Description

SUMMARY

This position takes complete ownership for the daily oversight of the administrative operations of assigned physician practice and/or program, in conjunction with department manager/coordinator.

Collaborates with multiple leadership individuals and teams (physician, network and hospital) with various support departments to oversee the finance, revenue cycle, and operational efficiency of the practices. Creates a patient focused practice environment to drive progress and achieve goals in the areas of staff and providers engagement, patient experience, quality, safety, revenue cycle and operational performance.

The manager functions as a key liaison with physicians and staff. The manager works collaboratively with the service line executive director to promote the productive growth and operational structure of each functional area. Supports employee growth and development and actively mentors staff and ensures a cohesive, engaged work team that includes physicians and extended care team members. The manager promotes the consistent enactment of the mission, vision, values of the Munson Healthcare system, and ensures a steady focus on the needs of patients, physicians and staff.

The manager will have budgetary responsibility and seen as a responsive and creative professional, skillful at resolving issues and making swift decisions. The manager possesses a high degree of emotional intelligence, and is an effective verbal and written communicator.

NOTE: The Practice Manager Grid (a point based system) will be used to decide the level of management (level 1, 2, or 3) needed for a given practice and/or program.

ENTRY REQUIREMENTS

• 
  A four-year degree in a health related field is preferred. In the absence of a bachelor’s degree, the candidate must have a minimum of four or more years of progressively more responsible work experience and leadership in a health care setting, in an ambulatory, medical office, or outpatient environment.

• Excellent interpersonal and organizational skills. Must possess the ability to work independently while maintaining a team effort.

• 
  Knowledge of medical terminology, electronic medical records system, diagnosis and procedure coding, insurance billing, scheduling, data entry, multi-line phones.

• 
  Experience working with an interdisciplinary team.

• 
  The ability to facilitate the resolution of complex problems within the ambulatory physician practice and with other departments within Munson Healthcare in an effort to continuously improve the quality of ambulatory physician practices.

ORGANIZATION

The position reports to the Service Line Executive Director. Will be responsible for supervising the work and activities of assigned physician practice and/or program. Maintains a professional working relationship with other departments, patient’s families, providers, staff, and other health care professionals.

Age of Patients Served:

Cares for patients in the age category(s) checked below:

X No clinical contact with patients

SPECIFIC DUTIES

Operational Leadership

• Supports/Is a resource for the department manager/coordinator in the day-to-day aspects of assigned physician practice and/or program to include the management of business staff and coordination of providers, and front /back office activities.
• Reviews, designs and implements processes surrounding pre-registration, prior authorization, scheduling, financial navigation, coding, denials management, and collections is optimized.
• Analyzes reimbursement from all sources, assists with charge capture, and charge master standardization.
• Oversees and maintains systems to ensure hospital technical and physician professional charges are captured and billed in a timely manner.
• Optimize physician practice workflows; continuously analyze patient throughput, identify bottlenecks, recommend solutions and implement process improvement strategies.
• Monitor patient call volume and appointment accessibility. Collaborate with provider to make adjustments in schedule template to promote open access.
• Manages the practice ongoing financial performance, reviews financial reports, identifies variances and analyzes trends, and formulates corrective action plans in collaboration with the Service Line Executive Director while engaging providers and staff to optimize the practice success.
• Utilize practice key performance indicators/metrics (KPIs) to continuously monitor and optimize practice performance relative to internal and external benchmark standards. This includes, but is not limited to revenue cycle KPI (days in AR, charge lag, rejections/denials etc.) staffing benchmarks, provider panel size, patient access (e.g., next third available, fill rate, no show rate, cancelations & reschedule, double booking strategies) and wRVU targets per given specialty vs. your practice/program or regional performance, and coding patterns per provider.
• Responsible for maximizing front-end revenue cycle operations of the practice to include scheduling, insurance verification, authorization/referrals, and POS collections.
• Interfaces with the Centralized Billing Office (CBO), Coding, HIM, PFS, and Hospital Revenue Cycle to ensure that appropriate procedures are adhered to and that accurate information is being collected and submitted. Formulates action plans in collaboration with the Service Line Executive Director and Finance Leadership to address improvement opportunities.
• Ensures that staffing is adjusted to patient volume; evaluates patient flow to decrease patient wait time and maximize provider productivity by overseeing provider schedules to optimize patient access
• Actively initiates and monitors plans for ramping up new providers joining the practice.
• Has a key role in decisions affecting EMR documentation of billed services and billing processes.

People

• Manage the patient experience by implementing tactics to promote and maintain the best patient experience guided by evidence-based practices and data (e.g., CG-CAHPS).
• Seizes opportunities to foster communication dialogue with providers and staff by providing practice and organizational updates in a timely manner, regular rounding, teach, continually challenge, and develop staff.
• Acts as a role model for problem solves in areas concerning patients, providers, and staff relations. Responds to all formal patient and staff complaints. Communicates appropriate issues to the Service Line Executive Director.
• Supports the Service Line Executive Director in the selection process of provider candidates and on-boarding of providers in terms of sequencing and executing tasks/actions involving support areas (e.g. Payor Credentialing Team, CBO, Medical Staff office, Telecom/IT, Ambulatory Informatics, and Marketing).
• Assures accurate timekeeping and payroll for all staff and providers.
• Recognizes and acts on opportunities for professional and personal growth and improvement. Participates in leadership development by attending Leadership programs (e.g., HEI).

Growth

• Identifies opportunities to streamline practice operations in order to gain efficiencies. Shares ideas through peer network through participation in committees, professional development opportunities or regional meetings.
• Works with Service Line Executive Director and system leadership to evaluate and develop strategies for growth and outreach.
• Translates goals into departmental specific objectives and priorities to influence all areas of True North.

Quality, Safety and Compliance

• Assists practice managers & medical staff office, to ensure credentialing, licensing, and certifications for providers and staff are current. Proactively monitors compliance of all staff, including providers and clinical staff, to ensure license and certifications as well as other required annual testing is completed prior to expiration and/or deadline.
• Assures compliance with, and may provide input into the development of various policies and procedure of assigned area of responsibility and Munson Health Physician Network. Reviews and updates written policies and procedures annually or sooner if necessary.
• Ensures that practice operations and team members are knowledgeable of and in compliance with applicable regulatory, licensing and accrediting agency standards.
• Responsible for coordinating and implementing practice measures for Value Based metrics, i.e. PCMH, MIPS/MACRA, Meaningful Use and PQRS.

Other

• Performs other duties and responsibilities as assigned.