Practice Management

POSITION SUMMARY (Scope/Purpose)

Demonstrate leadership and a dedication to process improvement initiatives that result in the achievement of best practice solutions committed to the optimization of net revenues.

Three-year minimum experience in healthcare related field preferred. Experience with PCs, word processing, spreadsheet, graphics, and database software applications is desired. Understanding of reimbursement systems, coding strategies, DRG's, DNV standards and HIPAA. Prior experience implementing and maintaining billing and collection systems desired. Outstanding communication skills. Great customer services skills.

• Strong analytical and organization skills.
• Excellent interpersonal communication.
• Proficient understanding of professional claims and billing procedures.
• Ability to communicate and collaborate with all ancillary departments.
• Ability to utilize and understand computer technology.
• Understanding of complex insurance terms and payment methodologies.

• Files claims electronically, when possible. Responsible for manual claim submission process.
• Responsible for the research and recommendation of additional payors to set up for electronic claim submission.
• Responsible for implementation of project plan as directed by Practice Management Manager and Director.
• Follow up on denials and under payments from carriers.
• Reports potential issues in clinics to PMM.
• Cross-trained to work in individual clinics as scheduled by PMM.

Standing/Walking/Sitting - The employee sits for extended periods of time to enter data into the computer system. Changes in position/posture is constant throughout the day and includes workstations at various heights.

• Appropriate utilization of resources (i.e., materials, financial, etc.).
• Effective planning and prioritization of work.
• Demonstration of professional and effective interpersonal skills.
• Proactive personal contribution to meeting departmental (team) goals.
• Support of shared decisions and problem solving recommendations.
• Handles patient inquiries regarding status of accounts. Patients are given prompt, courteous responses to their questions. Inquiries that cannot be answered are referred to the proper person for response. Follow-up to ensure patient needs were met.
• Enter professional charges for providers as needed.
• Assists PM Cashier/Biller. Functions as backup as needed.
• Operates within department budget.
• Recognizes duties, which need to be performed although not directly assigned and performs these duties.
• Supports Director and Supervisor as requested.