QUALIFICATIONS AND/OR EXPERIENCE

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required.
EDUCATION: BA/BS Degree or equivalent experience required.

EXPERIENCE:

A minimum of 2 years of experience in a multiple provider practice setting at the coordinator or supervisory level. Prefer direct experience with coding, billing and collections. Prefer medical scheduling and billing management experience in a practice and/or hospital setting. Substantial experience interacting with physicians and hospital administration required. Considerable experience coordinating practice efforts with hospitals is ideal. Must have proven ability to support multiple projects and work with multiple people simultaneously. Customer service driven work ethic required.

SPECIFIC SKILLS:

Advanced computer skills required. Must have ability to work with sensitive information and maintain confidentiality. Must have exposure and experience with health care technology (EMR, Coding software and Practice Management Information Systems), business finances and budgets to aid in the cost management of the program. Effective verbal and written communication. Efficient organization and time management.

EXPERIENCE

Not Specified

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Assist the Medical Director and Operations Team with the daily operation of the hospitalist programs and service commitments to hospital and patients. Work at the program level at client facility every day.
• Develop and maintain positive working relationship with hospital staff and management. Maintain an “open door” policy with hospital administration.
• From site level, work closely with Operations Team and vendors to perform and/or monitor billing and collections process for the program. Responsible for overseeing and ensuring compliance with deadlines and processes established by Billing Department. Ensure charges for in-patient and clinic services (if applicable) are batched correctly and sent daily to billing and collection entities according to the standards established by the Billing Department. Use spreadsheets as a check system to make sure all charges are captured.
• Monitor provider documentation including completion of charts. Communicate potential issues to the Operations Team when they arise with physicians, clinic (if applicable), or patients, maintaining the best interest of the Company and commitment to the client. .
• Orient new providers joining the program. Communicate with providers to obtain necessary paperwork.
• Manage all administrative functions of the program including the answering of phones, reviewing patient forms, etc.
• Ensure clinical compliance, regulatory compliance and safety/privacy regulations are maintained at all times including Infection Control reports where applicable.
• Stay abreast of improvements to the current practices and trends in provider practice management and hospitalist program management.
• Other duties as required and assigned by the Operations Team. These may, on occasion, be unrelated to the position described here.