Practice Operations Manager

Leading Respiratory practice located in Cartersville seeking Operations Manager.

Job Summary:

The Practice Operations Manager is responsible for the daily operations of the Practice’s Administrative and Accounting areas, including the supervision of all assigned clinical operations staff and technicians including 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 to achieve expert care, superb service, and maximal staff productivity.

Essential Functions:

• Maintains responsibility for the financial performance of the revenue cycle.
• Supervises patient scheduling, registration, financial counseling, medical records, billing and collection, data entry and processing, and cash posting.
• Coordinates and manages daily operations of the practice while maintaining a professional workplace.
• Contributes to continuous process improvement in operations.
• Sets operational and patient relation standards and policies, and measures and responds to patient satisfaction.
• Oversees IT systems and processes in coordination with the local IT and EMR vendors. Systems include but not limited to MS Office Suite, Athena Practice, and Phreesia.
• Promotes excellent customer service by all levels of the staff.
• Develops, implements, and manages office policies and procedures.
• Implements clinical infrastructure to ensure high standards of accounting practices, conduct and compliance requirements.
• Provides support, development, direction, and coordination of new and revised clinical services, including budget, return on investment (ROI), staffing, space, equipment, marketing, and contracting.
• Balances books each month by to give to accountant.
• Maintains and manages all filing and organizational systems for the practice.
• Ensures patient satisfaction and facility efficiency to include troubleshooting when there is a complaint and developing process improvements to prevent recurrences.
• Ensures regulatory compliance with HIPAA, OSHA, current healthcare regulations, medical laws and ethics as applicable to private practice.
• Coordinates staff meetings for administrative and clinical staff.
• Responsible for facility cleaning, hygiene, safety, and maintenance.
• Ensures staffing is appropriate for day-to-day operations.
• Maintains total confidentiality of personal and financial data.
• Compiles reports requested to physician owners by 5th of each month.
• Supervises managers, including Sleep Manager and Billing Manager.
• Allocates resources to projects based on business priority, and clinical plan.
• Hires, evaluates, and coaches technical and scoring staff.
• Identifies and makes provisions for the training and development needs of the accounting, administrative and technician staff including succession planning, selecting and supporting others to develop clinical leadership.
• Ensures compliance with all rules for billing/insurance/CMS, etc.
• Manages all benefit enrollments involving onboarding and offboarding.
• Maintains accurate accounts payable and accounts receivables.
• 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
• Ensures HIPAA education and compliance for all employees and providers.
• Supervises all aspects of maintaining office space.
• Completes special projects assigned by Physician Owners.
• Ensures development and maintenance of all critical inter-company, intra-company and external interfaces and processes in clinical research.
• Manages external vendors.
• Runs quarterly QA reports.
• 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.

Qualifications:

• Maintain current CPR or BCLS Certification
• 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 Company 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 Company or pose a direct threat or significant risk to the health and safety of the employee or to others.

This job description reflects management’s assignment of essential functions; it does not prescribe or restrict the tasks that may be assigned. This job description also does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

We are committed to creating an inclusive environment for all employees. We are an equal opportunity employer and will make reasonable accommodations for qualified individuals.