Massachusetts/Rhode Island MGMA provides this Career page as an affordable service to the medical practice community.
Members and non-members are welcome to participate. Send your career notices to Info@mmgma.com in an email or as an email attachment. An attachment should be an original file [IE: Microsoft Word]. A notice will remain online for 30-days, but can be renewed for an additional 30-days at the same rate. Massachusetts/ Rhode Island MGMA members can post a career notice free of charge. The fee to nonmembers is $99 per notice. Payment needs to be received in full before the career posting is uploaded to the website.
Credit Resolution Specialist - Brigham and Women's Hospital
Reporting directly to the Central Credit Resolution Manager and under the general direction of the Central Business Services Senior Manager, the Credit Resolution Specialist performs a variety of functions to insure the resolution of including but not limited to: self pay and third party credit balances accurately and in a timely manner. Participate as directed in the root cause analysis of credit creation. Identify issues and trends.
Click here for full description
Apply to: https://partners.taleo.net/careersection/jobdetail.ftl?job=3087133&lang=en
Contract Management Analyst - Brigham and Women's Hospital
Reporting directly to the Manager, Payer Relations and under the general direction of the Director, Central Business Services, the Contract Management Analyst is primarily responsible for financial reporting, analysis and identification of over and under payments utilizing the BWPO’s contract management software.
The Contract Management Analyst must have a general understanding of the revenue cycle and be able to identify opportunities to improve overall billing performance or explain variances from estimates. Responsibilities include developing a dashboard management report focused on contractual payment performance, contract reimbursement trend analysis, identification of contract set-up issues and overall performance data. The Contract Management Analyst will be responsible for preparing summaries and reports for the BWPO Finance Department.
Payer Relations Analyst - Brigham and Women's Hospital
Reporting directly to the Manager, Payer Relations and under the general direction of the Director, Central Business Services, the Payer Relations Analyst will serve as the day to day contact for appointed contracted and non-contracted payers. The primary goal of the Analyst is to establish and maintain positive and effective working relationships with assigned payers aimed at improving communication, operational efficiencies and revenue. This individual will work closely with staff across all BWPO Departments, with payers, as well as within other PHS entities.
Click here for full description
Apply To: https://partners.taleo.net/careersection/jobdetail.ftl?job=3087138&lang=en
Billing & Compliance Manager - Reliant Medical Group
Position: Full time 40 hours per week
Hours: Monday through Friday 8:00am -4:30pm
No Weekends, No Holidays
Department: Revenue Operations Business Office
Responsible for all aspects of coding, charge entry, coding denial follow up and the Reliant Billing Compliance Program. Manages the daily activities and processes of assigned staff and the training, development and streamlining of policies and procedures and workflow, monitoring staff productivity, quality of work and related duties. Communicates coding issues and initiatives with Revenue Operations, IT and Clinical Operations staff including Directors, Managers, Leads, Physicians and Allied Health Providers. Ensures Billing Compliance Policy, in line with Optum Compliance, is completed and communicated annually.
Billing Compliance Program:
Coding and Billing Compliance:
Bachelor’s Degree in Business Administration, Healthcare or related field. Minimum of five (5) years health care Management experience in a multi-specialty physician group practice, billing agency or Hospital. Coding Certification required (CPC, CCS-P, etc.). CPMA is required. Demonstrated experience in professional billing environment/physician billing, reporting and revenue cycle including utilization of practice management systems and analytics. Demonstrated experience in Revenue Cycle Analytics. Must be proficient in use of Excel. Thorough knowledge of Medicare and Massachusetts third party payer requirements and billing compliance regulations. Understanding of Capitation and Global Risk Contracting Agreements/Billing. Demonstrated knowledge of insurance rules and regulations and claims submission. Excellent interpersonal, organizational, and communication skills. Epic Resolute comprehension required within 12 months of start date.
Apply to: https://reliantmedicalgroup.org/careers/
Billing Compliance Auditor - Reliant Medical Group
Position: Full time 40 hours per week
Hours: Monday through Friday 8:30am - 5:00pm
No Weekends, No Holidays
Department: Revenue Operations Business Office
Responsible for performing internal coding audits and billing compliance reviews of various elements of physician billing for the organization. Works within specified third party payer and federal (CMS) coding/billing regulations. Develops training and education materials. Provides training and education to providers, clinical department and Revenue Operations staff. Provides other internal billing-related compliance services to the organization as required. Measures coding trends as compared to national standards.
Participates in the identification and resolution of areas requiring additional intervention through established Billing and Corporate Compliance work plans.
Develops and implements clinic-wide training programs geared towards educating clinical and non-clinical support staff regarding compliance related topics and/or deficiencies identified through billing compliance audits.
BS in Health Related Field, or RN, LPN with experience. Certified Professional Coder required (CPC, CCS-P, CCS, CPC-A, CPC-H). Three (3) to five (5) years experience in ICD-9/ICD-10, CPT and HCPCS coding. Experience with auditing physician medical records utilizing E+M guidelines. Utilize standard scoring (CMS) methodologies to report findings to providers. Ability to employ clinical reference with the auditing process. Apply CPT and ICD-9/ICD-10 coding convention to documentation guidelines. Apply CMS and other payer constraints to final code and documentation determination. Demonstrated experience in the application of medical terminology, anatomy and physiology or successful completion of related college course. Demonstrated experience in a physician/professional billing environment. Demonstrated experience with third party payer guidelines. Experience with Microsoft Office Suite (Excel, Word, Power Point) or successful completion of related course. Must show proficiency in current billing software within six (6) months.
Apply to: https://reliantmedicalgroup.org/careers/
Practice Administrator - Brigham and Women’s Health Care Center, Pembroke, MA
Brigham and Women's Harbor Medical Associates is part of the Brigham and Women's Physicians Organization and is a multispecialty, primary care practice with more than 65 physicians in our several offices on the South Shore.
You will find our practice culture stimulating and rewarding. We value all our employees and offer comprehensive benefits. We are affiliated with Brigham and Women's Hospital, Dana-Farber/Brigham and Women's Cancer Center and South Shore Hospital.
Opening September 3, 2019, the newly constructed Brigham and Women’s Health Care Center- Pembroke is looking for a dynamic leader with a flexible entrepreneurial spirit to coach and build a high- functioning, customer-focused team in this ambulatory health care center. Each of our team members must embody a commitment to high quality patient care standards, a commitment to collaboration and teamwork, and a dedication to putting every patient first, every day. In addition to the new Pembroke location the Practice Administrator will be responsible for the overall operations of the Scituate and Hingham Primary Care Locations.
Brigham and Women’s Health Care Center- Pembroke is a non-licensed satellite owned by Brigham and Women’s Physician Organization. In addition, the position oversees the BWPO South Shore Hingham, and Scituate Primary Care Locations. The three locations comprise of approximately 100-125 fulltime and part time staff across multiple practices. The Practice Administrator is responsible for the administrative and clinical operations of the centers, with direct supervisory responsibility for the practice Managers and RN Flow Manager (The RN Flow Manager will have a dotted-line to the Ambulatory Nursing Director) and is responsible for all staff at the Center. All staff is employed by BWPO.
The Practice Administrator will serve as the primary contact for clinical and administrative operations at BWPO’s Pembroke, Hingham and Scituate sites. He or she will participate in the BWPO Pembroke planning process. The Practice Administrator will participate in the move of the current Pembroke and Hanover offices to the new Pembroke location. The Practice Administrator is responsible for the ramping up and stabilization of the new Pembroke location as well as the Hingham location that opened January 2, 2019. The Practice Administrator will take ownership of the sites’ operating budget including resolving administrative and financial issues relating to all clinical operations; and leading the implementation of BWPO’s clinical and non-clinical processes to ensure an integrated, high quality patient experience. Working in partnership with Director of Operations, the Practice Administrator is the “face of Pembroke, Scituate, and Hingham” in the community, ensuring that the Brigham Health mission of improving the health and wellness of the global and local community is embodied at each practice site.
For a complete job description and to apply online: https://partners.taleo.net/careersection/jobdetail.ftl?job=3086220&lang=en#.XQO710LSZZQ.email
Brigham and Women’s Physicians Organization is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, creed, sex, sexual orientation, gender identity, national origin, ancestry, age, veteran status, disability unrelated to job requirements, genetic information, military service, or other protected status.
Job Title: Administrator
General Summary: Ob/Gyn practice on the South Shore is seeking an administrator that will be responsible for successfully managing and operating medical practice involving all sites. Provides staff with the resources required to meet patient needs and meet the financial objectives of the group practice. Reports directly to practice partners.
Primary Job Responsibilities:
Education: Master’s degree in health care administration, health administration
Experience: Minimum 5 years executive-level experience including five years of experience in the administration of a health care organization.
Any interested candidates should send resumes to: email@example.com
Perfusionist - Cardiovascular Surgery
Will be responsible for:
To qualify, you must have:
Boston Children’s Hospital offers competitive compensation and unmatched benefits, including an affordable health, vision and dental insurance, generous levels of time off, 403(b) retirement savings plan, cash-value pension plan, tuition reimbursement, and discounted rates on T-passes (50% off). Discover your best.
Boston Children’s Hospital is an Equal Opportunity / Affirmative Action Employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identity, protected veteran status or disability.
Medical Billing Coordinator
Crown Colony Pediatrics Quincy, MA is seeking a Medical Billing Coordinator who will be responsible for planning, organizing and coordinating daily billing operations to ensure quality patient financial services for both the medical and behavioral health claims in collaboration with the Practice Administrator.
Responsibilities include providing administrative, clerical services, coding, billing, collection of payments and input into process improvement.
• Management of the accounts receivable process and follow-up management of accounts in EPIC work queues.
• Ensure accuracy of detail and documentation of work done. This includes reviewing and correcting of claims for accuracy.
• Provide coding, billing and collection services on a daily basis to ensure the accuracy within the EMR system.
• Assist patients with billing issues and problem resolution
• Follow up on all pended claims. This includes calling the insurance company, document the findings and gather and send the necessary documentation to process or appeal the claims.
• Review EOBs to ensure accuracy and completeness of claims billing for the maximum reimbursement
• Perform billing functions and extensive knowledge in claims generation, charge review, denial management, and appeals processes
• Tracks, completes and manages the provider enrollment and credentialing process ensuring that all the appropriate paperwork is completed and sent to the appropriate hospitals and payers. Incorporates a tracking system in order to meet deadlines and ensure all appropriate documentation is in place.
• Review assigned accounts, expected payments, and follow up on outstanding payments beyond expected payment cycle
• Communicate with physicians, management team, and staff and outside facilities in a courteous, professional, and helpful manner. Communicates in an accurate and clear manner to share pertinent information that is concise in both written and verbal information.
• Provide professional services by assisting internal and external customers, answering questions, and emailing
• Monitor and assist with the referral process
• Assigned special projects that include producing monthly financial reports and visit reports
• Covers for the front desk sporadically
• Perform other related duties as assigned or requested
• High School Diploma required
• 3-5 years’ experience in Medical Billing required
• Thorough knowledge of Physician third party billing, collections and reimbursements required
• Knowledge of Pediatrics or General Primary Care preferred
• EPIC knowledge preferred
• Excellent organizational skills
• Ability to communicate at all levels
• Strong PC skills
• Qualified candidate must excel in interpersonal communication and customer service and be able to work both independently and as part of a team
• This includes the ability to professionally and diplomatically discuss difficult topics while promoting the company's position
• Must excel in organization and attention to detail
• Must have the ability to problem solve to logical conclusion and demonstrate initiative and responsibility
• Must have good listening skills, and be able to effectively and clearly communicate (written and verbal) in English
• Must possess sufficient dexterity to perform the essential responsibilities.
ENVIRONMENTAL/WORKING CONDITIONS: Work is performed in a medical practice environment. Involves frequent contact with staff and the public. Work may be stressful at times. Contact may involve dealing with angry or upset people.
PHYSICIAL/MENTAL DEMANDS: Work requires hand dexterity for office machine operation, stooping and bending to files and supplies, mobility to move charts, or sitting for extended periods of time. Must possess visual and auditory acuity in order to communicate with co-workers, patients and other customer groups. Possible exposure to chemical hazards, but is not limited to toxic hazardous substances. Must be able to lift up to 25 lbs.
Any interested candidates should send resumes to firstname.lastname@example.org
Project Manager - Massachusetts General Hospital
The MGH/MGPO Practice Improvement Division is charged with optimizing and standardizing operations for MGH/MGPO ambulatory practices. Ambulatory Management provides consulting and practice support to the ambulatory practices of the MGH/MGPO and is charged with supporting ambulatory practices in improving operation, business and administrative outcomes. The Ambulatory Management Office partners with the Center for Ambulatory Services and Office of Patient Experience to set and communicate standards and best practices for ambulatory operations.
Within the Ambulatory Management Office there are three groups; Practice and Project Management (PPM), Data & Infrastructure, and Training & Communications. The incumbent will rotate into the three groups to be given the opportunity to develop skills and abilities applicable to all aspects of the Ambulatory Management Office strategy.
Reporting to the Program Manager of PPM, the Project Manager will support the core function of the PPM team in standardizing and optimizing ambulatory workflows using innovative protocols for increasing patient access, improving the patient experience, and leveraging technology for ambulatory care. The focus will be on the MGH/MGPO and patient expectations for operations and services and to connect practices with the resources available to improve operations and efficiency.
This position requires excellent judgment, communication skills, and the ability to prioritize multiple concurrent projects and work effectively within a matrixed organization. Also required are exceptional organizational skills, including effectively develop work plans, meeting deadlines and managing multiple complex projects within a fast-paced, changing environment. The incumbent will work independently and collaboratively to produce consistent, high-quality outcomes seeking advice as needed.
Market Operations Manager - Metrowest/Framingham, MA
Helping people feel better isn’t just about the treatment we give – the relationships we create and the compassion we share are just as important. We build our teams at Tenet Healthcare with a special kind of person. People who care, inspire and believe in our shared ability to help others.
Tenet Physicians Resources, the practice management division of Tenet Healthcare, has an immediate need for an area Manager, Market Operations in the Metrowest/Framingham market.
The Manager, Market Operations (MOM) for the employed physician practices in the Metrowest market will conduct daily interactions in a way that demonstrates a positive organizational attitude and effectiveness and models the organization’s Mission, Vision and Values.
MOM’s are area managers, who manage and direct activities in the Metrowest market Physician Practices including physician human resources requirements, customer service, customer satisfaction, financials, Meaningful Use attestations, business information systems, practice profile analysis, and compliance with regulatory bodies.
• Bachelor’s degree or related equivalent experience in health care or business administration.
• Three years practice management experience in a large multi-specialty group of physicians that included management responsibility of all operational areas including finance. Multi site management experience strongly preferred
• Proficiency in Microsoft Office and EMR’s
• Strong leadership skills and understanding of group processes, teamwork, and site/cost center based management
• Knowledge of third party payers
• Strong communication skills at all levels, including provider relations
• Ability to take initiative and exercise independent judgment, decision-making, and problem solving expertise
Practice Administrator - Martha Eliot Health Center
Posted March 15, 2019
At BCH, success is measured in patients treated, parents comforted and teams taught. It’s in discoveries made, processes perfected, and technology advanced. Also, in major medical breakthroughs and small acts of kindness and in colleagues who have your back and patients who have your heart. As a teaching hospital of Harvard Medical School, our reach is global and our impact is profound. Join our acclaimed Martha Eliot Health Center and discover how your talents can change lives.
The Practice Administrator will be responsible for:
To qualify, you must have:
This position is eligible for an Employee Referral Bonus.
BCH offers competitive compensation and unmatched benefits, including affordable health, vision and dental insurance, generous levels of time off, 403(b) Retirement Savings plan, Pension, Tuition Reimbursement and discounted rates on T-passes
BCH is an Equal Opportunity / Affirmative Action Employer. Qualified applicants will receive consideration for employment without regard to their race, color, religion, national origin, sex, sexual orientation, gender identity, protected veteran status or disability
Regional Director of Operations - Primary Care - Cambridge Health Alliance
Posted January 29, 2019
Job Details: The Regional Director of Operations (RDO) is responsible for the overall operations, program development, patient/customer growth and provider retention of four or more primary care locations.
Responsibilities: Overall accountability for financial performance, service quality, staff oversight, patient experience and quality of care. Additionally, the RDO will provide support and direction for resolution of issues which impact multiple locations e.g. on call systems. Supervises all site leaders and provides support to the staff in the provision of the highest quality patient care delivered in a compassionate, culturally sensitive, efficient, and cost-effective manner. Responsible to assess and respond to the needs of the community. Leads and encourages innovation and initiates and leads quality improvement projects. Accountable for budget and financial performance. Responsible for ensuring promotion of professional development in all those under his/her supervision. Promotes a professional image by contributing to an atmosphere of respectfulness to patients, their families, members of the staff and other customers. Committed to the development of staff to reach their fullest potential. Serve as a mentor and coach. Responsible for maintaining and enhancing an exemplar culture of engagement within their region. Partner with other leaders in Primary Care and elsewhere to inculcate a similar culture throughout Primary Care.
Qualifications: Minimum of five years experience in a leadership role in large or multiple ambulatory practices preferred. Experience in primary care preferred. Master's degree (MBA, MHA or equivalent) required.
Posted January 17, 2019
University Gastroenterology (UGI), located in Providence, Rhode Island, seeks to recruit a new Chief Operating Officer (COO) who will lead the operations of the organization, drive continued growth and profitability and grow shareholder value. This role represents an exciting opportunity to provide operational leadership to a highly-regarded group of providers that comprises the largest gastroenterology medical group in the state. The COO will have a major impact serving as the most senior non-physician executive, contributing to the strategic, operational and clinical missions of the organization, while supporting the continued development of a high-quality program of clinical care that is a regional market leader.
UGI is a 26-physician single specialty group in Rhode Island with four major campuses. The group has 15 satellite offices and provides inpatient consultative services at several hospitals in the area. University Gastroenterology’s doctors are regionally recognized for their expertise in general gastroenterology, inflammatory bowel disease, liver disease, and therapeutic endoscopy.
Partnering with the newly elected President, the COO will play a major role in UGI’s ongoing expansion and building upon an already impressive reputation. Ideal candidates will have excellent physician relationship skills and an outstanding track record of leading a healthcare service business with a focus on operational excellence, patient experience and driving a positive, professional culture. Physician practice management experience highly preferred.
An attractive compensation package comprised of base salary, annual performance bonus, full benefits, and relocation assistance, if necessary, has been created to attract outstanding candidates. Bachelor’s degree in Business or Healthcare required; Master’s degree in healthcare administration or MBA preferred.
For consideration apply directly to:
Recruiter, Healthcare Services
T: (404) 253-7363
Posted January 9, 2019
This is a key strategic and tactical financial management position responsible for serving the market's administrative and physician leadership through the provision of advice, guidance, intellectual financial and business "know how". The position is part of the Executive Management team in Massachusetts and will provide support to the Sr. Director of Operations, Market Operations Managers, Physicians and Central Business Office of the Medical Group. The Director of Finance Operations position is responsible for the direct oversight and leadership of Finance, Capitated Managed Medicaid Incentive Programs, Due Diligence, Credentialing and Revenue Cycle Management functions associated with employed physicians and mid-level providers within the Massachusetts Market. The Director of Finance will provide leadership and guidance to a professional team supporting Accounts Payable, Cash/Treasury and Central Business Office. The position is responsible for interacting with market, region and home office finance and operations leadership in developing and maintaining sound financial systems and structures to ensure a profitable practice.
1. Adheres to and supports the mission, purpose, philosophy, objectives, policies, and procedures of Tenet.
2. Adheres to the Tenet HIPAA Compliance Plan and the Privacy Standards Confidentiality Agreement.
3. Demonstrates support for the Tenet Corporate Compliance Program by being knowledgeable of compliance responsibilities as expressed in the Code of Conduct; adhering to federal and state laws, rules, regulations, and corporate policies and procedures policies that affect his/her specific job functions/responsibilities; and reporting compliance issues/concerns in a timely and appropriate manner.
4. Provides technical support for matters associated with budgets, targets, revenue recognition, compliance with GAAP, policies, procedures and guidelines.
5. Provides advice/guidance for decision-making that is in line with the overall strategic goals of the organization.
6. Supports the region on financial and operational management projections, reporting, budgetary controls, planning, and analysis as well as improvement initiatives.
7. Exhibits exemplary customer service skills. Provides analysis and solutions of business problems.
8. Continually educating the Market Operations Directors, Managers and Practice Managers on financial issues and budget control techniques; excellent communication skills.
9. Facilitate and coordinate ideas for development of strategies for revenue and expense improvements required to fulfill the goals and objectives of each practice entity.
10. Provide technical expertise to proactively drive and implement best practices across the finance and accounting functions.
11. Provide leadership and guidance to finance, accounting and revenue cycle management staff related to hiring and training of the staff, annual performance evaluations, and organizing and leading the region.
12. Participate in Monthly Operations Reviews with TPR and Region senior leadership.
13. Provide finance and operations support for practice acquisition and De novo practices.
14. Assist with development and communication of annual manpower plan and budgets.
15. Lead various meetings with physicians, practice operations, revenue cycle management and TPR leadership. Responsible for working with practice leadership to identify opportunities for improving EBITDA and cash flows.
16. Participate in physician on-boarding activities related to Finance. Educate practice management on utilization of MSO chart of accounts, reviewing / understanding practice financials and various operational Finance activities (e.g.: daily cash and charge reconciliations and proper controls related to change funds).
17. Provide oversight of market finance/accounting professionals to ensure timely and accurate completion of:
· monthly, quarterly and annual physician financial accounting (accrual-based) reports
· month end financial statements
· journal entry review
· financial statement variance analysis
· contractual and bad debt reserve analysis
· balance sheet reconciliations in accordance with Company policy with no reconciling items greater than 30 days
· cost allocations within the practice financials
· quarterly forecasts and annual budgets
· monthly physician contractual reporting including salary adjustment and productivity calculations
· Bachelor's degree in Finance or Accounting required. Master's degree preferred.
· 10+ years of progressive management level experience in Finance, Accounting or Audit field required. Preferred progressive practical finance experience in an academic or large group practice and/or Fortune 500 experience a plus. Sound experience and background in GAAP, internal accounting controls, research/grant accounting and patient care regulatory environment. The successful candidate will also have demonstrated leadership and supervisory abilities, including a commitment to diversity and inclusion and the ability to build effective teams.
· Knowledge, Skills & Abilities: Knowledge of Generally Accepted Accounting Principles. Ability to effectively and professionally communicate, both in writing and verbally, with physicians, management, vendors, consultants and other clients. Strong ability to work under pressure and meet tight deadlines. Strong analytical problem solving aptitude with creative solutions. Ability to organize work with large amounts of information efficiently, manage multiple projects and deadlines simultaneously with attention to detail in a fast-paced and results-oriented environment. Must be computer literate with proficiency in Microsoft Outlook, Excel, Word and other accounting software packages. Experience with Microsoft Access is preferred.
· CPA preferred.