Manager, Electrophysiology - Physician Practice

Responsibilities

• Oversees all areas of patient's non-clinical experience including telephone communications, patient scheduling, patient reception, patient check-in and check-out, pre-certifications, referrals, and managing the EMR.
• Manages team members and educational activities for patients and families.
• Oversees schedule coordination for outpatient testing, procedures, scheduling and tracking follow up visits. Ensure patient consultations, follow-up documentation, and procedural reports are sent to referring physicians.
• Oversight of professional and hospital prior authorizations for outpatient procedures and any cardiac testing indicated.
• Monitors the process of scheduling outpatient and inpatient procedures and surgeries for completeness and accuracy.
• Leads huddles to ensure that registration, scheduling and clinical needs are met.
• Manages the offsite practice locations for the providers in Palisades MC, Northvale ambulatory site, JFK Hospital, and MCG.
• Manages the EP external billing for several hospitals, Englewood, Mountainside, Palisades, Pascack Valley, Holy Name, Good Samaritan, and Nyack.
• Manages professional billing for new Device Center including pacemakers, ICDs and loop recorders.
• Manages extensive manual billing process including complex procedural WorkQues for a large number of procedures and diagnostic testing.
• Identifies the needs of the patient population served and modifies, and delivers care specific to those needs (i.e.: age, culture, language, hearing and/or visually impaired, etc.).
• Maintains employee files and time and attendance records in Clairvia and People Soft.
• Approves employee requests for scheduled time off and maintains accurate time records.
• Responsible for staff scheduling to ensure adequate departmental coverage.
• Maintains proper working order of departmental equipment and notifies appropriate personnel for repairs and maintenance as required.
• Provides employee performance appraisals and counseling as required and maintains complete and accurate employee personnel records.
• Coordinates yearly in-services necessary for staff and assists with organization of schedules or special events.
• Maintains proper working order of departmental equipment and notifies appropriate personnel for repairs and maintenance as required.
• Performs other tasks as assigned.
• Utilizes effective communication skills.
• Participates in development and implementation of programs related to performance improvement activities.
• Monitors outpatient open encounters and in-patient notes on a weekly basis to ensure timely closing of encounters.
• Monitors Charge Review, Claim Edit, and Follow-up Workqueues to ensure timely submission of claims.
• Runs various wRVU, collections, cancellation of appointments, no-shows, and volume reports on a weekly basis and analyzes them for trends.
• Communicates with providers any revenue cycle or coding process and trends that need improvement.
• Reconciles monthly procedure schedules to ensure completeness and accuracy of billing.

Qualifications

• Bachelor’s Degree, or equivalent relevant experience.
• Minimum of 5 years of experience in practice coordination in the hospital setting, or a combination of practice coordination and related healthcare experience.
• Supervisory experience.
• Proficient in computer skills including Microsoft Office Applications.