PRACTICE MANAGER - MARYVILLE SURGICAL SPECIALTIES - FT DAYS

Job Summary: The Practice Manager coordinates and manages the daily tasks of office staff members including clerical support staff and medical assistants. The Manager must provide management oversight for the registration and scheduling process to facilitate the collection of accurate patient demographic and insurance information. The manager must establish quality control techniques to ensure that correct billing information is collected to produce and generate clean claims for submission. The manager must be proficient in knowledge of ICD-9 and CPT codes and coordinate all activities related to submission of accurate and compliant information for billing purposes. The manager must have a knowledge of insurance and medical terminology and act as a resource to answer system, billing and account questions. The manager must be able to comprehend credentialing and to aid in coordination of the process. The manager should be multifunctional and have the ability to multitask with strong time management and organizational skills. The manager must train, audit and support new employees during the introductory employment period and provide guidance to established employees as needed, completing formal, documented reviews on a periodic basis per office policy. The manager is responsible for ensuring adequate office staff coverage and communicating with the office provider(s).

Job Responsibilities:

• Coordinates and manages the daily tasks for practice staff members.
• Creates and updates job descriptions/employee evaluations as needed.
• Trains, audits and supports new employees during the introductory employment period and provide guidance to established employees as needed, completing formal, documented reviews on a periodic basis per office policy.
• Works within the offices budgetary directives. Facilitates the preparation and submission of employee payroll to payroll processing. Assists as directed in reconciling accounts payable.
• Oversees the registration and scheduling process to facilitate the collection of accurate patient demographic and insurance information as well as the verification of insurance eligibility with each encounter.
• Establishes quality control techniques to ensure that correct billing information (including ICD-9 & CPT coding) is collected to produce and generate clean claims for submission.
• Facilitates point of service collections and ensure cash collection controls.
• Supports the practice compliance program and ensure that supportive documentation is maintained in an organized and easily accessible format.
• Provides excellent customer service including problem solving, timely follow up, assisting in answering phones and scheduling appointments.
• Aids in the coordination of the credentialing process.
• Facilitates the timely submission of correspondence with payors, attorneys, etc. as required.
• Acts as a liaison between physician, patient and payor as needed.
• Supports clinical staff to allow a high level of efficiency in the provision of care.
• Maintains appropriate reports for the purposes of tracking essential documents to assure that deadlines are achieved.

Education Requirements and Other Requirements:

Education Level: High school diploma with some college coursework completed.

Technical Skills: Must possess strong computer skills including the use of Microsoft Excel, Word and e-mail. Must also develop proficiency with billing software to be able to evaluate accounts and promptly respond to inquiries regarding patient balances. Must have a knowledge base regarding the revenue cycle which includes demographic entry, charge/cash posting, insurance billing, refunds, reimbursement rates, bill runs, and fee schedules.

Experience Requirements: Minimum of one year related experience and/or training. Prefer previous

experience managing a medical practice.

Other Requirements: Strong communication, customer service and conflict resolution skills. Must have strong trouble shooting skills and problem solve in a timely manner. Must function independently with little supervision needed.

Working Conditions: Exposure Category III: Tasks that involve no exposure to blood, body fluids, or tissues, and Category I tasks are not a condition of employment. The normal work routine involves no exposure to blood, body fluids, or tissues. Persons who perform these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.

Physical Activity:

NA 0-25% 26-75% 76-100%

Lift/Carry X

Push/Pull X

Reach Overhead X

Climb X

Squat/Bend/Kneel X

Sit X

Stand X

Walk/Move About X

Driving X

The most significant duties have been included in this description. Other duties may be assigned and the supervising physician has the right to modify this job description as needed to accurately reflect assigned duties.