What are the responsibilities and job description for the Clinic Manager position at FirstHealth of the Carolinas, Inc.?
Position Summary
Manages operating and capital budget expenditures and effectively corrects discrepancies in a timely
Ensures accreditation standards, licensing and regulatory requirements for NHSC, CLIA, OSHA, Radiation Protection, HIPAA, OIG, and others as required by Federal or State statues and as applicable to that specific clinic
Develops, recommends, and implements policies and procedures for the clinic in conjunction with all FHPG with supervision, assistance, and monitoring from clinic
Hires, trains, counsels, coaches, and supervises staff with assistance from FH Human Resource department and FHC associated guidelines and policies.
Resolves patient complaints/concerns and reports appropriately to clinic administrators and FH MRH Risk Management; identifies those areas where processes could be changed to assist in preventing on-going complaints of this nature; corrects and monitors.
Implements, monitors, and improves effective reimbursement procedures, including CPT and ICD-10 coding, in compliance with established third party billing regulations, federal, state, commercial.
Supports all administrative efforts regarding FHPG Compliance Plan, its implementation and ongoing maintenance. Maintenance is defined as staff education, audits, and pre and post testing were applicable.
Manages assigned work queues and in-baskets in Epic. Monitors errors and applies corrections through education of staff, where needed.
Collaborates with Central Billing Office regarding accounts, outstanding balances, financial planning, and
Monitors all operational processes throughout the clinic, identifying negative trends, patterns, and patient quality care issues; implements appropriate correction, documentation, and follow-up Utilizes PDCA when appropriate.
Monitors and coordinates the correct, accurate collection of co-pays and any over the counter payments, end of day balancing, and deposit functions, meeting compliance
Facilitates clinic growth through efficiencies and easy effective access while reducing wait times and no show
Qualifications
Prefer BS Degree in Business, Accounting, Finance, Healthcare Administration, Applied Science or equivalent. Minimum of three years’ experience in physician practice including supervisory responsibilities.
Financial/analytical skills required. Excellent verbal and written skills. Excellent customer service skills. Extensive knowledge of insurance rules, including but not limited to reimbursement, third party payers, pre-certification, ICD-10 and CPT coding. Ability to lead others. Maintain strict confidentiality of medical, financial, and staff related information. Able to perform several tasks at once in an organized manner. Extensive knowledge of various medical software systems.
Strong organizational and people skills. Strong sense of Customer Service
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