| Employer: | PracticeMax |
| Job Location: |
Scottsdale - Maricopa County |
| Employment Type: | Full Time |
| Salary Range: | DOE |
| Benefits: | Full Benefits to include Medical, Dental, Vision and PTO available after 90 days, 401k after one year |
Description: |
POSITION SUMMARY:
Provide strategic and operational direction. Establish and enforce company policies and procedures. Provide direction and support for staff to understand and achieve company goals and objectives. Oversee A/R Management and Coding departments to ensure timely management of all aspects of operations. |
Duties: |
PERFORMANCE RESPONSIBILITIES:
•Oversee and direct all aspects of operations, coding, and marketing.
•Assist CEO/President in developing and implementing the business office's strategic long-and short-range plans and its business plan. Supervise and measure goals relative to the strategic plan.
•Work closely with the CEO/President and Controller/Director of Accounting and Finance in forecasting and preparing annual budget and financial statements. Manage budget and department profit and loss ratios.
•Represent business office and interact with regulatory agencies, insurance carriers, collection agencies and other professional and community groups. Maintain and foster good working relationship.
•Negotiate with managed care plans and ensures the business office's long-term financial stability.
•Maintain compliance with governmental regulations and industry requirements.
•Oversee staff recruitment, supervise the delivery of appropriate training to all staff members and help develop the performance evaluation of assigned employees. Conduct regular staff meetings.
•Delegate authority and responsibility to department supervisors. Help to develop improved management techniques and practices.
•Supervise all month-end activities, including closings, and creation and distribution of all monthly reports.
•Ensure that Policy and Procedure statements are current and accurately reflect the work steps assigned to the staff.
•Enhance operational efficiencies and effectiveness, emphasizing cost containment and high quality patient care.
•Assist CEO/President in maintaining positive community relations and serve as liaison with other staff and the public.
•Resolve operational problems and keeps lines of communication open with staff to ensure high and measurable productivity.
•Maintain professional affiliations and enhance professional development to keep current in the latest health care trends and developments.
•Maintain strictest confidentiality.
•Ensure HIPAA guidelines are respected by safeguarding protected health information in the capacity of the positions and responsibilities.
•Other duties and responsibilities as assigned.
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Qualifications: |
PROFESSIONAL:
•College degree. CPC, CHBME, CMA or MBA preferred.
•Ten years prior experience in computerized healthcare insurance billing. Emergency Medicine helpful.
•Knowledge of the principles and practices of health care administration, fiscal management, government regulations and reimbursements.
•Knowledge of all phases of Business Office policies and procedures development, implementation and monitoring, with at least five years experience in A/R management to include managing coding, billing, data entry and collections to ensure effective office management.
•Knowledge of claims processing and collections rules and regulations affecting reimbursement from third party payers: i.e., Medicare, Medicaid, CHAMPUS, Commercial Insurance, Managed Care Insurance, Self-Pay, etc.
•Knowledge of operating parameters such as days in A/R, aging of A/R collections, and other business performance indices or benchmarks.
•Knowledge of the principles and practices of employee development sufficient to manage department.
•Knowledge of computer systems, programs and applications.
•Possess conflict management skills.
PERSONAL:
•Ability to plan, organize and integrate priorities and deadlines.
•Ability to identify, analyze and resolve operational problems.
•Ability to evaluate and make recommendations for continuous quality improvement.
•Ability to research, analyze, interpret complex data and present comprehensive reports.
•Excellent organizational and time management skills including the ability to work well under deadline pressure and when facing multiple tasks at the same time.
•Demonstrates integrity, maturity, dependability, positive attitude, sound judgment, leadership ability and administrative skill in the performance of responsibilities.
•Ability to communicate clearly and effectively orally and in writing.
•Detail oriented with good follow through skills.
•Desire and ability to work in a high volume, fast-paced atmosphere with attention to detail.
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