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CONTACT PHIL RHOADES FOR INFORMATION
E-mail: Phil Rhoades
Practice Manager, Saints Family Health
Reports to: Executive Director, Physician Network
Summary
The Practice Manager is responsible for operations management of 3 or more medical practices within the Saints Physician Network. The position works closely with the Executive Director and Network physicians to create a cohesive culture and an environment that fosters innovation and growth across the network.
Qualifications
- Bachelors degree or Associates Degree with equivalent years of experience managing a medical practice.
- Five+ years experience in medical practice management
- Excellent communication and customer service skills
- Strong organizational skills, detail-oriented, accurate, able to function in a fast-paced, high volume medical practice setting
- Understanding of, or strong ability and desire to learn how to manage projects
- Background in working independently to achieve goals
- High knowledge level of computerized practice management information systems; and electronic medical records; also ability and desire to advance technically
- Flexibility and willingness to take on new tasks and challenges
Job Duties
The following criteria identify duties to describe the principal functions of the job and shall not be considered as a detailed description of all work requirements that may be inherent in the position.
- Responsible for successful daily operations of medical practices as assigned by the Administrator, including appropriate staffing levels and staffing complement; ensuring practices are appropriately supplied and all equipment is in good working order; and facility is of highest presentation/condition for patient comfort
- Create a comfortable work environment for physicians and staff to encourage the exchange of ideas to improve processes, enhance revenue opportunities, and provide support when acting autonomously to better the patient experience
- Work collaboratively with Revenue Cycle Specialist to fully understand assigned practices AR, denial trends, and areas for improvement/training needed by staff
- Establish ongoing training schedule for staff and physicians to ensure optimal visit/procedure/service capture, patient payments and payer reimbursement
- Responsible for day to day personnel issues, annual evaluations, performance management, staffing needs and timekeeping approvals
- Responsible for maintaining and ensuring physicians within practices are up to date on all credentialing, CMEs, board certification, and other licensure. Work with billing company and Revenue Cycle Specialist to facilitate credentialing for new payers
- Work with physicians to schedule time out of the office such as vacations, CMEs, and meetings to ensure appropriate level of physician staffing to meet patient demand
- Continuously review practice operations and modify processes as appropriate for optimal operational efficiency and patient needs
- Responsible for working with Administrator and physicians to provide input into the annual budgeting process
- Responsible for managing operations to the monthly budgets as determined by the annual budget approval
- Maintain high knowledge level of the Practice Management Information System (PMIS) and Electronic Medical Record (EMR) in order to leverage technology to create revenue capture solutions, and recommend operational changes at each practice location
- Provide recommendations for enhancing revenue and offering new services
- Attend Medical Center meetings as appropriate
- Other duties as assigned
Physical Demands
- Must be able to sit, stand, walk and talk most of the time; stoop, kneel, or crouch occasionally
- Must be able to use hands to finger, grasp and feel
- Ability to lift up to 10 pounds occasionally
- Vision requirements: close, distance, color, peripheral, depth perception, and the ability to adjust focus
- Must be able to clearly recognize alarms, understand and follow calls and instructions
- Travel required between various workplace locations
Work Environment
Hospital setting with varying degrees of noise level and activity
All applicants should apply online at www.saintsmedicalcenter.com/careers
We do not accept hard or soft copy resumes.
Manager, Customer Service and Self Pay Collections
Massachusetts General Physician Organization
Reporting directly to the Operations Manager of Patient Financial Services for the Professional Billing Office (PBO), the Customer Service and Self-Pay Collections Manager is responsible for is responsible for two distinct operational departments. These departments total 15 to 20 representatives with 2 Team Supervisors each responsible for 7 to 10 representatives.
The Customer Service department primary focus is to successfully handle all patient telephone and written inquiries/requests in a demanding, fast-paced call center. Requests may range from inquiries regarding patient balances, insurance processing/coverage questions, complaints, verification of services, and any other billing related inquiries. Each employee is also responsible for requesting payment in full from patients. The Manager acts as an expert resource to all staff within the department maintaining contact with customers (hands on management) and by studying, evaluating and redesigning processes. This requires knowledge of an intricate automated call distribution system including but not limited to reporting multiple areas of call statistics, messaging and the overall operations of the department and equipment. The manager ensures adequate coverage is provided at all times for the effective and efficient operations to provide the best service to our patients and stakeholders while working directly with staff to improve overall customer service performance. The Manager is also responsible for expertly handling all escalated patient calls and sensitive accounts (i.e. from CFO, COO, other).
The Self-Pay Resolution department’s primary focus is to decrease aged self pay receivable by contacting patients to resolve their outstanding balance including international self-pay receivables. Resolution consists of but is not limited to; negotiating payment in full or a satisfactory budget plan arrangement, billing a new insurance, answering a billing related question or a combination of each. International collections requires a strong collaborative relationship with the international office within MGH. The Manager acts as an expert resource to all staff within the department maintaining contact with customers (hands on management) and by studying, evaluating and redesigning processes. This position requires up to date knowledge of both State and Federal bad debt collection laws and regulations as well as, PHS & MGPO policies and procedures.
The Manager serves as the voice of the PBO in all hospital forums related to customer service and self-pay collections. The Manager serves as an important link to interdepartmental initiatives and is responsible for developing, implementing and monitoring policies and procedures. The Manager oversees all aspects of customer service and self-pay collections within the Patient Financial Services Department. In collaboration with the Operations Manager, the Manager is responsible for the hiring, training, and employee performance evaluations in accordance with the Mass General Human Resource guidelines.
The MGPO Professional Billing Office is the central billing office for physician practices affiliated with Massachusetts General Hospital in Boston Massachusetts.
Major Duties
- Achieve excellence in performance by working collaboratively with others on MGPO and MGPO Professional Billing Office initiatives. Performance is measured by both patient surveys as well as established call center statistics (abandoned call rate, calls handled, call wait time, etc.). Establish and develop collaborative relationships with internal staff to modify and/or create procedures aimed at reducing backlogs, improving financial performance, or cash collections.
- Support and demonstrate the values of the Massachusetts General Hospital and the Massachusetts Physician’s Organization by conducting activities in an ethical manner with integrity, honesty and confidentiality. Demonstrate a positive, open-minded, can-do attitude. Represent a team perspective, willingness and enthusiasm to collaborate with others. Follow through on commitments and achieve desired results. Exhibit sound judgment, obtain the facts, examine options, gain support, and achieve positive outcomes.
- Maintain high standard of professional conduct at all times. Represent the MGPO Professional Billing Office at events and projects external to the organization. Act as a leader to enthusiastically promote a cooperative team environment within Patient Financial Services, the PBO, and hospital wide to provide value to all customers. Demonstrate a service orientation which consistently aims at exceeding client expectations and which contributes positively to the greater working environment.
- Provide the proper leadership, coaching, supervision, environment and reporting structure to assure productivity, performance and well being of employees in the units. Provide clear channels of communication, delegation and accountability within the units for effective supervision and problem solving.
- Hire and retain quality staff by providing opportunities of continuing education, skill training and upward mobility. Create an environment that encourages productivity, loyalty, job satisfaction and positive reinforcement.
- Work closely with PFS Operations Manager to achieve the following essential duties:
- Achieve key metrics performance measures with regards to calls answered, calls abandoned, ratio of calls per FTE, and call resolution.
- Achieve financial performance related to the self-pay collections team. By understanding all facets of the revenue cycle including payment posting.
- Troubleshoots problems as they occur and functions as the leader to resolve.
- Handle patient complaints & the most sensitive accounts as identified by inquiries.
- Conduct weekly team meetings to address issues, resolve problems, and authorize the implementation of department policies and procedures.
- Assigns and prioritizes workloads; evaluates, and standardizes operating procedures and effectively troubleshoots and resolves issues as they arise. Informs staff of inter and intradepartmental policy and procedure changes.
- Monitors Call Center Management Information Systems (CCMIS) utilizing reports and daily observations to staff appropriately and make operational improvements to increase efficiency.
- Facilitate and represent the department and PBO in meetings with other PBO or hospital departments and committees. Work closely with PBO and other hospital departments including Coding, GPM, Payer Relations, Information Systems as well as MGH Patient Accounting to expedite the resolution of issues, understand, and address key business needs. Build direct communication and collaborative relationships with outside collection agencies, vendors, other PBO teams and departments within MGH.
- Work with Human Resources to implement policies and procedures and to address employee issues, (i.e. counseling, discipline, EAP). Ensure compliance with and assist in the development, communication and implementation of department policies and procedures. Provide oversight and guidance for the implementation of new initiatives and processes.
- Work closely with Team Supervisors to set financial performance expectations related to their assigned teams. By understanding all facets of the revenue cycle, the Manager is able to focus the Team Supervisors on areas that need improvement. Ensure Team Supervisors establish deadlines and productivity standards to efficiently minimize accounts receivable and enhance collections, while maintaining quality standards through ongoing quality assurance measures to deliver quality services to the customer. Ensure Teams have adequate monitoring plans in place with appropriate reward and corrective action systems.
- Develop Team Supervisor staff to be able to independently monitor key team indicators to recommend process improvements. Indicators will include increases or fluctuations in call statistics, work files, edit reports, accounts receivable aging summaries, PCS (paperless collection system) work files and other ad-hoc reports. Monitor key performance indicators and work with the Operations Manager and Sr. Associate Director to adjust operations accordingly to meet unit objectives.
- Assist Operations Manager to develop effective internal dunning processes and collection techniques to go along with an effective outsourcing strategy to achieve the highest possible self-pay collection results. Develop and maintain a patient friendly bill statement.
- Collaborate with corporate legal department(s) and the MGPO to ensure attorney correspondence, settlement negotiations, and attendance at required court hearings comply with MGL Requirements and meet customer needs.
- Understand the basic hierarchical structure of IDX so as to be a resource for all staff. Act as a resource for the PBO, and all business units within, to investigate, analyze and diagnose operational, technical and communication problems regarding registration and collection issues.
- Participate in continuous quality improvement efforts on an ongoing basis by proactively identifying opportunities for improvement and implementing appropriate solutions. Assist the Operations Manager to develop systems and controls to ensure that accounts receivable issues are identified, and resolved in a timely, cost effective manner. Generate and implement new ideas for reducing costs while maintaining similar or better service levels.
- Utilize existing technologies to the fullest to ensure revenue optimization and operations are efficient (examples include maximizing the IDX PCS system/processes, online web based tools) and recommend customer focused solutions that improve processes, increase automation, and decrease expenses.
- Serve as backup to the Operations Manager with regards to patient complaints, self pay receivable, customer service oriented areas and perform other duties as assigned
Responsibilities
The Customer Service & Self-pay Collections Manager is responsible for a staff of approximately 10-15 with 2-4 direct reports.
The Customer Service and Self-Pay Collections Manager works with the Operations Manager and the Sr. Associate Director for collection activities for a total of 2,000 providers billed out of multiple billing groups (MGH, NSMC, Privates). The Patient Financial Services Department works with the Sr. Associate Director in collectively ensuring that the PBO charge and payment goals are met (currently $900 million and $360 million respectively).
Skills/Abilities/Competencies
- Excellent Customer Service skills
- Ability to act with minimal supervision, notice or direction
- Effective communication, interpersonal and negotiating skills necessary to build collaborative relationships and successfully interact with internal and external customers, service vendors, various systems experts as well as parties external to the MGPO Professional Billing Office
- Effective presentation skills and the ability to interact with people from all levels of the organization to facilitate and participate in hospital wide meetings
- Supervisory, leadership, and managerial abilities necessary to motivate and direct the activities of staff
- Strong organizational and project management skills to successfully manage numerous tasks simultaneously
- Ability to proactively manage change, anticipate and respond to customer and staff needs and expectations
- Analytical skills necessary to dissect complicated issues and formulate creative solutions for effective problem solving are required as are sufficient quantitative skills to use statistics for decision making, to perform cost-benefit analysis, and to make reasonable future projections
Qualifications
- Bachelor’s degree or equivalent; MBA preferred
- 5 years of increasingly responsible healthcare management experience, particularly in professional billing
- Strong background in billing operations with knowledge of medical billing, coding, and payer issues
- Equivalent experience utilizing IDX or other healthcare billing systems preferred
- Strong knowledge of Excel preferred.
- 3-5 years supervisory experience required
Working Environment
The Professional Billing Office environment is busy and dynamic. There are times when this position is required to attend offsite meetings both within the MGH community and elsewhere
CEO sought by Dedham Medical Associates
Recognized as one of the leading multispecialty care practices in the Greater Boston area, Dedham Medical Associates (DMA) has been caring for patients for more than 70 years. It is a $130 million operation with two office locations, the original practice in Dedham and a second office in Norwood that is being substantially expanded by adding physicians, space, and programs. DMA’s physicians, advanced practice clinicians, nurses, therapists, technicians and support staff bring outstanding clinical expertise, advanced technologies, superior primary and specialty care and compassion to their patients. DMA has strong primary care departments of Internal Medicine and Pediatrics including physicians and nurse practitioners. There are over 70 providers in the practice in Obstetrics, Surgery, Urology, Allergy, Orthopedics, Physiatry, Gastroenterology, Cardiology, Endocrinology, Hematology/Oncology, Otolaryngology, Dermatology, Physical Therapy, Rheumatology, Podiatry, and Ophthalmology. DMA provides in-house laboratory and radiology services, including digital mammography.
DMA physicians have been recognized for excellence with awards such as the “Outstanding Community Pediatrician Award” from Children’s Hospital, the “Excellence in Primary Care Award” from Blue Cross and Blue Shield, the “Physician of the Year Award” from Harvard Pilgrim Health Care and the “Women in Medicine Award” from the Massachusetts Medical Society. The Pediatric and Internal Medicine staffs have been named to the Harvard Pilgrim Health Care Physician Group Quality Honor Roll every year since 2004. For more information see www.dedhammedical.com.
Atrius Health is the sole corporate member of Dedham Medical Associates, which along with all its member groups, is a not-for-profit organization comprised of Dedham Medical Associates, Granite Medical, Harvard Vanguard Medical Associates, Southboro Medical Group, South Shore Medical Center and most recently Reliant Medical Group (formerly Fallon Clinic). With close to fifty practice locations, Atrius Health medical groups serve nearly 1 million adult and pediatric patients with more than 3.8 million visits annually. Atrius Health member groups have more than 1,000 physicians and 1,425 other medical professionals, with a combined total of almost 7,200 employees. For more information see www.atriushealth.org. Atrius Health is exceptionally well-positioned as a leader in health care reform in Boston, in the Commonwealth, and nationally. Its leadership, impressive growth, scale, and recognition as a group of independent, multi-specialty group practices providing quality health care led to its selection as a Pioneer ACO by CMS.
Under the direction of DMA’s Board of Trustees, the CEO works for the providers of the organization and is responsible for the overall financial, operational, clinical, compliance and cultural management of the organization. With the support and involvement of DMA’s senior management team and physician and Board leadership, the CEO develops goals and major policies that are essential to the success and well- being of the practice and its patients. The CEO functions as Clerk to DMA’s Board of Trustees, providing leadership and direction that is consistent with the mission, vision, and values of DMA. He or she will establish and perpetuate a culture of innovation, creativity, collaboration, and integration that will enhance DMA’s capacity to provide excellent patient care, meet and exceed quality goals, continue to improve patient satisfaction, and provide a satisfying work environment. The DMA CEO is also a central member of the Atrius Health CEO Council representing the greater good of the affiliation and the interests of DMA. The DMA CEO will need to establish a strong working relationship with the Atrius Health CEO and other senior Atrius Health leaders.
The best CEO candidates will have leadership experience in operations and financial management at an executive level, of a multi-location multi-specialty ambulatory physician practice. They will have demonstrated success in managing the complex financial arrangements and operations of a health care practice and working with sophisticated clinical and administrative professionals. He or she must be familiar with global capitation contracts, managed care policy and politics, medical economics, medical billing, real estate and physical plant expansion, among other health care issues. He or she must be a respected player in the policy, political and regulatory environment, with access to power brokers and decision makers.
The CEO must have proven leadership skills with the ability to leverage and implement the dimensions of continuous quality improvement (i.e., LEAN, Six Sigma, TQM, CQI, etc.) that are most appropriate to DMA’s setting. The new CEO must be skilled at contracting and negotiating on strategic and financial matters, and have a thorough understanding of current health care issues.
For a full position specification please review our current engagements at www.zurickdavis.com. We appreciate all referrals. Interested parties send résumé and cover letter by email. For additional questions please contact Annette Cooke, Jacqueline Rosenthal or Jeff Zegas at 781.938.1975. All contact with our office will remain confidential.
Posted 1/23/12
Billing Supervisor - New England Hematology Oncology Associates
New England Hematology Oncology Associates at the Vernon Cancer Center at Newton Wellesley Hospital is looking for an experienced Billing Supervisor to join our team. The Billing Supervise works in tandem with other managers and has responsibility for the billing and collection process underlying the Physician practice and direct supervision of 6 full time staff. The Billing Supervisor ensures charge capture, timely and accurate charge entry and payment posting, timely and effective appeals and thorough collection efforts. He/she is responsible for reporting on accounts including all accounts under review by insurers and all private pay accounts to include payment plans and collections activity. The Billing Manager takes a leadership role in ensuring optimization of existing practice management software capabilities and in evaluating new practice management software. He/she is a key member of the management team and critical to the financial and operational success of the Practice.
Position requires a minimum of five years progressive experience in third party billing including demonstrated experience in system and process development and introduction. Associates degree required, Bachelor’s degree preferred. Oncology/multispecialty billing experience preferred. Must be of impeccable character and must maintain a high degree of confidentiality in all aspects of his/her job. Must have strong computer and analytical skills. Must be able to compile statistical data for the purpose of trending practice services. The ability to communicate effectively with providers, staff, administration and insurers is essential. Must maintain the highest degree of professionalism at all times. Strong working knowledge of Excel and Massachusetts payors is required.
Interested parties should send résumé, cover letter and salary requirements by e-mail.
Posted 1/20/12
Scheduler - University Emergency Medicine Foundation (UEMF)
University Emergency Medicine Foundation (UEMF) is an Academic Emergency Medical Practice, with over 80 full-time physicians, several midlevels, various part-time providers, and a full support team. As a Department of Brown University School of Medicine, UEMF provides staffing of Board Certified Emergency Physicians to the region’s only Level I Trauma Center as well as the State’s only Children’s Specialty Emergency Department; and to a leading Community Hospital. Over 200,000 patients annually are treated by UEMF providers.
We are currently seeking a highly motivated, detail oriented professional, with exceptional quantitative skills to fill our full-time Scheduler position. The Scheduler will be responsible for ensuring that all provider schedules for three hospitals and midlevel schedules for two hospitals are produced and released in a timely manner using Lightning-Bolt Solutions. The schedules are for 1st, 2nd, and 3rd shifts for over 100 clinical staff. The Scheduler will also generate reports from the schedules including: Payment of Overtime, Payment of Special Premiums, Hours Reconciliation, Hours Tallies for Productivity, Balancing of Hours, and other reports has needed.
The ideal candidate must have a Bachelor’s Degree in Mathematics, Finance, Healthcare Policy, Business Management, Computer Science, or related field with 1-2 years experience in scheduling in the healthcare environment, preferred. Knowledge of scheduling software is an additional advantage. Candidate must have strong computer skills and an in-depth knowledge of Excel. Excellent problem solving and quantitative skills are required. Exceptional interpersonal skills are essential as this position is frequently dealing with providers.
We offer competitive wages and excellent benefits including health, dental, retirement, life, long term disability, and PTO. UEMF is an equal opportunity employer.
Qualified candidates may send a letter of interest and résumé to Attn: HR e-mail or fax: 401-272-1307.
Posted 1/18/12
APRN Inpatient Wound – L & M Physician Association, Inc.
The APRN for the inpatient wound program is responsible for planning, directing and supervising all inpatient ostomy and skin care services. This position works closely with physicians and other clinicians in a team approach to patient care. They will serve as a resource to the inpatient wound and skin care nurses and will routinely meet with the Wound Center Medical director.
Major Accountabilities/Critical Responsibilities
- Coordinate the inpatient management of wounds with other physicians with input from the medical director of the wound center.
- Evaluate, diagnose and provide treatment to patients with skin, wound, continence, and ostomy issues. Education will be given to prevent pressure ulcers.
- Evaluate, diagnose and provide treatment to patients to prevent pressure ulcers, applies medicated salves and provides other treatments to existing wounds, and educating patients about proper care of surgical incisions and stomas. with wound illness
- Participate in the formulation and implementation of an individualized interdisciplinary treatment plan based on a thorough assessment of the patient’s problems and needs.
- Provides proactive case coordination and consultations with patients including utilization management and resource management
- Provide direct clinical care for patients with acute and chronic wounds
- Provide Medication Management
- Works collaboratively with wound care nurses and peers to develop appropriate care plans
- Participates in monthly sWAT (Skin Wound Analysis Team) meetings
- Provide education to patients, families and medical staff and take and active role in developing policies and procedures in wound care. Provides assistance to patients and families through evaluation of social, emotional and financial needs and coordinates and facilitates appropriate resources.
- Communicate with payors, follows L & M PA policies and procedures, and assists with continually improving the quality and effectiveness of case management.
- Organize administrative services across the continuum from insurance authorizations through discharge from the hospital to affect optimal patient outcomes, achieve continuity, and quality of care and reduce costs.
- Provides quality, utilization and other data collection necessary to monitor and direct the services provided to impatient with wound illnesses.
- Seek consultation, supervision and assistance from appropriate professionals and specialists when a patient’s needs are beyond one’s own range of knowledge, experience and implementation.
- With the medical director, promotes community and physician awareness of the wound care program and its benefits.
- Provide outpatient wound management services on an as needed basis (not including overseeing the hyperbaric treatments)
- Direct program development activities to address evolving patient needs and fluctuating acuity.
- Document all significant treatment interventions provided to the patient.
- Demonstrate basic clinical and technical skills according to established standards of practice.
- Meet performance expectation for customer service, teamwork, resource utilization and staff and self-development as outlines in the performance review.
- Follows L & M/L & M PA rules, policies, procedures, applicable laws and standards and carries out the mission, vision, values and quality commitment of L &M/L & M PA.
- Performs other duties as assigned or directed to ensure smooth operation of the Department/Unit.
Qualifications/Requirements
- A minimum of 2–3 years of clinical experience with wound management
- A minimum of 2–3 years of clinical experience in an inpatient setting
- BSN; MSN preferred
- Current wound certification. CWCN, CWS, or WCC
- Requires an understanding of factors impacting wound healing outcomes and knowledge of evidence-based strategies and protocols for the prevention and treatment of pressure ulcers, as well as experience with VAC techniques and educating ostomy and fistula patients in self care.
- Must have excellent communication and patient care service skills.
Résumés should be submitted by e-mail.
Posted 1/5/12
Practice Supervisor – L & M Physician Association, Inc.
A Practice Supervisor is responsible for the day-to-day procedures as well as the efficient operation of the office, including any interaction with all other departments within L & M Physician Association, Inc. First priority is to ensure effective and efficient coordination of patient care. Coordinate and direct administrative and clinical support functions. Oversees daily tasks and ensures proper coverage of employees. Orders supplies as necessary. The Practice Supervisor assists in decision around the process for hiring, terminating, promoting and evaluation of personnel. Exercises good judgment and interpersonal skills in working with patients, physicians and co-workers. Practice Supervisors will hold dual roles as check-in or check-out.
Job Responsibilities:
- Constantly analyzes daily operations to improve efficiency.
- Improve daily process to provide better patient service.
- Coordinate training efforts for new and existing staff personnel.
- Assists patients and staff in understanding office policy and procedures.
- Maintains physicians’ schedules in Practice Management software.
- Ensures that all Insurance Verifications are done prior to each and every patient appointment, verifying once again co-pay and ID numbers are entered correctly.
- Maintain proficiency in all front desk responsibilities to ensure proper staffing levels.
- Review end of day financial batch report i.e. cash journal, and credit card closing report, ensuring charge tickets (or electronic encounters) are completed with proper level of service and diagnosis to improve the revenue cycle.
- Conducts monthly office meetings with Director and support staff.
- Has knowledge of common safety hazards and precautions to establish a safe work environment.
- Keep office productivity efficient and constant by maintaining to reflect budgeted goals.
- Maintain and order all office supplies through online ordering.
- Create schedules for support staff that meet physician demands. Schedule coverage for the office due to vacations.
- Manage coverage for the office due to call outs and/or sick calls (employees call out to Practice Supervisors).
- Responds to patient telephone calls within the same day, if possible.
- Attend monthly Practice Supervisor meetings, as required.
- Maintains 100% accuracy on all patient data, including rechecking for demographic and insurance changes by reviewing daily work prior to submitting to the Business Office within 24 hours.
- Responds to all billing inquiries within 24 hours.
- Maintains organized/neat work area and keeps patient lobby in a neat and orderly manner.
- All other duties as assigned.
Skills and Abilities:
- Exhibits positive, motivational, calm, cheerful, caring, and helpful attitude at all times, to patients, co-workers, and physician and managers.
- Maintains a professional manner and appearance, remaining calm and objective even in stressful situations.
- Agrees to assist other practice employees in duties outside of a specific job description, yet are necessary to ensure proper operation of the practice except in those areas where the employee is legally prohibited from performing these duties.
Essential Requirements:
- A minimum of 3 to 5 years supervisory experience preferred.
- A minimum of an Associate’s degree in related field or equivalent experience preferred.
- A minimum of 3 to 5 years in a healthcare, primary care preferred.
- Experiencing managing team of employees, preferred.
- Knowledge of general medical terminology, preferred.
- Computer experience is required.
- Basic knowledge of medical billing procedures and medical insurance, preferred.
- Knowledge of basic math and accounting required
Direct Reports:
- Patient Coordinators
- Surgical Coordinators
- Medical Assistants (for non-clinical activities)
- LPN/RN (for non-clinical activities)
Mental/Physical Requirements:
- Requires sitting for long periods of time, also stooping, bending and stretching for files and supplies.
- Work requires occasionally lifting files or paper weighing up to 25 pounds.
- Work requires manual dexterity sufficient to operate a keyboard, operate a calculator, telephone, copier, fax machine, and other such office equipment as necessary.
- Work requires viewing and typing on computer screens for long periods of time.
- Hearing must be within the normal range for constant telephone usage and vision must be correctable to 20/20.
Résumés should be submitted by e-mail.
Posted 1/4/12
Team Lead Cardiothoracic Surgery Full time 40 hours\Days
Boston Medical Center
Under general supervision, is responsible for the optimal functioning of the assigned clinic by ensuring patients receive quick access, excellent customer service, quality patient care and are referred to the appropriate sources. Responsible for facilitating patient flow through the clinic, coaching assigned staff and providing support to the Manager and the Department in matters pertaining to day to day Operations, Registration, Admitting Precertification, staffing, scheduling, and various productivity reports.
Posted 12/23/11
Team Coordinator Cardiothoracic Surgery Full time 40 hours\Days
Boston Medical Center
Under general supervision from the department director or practice manager, the Team Coordinator plans, supervises, coordinates, and directs the day-to-day operations of the clinic or department with commitment to providing the highest quality of service to patients. Plans and organizes the work and daily assignments of the support staff, coordinates and prioritizes workflow, and implements appropriate systems and procedures to maintain service standards.
Posted 12/23/11
Nurse Practitioner or Nurse Midwife for OB/GYN Practice
Position: Nurse Practitioner or Nurse Midwife with experience in OB/GYN private practice setting.
Hours: 36 hours/week Monday – Friday (no weekends, nights or holidays)
Practice: Solo OB/GYN Physician Practice
Location: East Providence, Rhode Island
Fax Résumé to: 401-434-5313
Posted 12/21/11
Medical Coder
University Emergency Medicine Foundation (UEMF) is an Academic Emergency Medical Practice, with over 80 full-time physicians, several midlevels, various part-time providers, and a full support team. As a Department of Brown University School of Medicine, UEMF provides staffing of Board Certified Emergency Physicians to the region's only Level I Trauma Center as well as the State's only Children's Specialty Emergency Department; and to a leading Community Hospital. Over 200,000 patients annually are treated by UEMF providers.
We are seeking a motivated, professional, and experienced Medical Coder for 40 hours per a week for our growing, high volume Emergency Medicine Practice. The Medical Coder will be responsible for timely and accurate abstraction, clarification, and computer input of medical provider’s services from medical records, utilizing the appropriate CPT-4 procedure codes and ICD-9-CM diagnosis codes.
The candidate must have knowledge of ICD-9 CM and CPT-4 coding and medical terminology with E/M coding experience, preferably with the physician component of emergency medicine and a minimum of 1-2 years of related medical coding experience. Certified Professional Coder Certificate (CPC), Certified Coding Specialist- Physician based Certificate (CCS-P), or Related Health Information Administrator (RHIA) is preferred. In lieu of a certificate, a minimum of a high school diploma or equivalent with at least 2-3 years of related medical/healthcare coding experience.
We offer competitive wages and excellent benefits including, flexible schedule, health, dental, life, long term disability, flexible spending accounts, paid time off, and a generous retirement plan. UEMF is an Equal Opportunity Employer.
Danielle C. Renzo
Manager of Human Resources
Department of Emergency Medicine
University Emergency Medicine Foundation (UEMF)
18 Imperial Place, Suite 1D & 1E
Providence, RI 02903
Phone: 401-519-1603
Fax: 401-272-1307
E-mail: Danielle Renzo
Posted 12/14/11
Regional Practice Manager-Milton Area, Beth Israel Deaconess Healthcare
Job Summary
Under the direction of the Chief Operating Officer, responsible for the day-to-day operations and practice functions of multiple practices. Position involves extensive interaction with the medical staff, trainees, nurse practitioners, clinical nurses, patients, and other BIDHC/APG personnel. Works with the Practice Managers and/or Ambulatory Practice Coordinators to attain productivity and financial goals for the assigned areas.
Essential Responsibilities
- Participates in planning and implementation of assigned practice goals, programs and objectives, personnel, resources, and equipment. Organizes, directs, and coordinates all operational and administrative processes; supports and manages Practice Managers and/or Ambulatory Practice Coordinators in the planning and implementation of goals and objectives.
- Serves as a principal resource on all operational matters for assigned areas; may serve as a consultant to Ambulatory Practice Coordinator or Practice Manager of other practices on operational matters.
- In conjunction with the Practice Manager and/or Ambulatory Practice Coordinator, develops, implements, and monitors budgets for the practice(s). Implements approved business plans. Analyzes and prepares reports on all activities, volume statistics, collections, etc. Provides input for informed volume forecasts and resource needs with the management team.
- Works closely with the Billing staff. Maintains knowledge regarding current managed care and insurance/billing requirements and works with management team to provide support staff education. Adheres to and ensures implementation of Revenue Cycle policies and procedures of referral management, co-pay collection, and visit ticket entry processes.
- Works with the practice to assign and oversee the use of clinic space for the divisions/providers. Develops and maintains systems and/or processes that measure the results of front line staff work/productivity, volume, patient/staff/provider satisfaction or other work improvement indicators. Collaborates with team to determine best practices, desired outcomes and reporting methods.
- Has the authority to direct and support managers with functional area responsibilities. Has the direct responsibility to undertake the following employment actions: hiring, termination, corrective action and performance reviews. Direct Reports: 4-6 Indirect Reports: 11-20
- Has full responsibility for planning, monitoring and managing budgets for multiple departments.
Required Qualifications
- Bachelor's degree required.
- 5-8 years related work experience required and 3-5 years supervisory/management experience required
- Previous healthcare operations management experience required.
- Experience with computer systems required, including web based applications and some Microsoft Office applications which may include Outlook, Word, Excel, PowerPoint or Access.
Qualified candidates should send résumés to Jill Boyd.
Posted 12/13/11
Director, Service Line Finance
Major Massachusetts Teaching Hospital
Our client is realigning their finance reporting to better serve the needs of their clinical Service Lines. The Director will act as the lead Business Partner to various clinical Service Lines with at least one Center of Excellence (i,e, Heart & Vascular, Oncology, Musculoskeletal or Surgery) which involve many related service lines.
The Director will be responsible for the coordination of many financial functions related to service line performance reporting and functions as the primary liaison between the clinical service line and Department of Finance.
Some examples of the areas the Director is responsible for include:
Education and Guidance - functions as financial and operational subject matter expert to their respective service lines regarding all management reports provided to service line leaders and functional area managers.
Budget Support - Assists Service Line managers in developing budgets where appropriate including input and tracking of various service line initiatives, analyzing financial impact of various proposed initiatives, and tracking and reporting on the progress of budget initiatives.
Performance Tracking and Reporting - Meets monthly or more often to review various financial performance, operational and scorecard reports. Assists in the development of reports and scorecards that will be meaningful and actionable to the service line leaders and managers. Presents progress reports to committees, identifies significant variances and trends and makes recommendations.
Opportunity Identification - Assists service line leadership in identifying various opportunities for performance improvement in the areas of volume growth, revenue improvement and expense reductions.
Strategic Business Planning - Participates in service line planning activities such as the coordination of proposed business plans for various enhancements to the service line operations including analysis of capital expenditures for new equipment, changes in location, addition of new physicians and/or services. Coordinates appropriate finance resources to provide projected performance analysis and business plans around such changes.
Qualifications
Master’s degree in Health or Business Administration or equivalent. Ten years of related experience including 5 years in a supervisory capacity. Experience in program administration, healthcare accounting techniques, cost/benefit comparisons, and analysis of budget variance and staffing resources. Hospital clinical or operational experience is desirable.
Demonstrated ability to lead the finance and business development of a clinical Service Line area. Knowledge of performance improvement and program management. Strong interpersonal skills necessary to communicate and interact with all levels of management.
Demonstrated ability to handle multiple priorities, to work autonomously, and organize, coordinate and monitor project work. Excellent oral and written communication skills. Working knowledge of computers, including spreadsheet, databases and word processing software applications.
The Starting salary for the Director is up to the 150k+ range.
All inquiries will be kept confidential.
Please forward your résumé and salary information to:
Matthew O’Brien
The Confidential Search Company
E-mail: Matthew O’Brien
Phone: 860-742-1555
Posted 12/9/11
Project Manager, Service Line Finance
Major Teaching Hospital
Our client is realigning their finance reporting to better serve the needs of their clinical Service Lines. The Project Manager, Service Line Finance will act as the lead or supporting Business Partner to various clinical Service Lines which may include Centers of Excellence (i,e, Heart & Vascular, Oncology, Musculoskeletal or Surgery) which involve many related service lines.
The Project Manager will be responsible for the coordination of many financial functions related to service line performance reporting and functions as the primary liaison between the clinical service line and Department of Finance. Operates under the guidance of the Directors and the Senior Director.
Some examples of the responsibilities of the Project Manager include:
Education and Guidance - functions as financial and operational subject matter expert to their respective service lines regarding all management reports provided to service line leaders and functional area managers.
Budget Support - Assists Service Line managers in developing budgets where appropriate including input and tracking of various service line initiatives, analyzing financial impact of various proposed initiatives, and tracking and reporting on the progress of budget initiatives.
Performance Tracking and Reporting - Meets monthly or more often to review various financial performance, operational and scorecard reports. Assists in the development of reports and scorecards that will be meaningful and actionable to the service line leaders and managers. Presents progress reports to committees, identifies significant variances and trends and makes recommendations.
Opportunity Identification - Assists service line leadership in identifying various opportunities for performance improvement in the areas of volume growth, revenue improvement and expense reductions.
Strategic Business Planning - Participates in service line planning activities such as the coordination of proposed business plans for various enhancements to the service line operations including analysis of capital expenditures for new equipment, changes in location, addition of new physicians and/or services. Coordinates appropriate finance resources to provide projected performance analysis and business plans around such changes.
Qualifications
Bachelor’s degree in Business Administration or equivalent. Minimum of 5 years experience working in a healthcare organization required. Minimum of 2 years experience working with cost accounting systems desired. Knowledge of major accounting and Business Intelligence systems desired. Hospital clinical or operational experience preferred.
Must be a highly motivated and dedicated professional who demonstrates a strong commitment to excellence, customer focus and understands the importance of accountability.
Must have excellent problem solving abilities and strong communications skills. This position may require some flexibility to work off-hours as required to deploy systems, work with IS for system testing, upgrade testing, support customers, resolve production problems, etc.
The Starting salary for the Project Manager is up to $104k.
All inquiries will be treated confidentially.
Please forward your résumé and salary information to:
Matthew O’Brien
The Confidential Search Company
E-mail: Matthew O’Brien
Phone: 860-742-1555 or 800-222-2729
Posted 12/9/11
Nursing Supervisor
Aquidneck Medical Associates, Inc. is a 13 physician multi-specialty group with 2 locations in Rhode Island. Our practice includes 5 internists, 5 pediatricians, 2 OB/GYNs, 1 general surgeon, a nurse care manager and a behavioral health specialist. The National Committee for Quality Assurance has recognized the practice as a Level 3 Patient Centered Medical Home. The practice has been using an Electronic Health Record since 2005 and successfully attested to stage 1 of Meaningful Use in 2011. Additionally, the group is involved with many state and federal healthcare initiatives to advance improved quality of care.
The practice is currently looking for a Nursing Supervisor to lead our nursing staff.
Duties
Direct and supervise nursing staff in accordance with practice, government, and payer policies, laws, regulations and standards. Represent the practice during routine credentialing and state audits.
Define the nursing process and techniques relevant to office practice and ensure that the staff demonstrates and maintains the necessary skills. Conduct nursing educational programs.
Develop and maintain nursing policies and procedures to foster a clearly defined standard of care. Ensure that the nursing staff complies with policies and procedures, especially when new or changed. Ensure that nurses and MAs work within respective scopes of training and skill level. Assist the administrator in Risk Management activities.
Develop a detailed understanding of the EMR product and ensure that it is being used to its capacity to ensure efficient and accurate patient care and documentation. Monitor nursing staffs use daily. Communicate with EMR service support and associated vendors regarding software upgrades and problems relevant to clinical practice, including lab and radiology interfaces and Surescripts, and recommendations for development items.
Assist in assessing and standardizing workflow and staffing patterns and recommend improvements designed to ensure efficient and successful operations and continuing compliance with applicable third party payer, state, and federal programs, including NCQA, PCMH, and Beacon programs.
Perform various functions associated with the management and administrative demands as delineated by BCBSRI in support of the BCBSRI PCMH initiative. Support the planning, organization and management of required resources in order to maintain Site Locations as PCMH(s) as well as ensure all information technology and reporting is compliant with the PCMH criteria as established by BCBSRI.
Recruit and train new nursing staff members. Evaluate staff performance. Set and monitor individual goals, discipline, and terminate staff when necessary.
Design nursing work schedules. Ensure adequate coverage and minimal overtime. Maintain a thorough knowledge of each office’s operations and assist/cover when necessary.
Education and Experience
- BSN degree from an accredited school of professional nursing, five years professional nursing experience, and two years supervisory experience preferably in an outpatient facility OR
- RN, seven years professional nursing experience and five years supervisory experience preferably in an outpatient facility.
- Demonstrated skill in managing people and processes.
License
Rhode Island Nursing license
Contact Information
Aquidneck Medical Associates
Attn: Daniel Labrador
50 Memorial Blvd
Newport, RI 02840
E-mail: Daniel Labrador
Please salary requirements in cover letter.
Posted 11/17/11
Health Care Administrator
Health Care Administrator needed for a premier 2 office primary care, multi-specialty, lab and radiology facility. Responsibilities will include overseeing and directing our clinical, business and ancillary management team and guiding innovation in a changing health care environment.
Qualified candidate should have a master’s degree in business or equivalent, be organized, be able to multitask, have excellent communication skills, and have a minimum of 5 years of medical office administration experience. We offer a competitive salary, health, dental, life, and long-term disability insurances, vacation and sick time, 401k plan, and profit sharing.
Please send résumé to:
Springfield Medical Associates, Inc.,
Attn: Josee
2150 Main Street
Springfield, MA 01104
E-mail: Josee
Posted 9/6/11, Updated 11/16/11
Medical Home Care Coordinator
A 12-provider, well-established pediatric group practice northwest of Boston seeks a hands-on medical home care coordinator to organize and administer new program.
Summary of Care Coordination Program
Pediatric Medical Home Care Coordination is a family-centered, assessment-driven, team based activity designed to meet the needs of children and youth while enhancing the care giving capabilities of families. Care coordination addresses interrelated medical, social, developmental, behavioral, educational, and financial needs to achieve optimal health and wellness outcomes.
To fulfill program goals, care coordination must be connected to, or provided within; a clinician led proactive health care team. The team fosters participation with families and creates opportunities for them to express their needs. The team establishes or enhances links with the community and specialists. Care coordination will be provided to all patients.
Position Scope
- The Medical Home Care Coordinator (MHCC) is responsible for the day to day coordination of Medical Home activities at the Practice, as defined by the practice teams.
- The MHCC will assist with establishing a practice-wide medical home team.
- The MHCC will organize a schedule for the meetings and will facilitate them.
- The MHCC will work as part of a Practice Medical Home Team to successfully administer
- the coordination of care,
- care planning,
- quality improvement,
- patient and family education and outreach, and
- data management aspects of Medical Home.
- The MHCC will perform all functions in a family-centered and culturally sensitive manner.
Qualifications
- Three years of relevant experience, preferably in a pediatric health care, public health setting, community health, or educational setting is preferred.
- A BA, BS, or equivalent life experience that promotes strong organizational and communication skills, leadership, and research skills.
- Demonstrated ability to maintain a positive professional environment using tact, respect, and sensitivity in dealing with clinicians, staff members, parents, children, peers, residents, and members of the community.
- Ability to organize, analyze, and develop basic reports for project measurement and evaluation.
- Must hold valid driver’s license and be willing to travel within MA.
- Competence and core values consistent with the Practice are required.
- This person must possess the ability to work with primary care pediatric practices and their patients and families in a professional, ethical, efficient and confidential manner at all times.
- Experience in a Primary Care Practice, care coordination, Quality Improvement Initiatives, or community outreach is valuable.
Skills and Competencies
- Excellent written and oral communication skills
- Superior Customer service skills
- Problem solving
- Excellent communication skills
- Creative thinking
- Strong organization skills
- Good teamwork and facilitation skills
- Community ties/local connections
- Proficient with software applications: Outlook, Word, Excel, eClinical Works, Athena
- Initiative
- Ability and willingness to learn new expertise, such as familiarity with local educational system and relevant government agencies, new software applications, etc.
Responsibilities
Basic
- Develop relationships with practice, patient and family as a member of the team
- Regular communication with the practice and our IPA
- Serve as a Medical Home Quality Improvement Team member
- Participate in IPA activities involving Medical Home Care Coordinators and QI champions from other IPA Practices
- Ensure maintenance of practice standards for Medical Home Core Elements
Use Data to Improve Quality of Care
- Assist and promote the identification of patients in the practice with special healthcare needs
- Develop and maintain patient registries of children with special healthcare needs.
- Use the registry functions to plan and monitor care as appropriate
- Participate in improving, measuring, monitoring and sustaining quality outcomes (clinical, functional, satisfaction and cost) where appropriate
- Develop and implement data collection and reporting activities as outlined by the practice
- Review feedback from patients, families and others with the practice to identify areas for improvement.
- Develop and implement PDSA cycles with the practice to implement Quality Improvement strategies.
Coordination of Services
- Work with the Practice to improve the coordination of activities such as test tracking and reporting, referral tracking and coordination with specialists and resources outside of the practice for patients and families
- Facilitate family access to providers, staff and services/resources outside the Practice
- Serve as the point of contact for families, community partners and payers in coordination of services
- Facilitate timely communication among clinical providers (PCP, outpatient specialty care, inpatient service and complimentary therapies, etc)
- Facilitate verification of coverage and payer authorizations.
Connecting Patients and Families with Resources Beyond the Practice
- Research and coordinate Community based resources, services and supports available to patients and their families
- Build relationships using effective communication strategies with families, schools, specialists and community professionals and connections.
Care Planning
- Assess child and family unmet needs with clinical members of the practice
- Initiate family contacts for pre-visit planning, coordination, education, as appropriate and needed
- Develop care plans with families/children as a team (emergency plans, medical summaries and action plans)
- Actively participate in carrying out care plans for patients as appropriate
Patient and Family Patient Education and Outreach
- Facilitate the provision of comprehensive health promotion
- Facilitate the provision of chronic care management as appropriate
- Coordinate efforts to gain family feedback regarding their experience with the Practice
- Provide/participate in patient and family education as appropriate
Certification, Registration or licensure Requirement
- Driver’s License required
Physical Requirements of the Job
- Work requires regularly stooping and bending.
- Work requires regularly reaching and grasping objects at, above and below shoulder level.
- Work requires regularly grasping and fine manipulation with hands.
- Work requires regularly proofreading and checking documents for accuracy.
- Work requires regularly inputting/retrieving words or data into or from an automated/computer system.
Please provide résumé and cover letter by e-mail.
Posted 10/31/11