Submission for the position: Practice Manager I - Piedmont Physicians (Athens) - (Job Number: 1084351)
https://piedmont.taleo.net/careersection/jobdetail.ftl?job=1084351&lang=en
Practice Manager I - Piedmont Physicians (Athens)
KEY RESPONSIBILITIES:
1. Act as liaison between physicians and office employees to resolve conflicts and to promote cohesiveness in the practice; serve as liaison between the practice and other clinical and administrative components of the Piedmont Medical Care Corporation (PMCC).
2. Ensure that the practice follows PMCC and office policies and procedures; adhere to and enforce JCAHO and OSHA standards relating to the physician office practice of medicine.
3. Monitor EHR proficiency of staff and providers; facilitate educational opportunities to maximize efficiency
4. Accurately report issues and concerns to appropriate personnel.
5. Serve as liaison between practice and IS staff.
6. Facilitate integration of new applications and/or upgrades as appropriate.
7. Monitor the submission of timely, accurate and complete billing information to the business office to ensure the maximization of professional services reimbursement; research disallowance reports for unusual reimbursement practices; remain up-to-date on coding and insurance practices as necessary and interact with the Central Business Office to update, change or delete codes and charges when determined to be ineffective, unprofitable and/or obsolete. Print Name:____________ Signature:________________ Date:_________
8. Registration and Charge Posting
9. Insure insurance coverage is verified prior to date of service.
10. Review incoming patients for outstanding balances.
11. Instruct the front desk on appropriate action usually, the amount to collect at time of service.
12. Insure that patients are called in advance of their appointment to discuss financial or insurance issues.
13. Assist registration and charge entry personnel with the functions of Next Gen Registration and Charge Entry.
14. Assist charge entry personnel in resolving complex issues regarding CPT and ICD9 Coding.
15. Insure that charges are posted at the time of check out.
16. Insure that patient is presented a bill at check out.
17. Insure that super bills are balanced with Next Gen on a daily basis.
18. Cash Balancing:
Insure that patients pay their balance at time of service.
Insure that payments are balanced with Next Gen on a daily basis.
Insure that transaction batches are posted before end of day.
Insure deposits are made in a timely manner according to PMCF policy
19. Billing claims:
Insure that visits are billed in Next Gen before end of day.
Insure that claims are processed through claims edits, corrected and re billed.
20. Unbilled Charges:
Responsible to produce unbilled charge report on a daily basis to determine if insurance claims have not been produced on posted charges.
Insure that the “Kept Appointments but No Charges” report is produced on a daily basis to determine possible unbilled charges.
20. Audit Functions:
Verify the insurance attached on every patient on a daily basis.
Compare the insurance entered on the Insurance Maintenance Screen to the scanned insurance card. Verify the payer selection is accurate. Verify that certificate number is appropriate for specific plan. Report the errors to Front Desk personnel as a training tool Present daily report comparing CPT Code to ICD9 Code to Practice manager and Physicians. Communicate potential coding inconsistencies to physicians and appropriate staff members.
21. Inpatient Billing:
Set up procedure to request additional diagnosis coding on inpatients that are denied for extended stays. Print Name:____________ Signature:________________ Date:_________
Request copy of Discharge summary or Grouper report to assist physician in coding the highest-level Diagnosis code for which he was treating the patient.
Audit information recorded on super bills and hospital cards prior to charge entry to insure the proper CPT / ICD-9 codes are utilized and the proper charge amount is entered.
Request from hospital additional Diagnosis coding to obtain discharge Diagnosis.
Record all super bill corrections on the reconciliation log and submits to practice manager upon completion.
22. Financial Counseling:
Serve as patient financial counselor for incoming patients.
Counsel patient at the time of service regarding outstanding balances.
Establish patient payment plans which comply with PMCC’s payment plan policies as necessary. Resolve patient’s billing issues when the patient contacts the practice site.
Refer patient’s complex billing issues to the appropriate CBO resource. .
Document in NextGen regarding actions taken on patient account.
23.Serve as a training resource for front desk staff.
24. Attend required meetings and in-services.
25. Interact with all departments of the Central Business Office.
26. Maintain patient confidentiality under the prescribed penalties of PMCC.
27. Prepare operational reports and analyses reflecting progress, adverse trends and appropriate recommendations or conclusions
28. Coordinate the purchase of medical/office supplies and other equipment necessary for a physician’s office practice, establish and maintain an inventory system to ensure adequate levels of supplies and equipment, establish a maintenance evaluation program to ensure timely repairs and the proper functioning of office/medical equipment.
Meet regularly with the physicians and office employees to bring them up-to-date on PMCC activities and new policies as they relate to them and to discuss problems/opportunities as they arise. Maintain physician and office employee files with information necessary for credentialing, managed care agreements, licensing, etc.
Prepare and maintain departmental budget, act as liaison with the finance department regarding accounting and budgeting issues of the practice.
MINIMUM EDUCATION REQUIRED:
A Bachelor’s degree in Business Administration, Health Administration or a closely related field. In lieu of a degree, six years of related experience can be substituted.
MINIMUM EXPERIENCE REQUIRED:
Two years of experience in a medical practice, hospital or other health care setting with demonstrated leadership experience OR two years of management experience in a non-health care setting.
MINIMUM LICENSURE/CERTIFICATION REQUIRED BY LAW:
N/A
Leadership
United States-Georgia-Athens-1500 Oglethorpe Ave
Piedmont Athens Regional Specialty Services
Aug 8, 2022, 3:12:48 PM
Schedule: Full-time Location(s): United States-Georgia-Athens-1500 Oglethorpe Ave Day Job