areas and geographic sites.
- Extensive familiarity with desktop personal computers operating under Windows and Mac operating systems; networking; and cloud-based services.
- Familiarity with electronic medical record systems; Athena experience preferred
- Ability to coordinate with outside billing services
- Familiarity with medical procedure and diagnosis coding protocols
- A master's degree in business, health administration, public health, or public administration is required from an accredited graduate program of a reputable university.
- Certification as either a CMPE or FACMPE from MGMA/ACMPE is highly desirable.
- Experience in interventional pain management, orthopedics, or similar specialties preferred.
- Significant communication skills, language and interpersonal skills, verbal and written, in English are essential.
- The ability to lead meetings and present information in a clear manner to multiple levels junior staff, senior staff, physicians is essential.
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Practice Administrator - Midlothian, United States - Richmond Spine Interventions and Pain Center
3 weeks ago
Description
Reports to Physician Owner
Position Summary:
This is a full-time, exempt, senior staff position with broad responsibility for overall management and development of the organization. This includes all administrative and business affairs of the practice including but not limited to the areas listed below. This position functions as the chief administrative officer of the practice and as such includes direct supervisory responsibilities for 7 other managers and senior supervisory staff. The position has authority and responsibility regarding personnel hiring, promoting, disciplinary actions, and termination decisions for all non-physician personnel in the practice. Specific primary responsibilities include but are not limited to management and oversight of the following areas:
Operations/Information Technology:
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Billing and Collections:
Revenue Cycle Management and Payer Analysis:
Financial Management and Analysis:
Governance and Organization:
Minimum Requirements: