Office Manager-PC

About the role

The incumbent oversees the daily operations of the medical office consistent with good business practices and in conformance to overall institutional practices, including personnel management, financials, budgets, accounts payable, accounts receivable, payroll and purchasing.

Responsibilities

• Maintains department Policy and Procedure Manual accurately describing all operating procedures.
• Provides positive leadership and builds an atmosphere of teamwork, cooperation and high professional standards at all times.
• Assures all hospital policies are implemented and followed.
• Establishes fair dealing with community groups, state agencies, customers, physicians and general public.
• Cooperates with the Administrator to ensure clinical documentation, procedures and protocols are in place, audited and documented on an ongoing basis.
• Ensures effective infection control and safety programs are maintained.
• Manages technical and clinical work systems to ensure quality patient care.
• Manages an effective electronic medical record and documentation program.
• Resolves patient and interdepartmental complaints and misunderstandings in a timely manner.
• Consistently investigates and takes corrective action necessary to resolve problems and complaints regarding department procedures.
• Assures quality patient care is provided consistent with hospital policies and JACHO requirements.
• Ensures proper maintenance of facility building and grounds through supervision of preventive and corrective maintenance programs consistent with hospital policies.
• Evaluates and recommends solutions in resolving accounting discrepancies in the Business office.
• Responsible for maintaining and managing a registration system that coordinates patients arrival, complete registration, third party and patient credit reviews, consents for treatments, and counseling patients about their payment responsibilities.
• Reviews write-off listing, refund requests, miscellaneous cash adjustments for potential policy problems.
• Develops goals and objectives for cash collections and monitors compliance with payment and charity care policies.
• Manages accurate payment posting process.
• Ensures department compliance with Joint Commission Rules and Regulations.
• Responsible for implementing compliance to CMS (Centers for Medicare Services) regulations, Medicaid, and PEIA with reference to adequate documentation in support of an appropriate statement submitted to a Governmental agency for reimbursement, consistent with hospital policies and procedures and CMS guidelines.
• Assure that all CPT and ICD-9 Codes are entered accurately into the computer system as they are updated yearly.
• Maintains compliance with OIG regulations.
• Manage all physician an non-physician credentialing and re-credentialing with insurance companies.
• In cooperation with the physicians, ensures clinical documentation, procedures, and protocols are in place and audited.
• Implements effective scheduling and staffing programs.
• Maintains an effective communication program and encourages staff involvement in decision-making and problem solving.
• Completes all performance evaluations in a timely manner and counsels/coaches associates as appropriate.
• Completes time cards (Kronos) for assigned associates.
• Assures all clinical documentation is accurate and correct and when issues are discovered educates and disciplines as necessary.
• Create and maintain clinical and clerical policies and procedures and audits to assure compliance.
• Participate with Safety manager to assure appropriate disaster preparedness program and safety program.

Requirements

• High School Diploma or equivalent.
• Experience: Three (3) years current management experience in a physician practice setting, where management of individuals, computer systems, purchasing, accounts payable, accounts receivable, billing, coding, scheduling, governmental or insurance regulations and requirements.

Qualifications

• An excellent understanding of physician office practices systems, including medical records, compliance requirements with respect to coding, documentation, billing, collections, personnel management, insurance plans, is essential.

Skills

• Possesses the interpersonal skills to positively and effectively communicate, negotiate, and resolve conflict.
• Cooperatively interacts with the health care team to support and contribute to the shared group goals.
• Knowledge, by experience, testing, or academic course work completion of CPT, ICD-9, HCPCs, coding for purposes of being able to abstract office medical record information in order to generate a claim submission for payment by a third party payor and/or patient is required.
• Documented knowledge of claims management and collection processes in a physician practice is required.
• Knowledge of third party payor requirements, contracts, and authorization and payment practices required.

Benefits

N/A

Pay

N/A

Schedule

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