Supervisor PFS-Accounts Receivable

SUMMARY:

Under general direction of the PFS Manager, the Supervisor of Patient Financial Services assists in the day-to-day activities of Patient Financial Services denials and follow-up team.  Organizes, directs, and controls follow up activities for Lifespan and affiliates for physician claims (inpatient and outpatient) for all insurance payers.  Assists in identifying opportunities and implementing change within department guidelines, system enhancements and payer contracts, resulting in the improvement of the accounts receivable cash flow and denial reduction.

ESSENTIAL FUNCTIONS:

• Consistently applies the corporate values of respect, honesty, and fairness and the constant pursuit of excellence in improving the health status of the people of the region through the provision of customer-friendly, geographically accessible and high-value services within the environment of a comprehensive integrated academic health system.  Is responsible for knowing and acting in accordance with the principles of the Lifespan Corporate Compliance Program and Code of Conduct.
• Assists Manager in the effective utilization of resources (people, financial, material and equipment) and overall budget monitoring to meet established operation and financial goals and objectives.  In conjunction with the Manager, establishes priorities to ensure activities support established goals.
• Directs and evaluates support staff, provides guidance and counsel.  Orients new staff, assigns work and establishes priorities.  Establishes annual performance objectives for staff, conducts periodic performance reviews and recommends pay actions.
• Develops and communicates standards and expectation for staff performance.  Provides direction in day-to-day- operations, implements approved follow up procedures, monitoring the quality of work performed by staff, ensuring services are provided in accordance with established procedures and carried out in prompt and courteous manner to meet/exceed customer service standards.  Ensures staff is apprised of changes in policies and procedures that relate to area of responsibility, ensuring adherence to same.  As appropriate, recommends corrective action to Manager and Director, up to and including termination.
• Ensures all procedures are compliant with applicable Federal and State regulations.  Initiates requests for system updates as appropriate to comply with such regulation and payer requirements.
• Functions as key resource to staff in resolving complex issues.  Assigns work, ensuring equitable distribution of same by maintaining related productivity reports and monitoring assigned work queues.  Serves as expert resource for questions that need to be escalated because of complexity, payer issue or customer complaints and concerns.
• Develops and maintains process documentation and tip sheets.  Provides/coordinates initial training of new staff in activities related to systems utilized by department.  Identifies training needs through observation of staff, work output, customer feedback and develops action plan.  Obtains approval of Manager or Director, implements and assesses effectiveness accordingly.
• Maintains issues logs for individual payers as appropriate.  Meets with internal/external representatives (e.g. third-party payers and Lifespan departments) to discuss and resolve claim and denial issues, changes in process and the like.  Monitors payer contracts within area of responsibility to identify, communicate and resolve claims adjudication issues.  Within level of authority extended by management, authorizes adjustments in accordance with department policy.
• Provides support to Manager in compiling documentation needed to respond to internal and external audits.
• Assist Manager in compiling and developing reports of various statistics needed for follow up activities.  Analyzes and monitors receivable data to report status, trends and variances.  Monitor revenue cycle for potential opportunities, risks, delays and initiates action to resolve.
• Regularly conducts individual and group meetings for department.  Documents payroll for subordinate staff when needed.  Maintains vacation schedules and authorizes time off for staff when needed. Adjusts coverage for vacation time and breaks as workflows fluctuate
• Attends/conducts meetings in the Manager’s absence
• Maintains up to date knowledge of changes in regulations that impact claims administration activities.
• Performs other duties as necessary

BASIC KNOWLEDGE:

Associate’s Degree with knowledge of medical business office practices, human resource management/training, proficient in medical systems and additional training or experience in healthcare billing/coding.  Demonstrated knowledge of third party healthcare reimbursement regulations.  Ability to think critically, have strong analytical skills with proficiency in Microsoft Excel.  Report writing experience is helpful as is billing or coding certificate.

Experience:

Three to five years supervisory experience in patient accounting.  Experience should demonstrate thorough knowledge of claims administration in similarly complex healthcare organization, as well as revenue cycle knowledge with effective communication, organizational, human resource and leadership skills.  Must be familiar with ICD 10 CPT-4 coding, HCPCS, HCFA 1500 claims administration.

INDEPENDENT ACTION:

Functions independently within departmental policies and practices.  Must be able to work independently in a manner to achieve goals, objective and productivity requirements.  Refers unresolved complex issues to Manager or Director where clarification of department policies and procedures may be required.

SUPERVISOR REESPONSIBILITIES:

Supervision for up to 25 FTE’s.

Please forward application and cover letters to:

Edmond Clark

Human Resources Recruiter, Lifespan

eclark4@lifespan.org

Posted 9-27-21

Practice Supervisor

PORTER PEDIATRICS COMPREHENSIVE PEDIATRIC HEALTH CARE.PC  Boston, MA

We are seeking a very experienced, mature and extremely reliable Practice Supervisor who has the expertise to work in a Pediatric environment providing front office operation expertise. You need to possess excellent computer, communication and customer service skills which are necessary to excel in this position. You must possess the ability to work in a team environment. Office hour shifts run from between 8 a.m. and 5 p.m. 

The position is full time and we can offer competitive salary and benefits. Bachelor’s Degree in related field or four or more years of management level experience in a medical practice - and/or an equivalent combination of education and experience. Candidates with an association with MGMA (Medical Group Management Association) are desired.

Apply today: https://www.linkedin.com/jobs/view/2724648546

Posted 9-23-21

System Chief Nursing Officer

St. Lawrence Health System      

Potsdam, NY

Avoca Search is proud to partner with St. Lawrence Health System in beautiful upstate New York to recruit for the position of System Chief Nursing Officer. This key member of the senior management team reports to the System President and is responsible for the strategic direction for nursing practice, clinical nursing education and nursing leadership across St. Lawrence Health System. The CNO participates in the planning and implementation of programs and services to ensure the provision of high quality, safe patient care, service excellence, fiscal responsibility, and employee engagement.

The CNO also serves as chief nursing executive for Canton-Potsdam Hospital and the chief nursing executives of Gouverneur and Massena hospitals report directly to this CNO.  Departments reporting to the CNO include critical care and med/surg, emergency department, obstetrics, observation, surgical services, trauma, quality/performance improvement, patient safety, pharmacy, infection prevention, and nursing education.

Ideal candidates will have ten years of progressive healthcare nursing leadership experience; experience working as a leader in a highly unionized labor management environment a plus. Demonstrated experience in raising and maintaining high levels of patient satisfaction and quality scores. Excellent team leadership, strong interpersonal skills, and proven ability to partner with system executives. Strategic thinker with strong execution, excellent communication skills, and established track record.

Candidates will also have a Bachelor’s Degree in nursing with Master’s Degree preferred; a current and valid NY state RN license or ability to acquire; and advanced knowledge of professional nursing practice in an executive or specialty practice area as evidenced through certification such as CENP, NEA-BC, FACHE, etc. or ability to attain with 18 months of hire.

St. Lawrence Health System (SLH) is the largest employer in St. Lawrence County with more than 2,025 employees, 195 full-time medical staff members and annual net operating revenues of $225 million. SLH governs Canton-Potsdam Hospital, Gouverneur Hospital, and Massena Hospital. Along with these three hospitals, primary care offices and specialty care practices are located throughout St. Lawrence County.

 

SLH is in northern, upstate NY in Potsdam in St. Lawrence County, along the Raquette River and near the northern foothills of the Adirondack Mountains. There are four colleges within a 10-mile radius as well as beautiful parks, restaurants and cafes. Potsdam is one of the oldest towns in New York and has a small-town, suburban feel and is an ideal community to call home.

Please forward all confidential resumes, inquiries or nominations to:

Kim Ratier

Senior Consultant

Avoca Search

kratier@avocasearch.com

Posted 7-6-21

EXECUTIVE DIRECTOR/Excel Orthopaedic Specialists

If you are an experienced medical practice executive with strong financial and accounting skills looking to make a positive impact on patients, employees, and physicians, we want to talk to you!

The ideal candidate has proven experience with budgeting, financial management, ability to build a consensus utilizing open, neutral, factual communication with a collaborative leadership style. 

At Excel Orthopaedic Specialists, our mission is simple: to provide the very best in medical services for those who come to us with orthopaedic problems and injuries, and to treat each patient like a family member.  Located North of Boston, Excel Orthopaedic Specialists is an orthopaedic surgery practice consisting of nine orthopaedic surgeons, one podiatrist and five physician assistants and highly skilled physical and occupational therapists. The Excel team also includes 132, dedicated and talented team members.    

KEY DUTIES & RESPONSIBILITIES

• Reporting to the Physician Shareholders, the Executive Director role encompasses all of the responsibilities traditionally associated with a medical group executive.
• Six managers directly reporting to Executive Director
• Develop annual budgets and manage the variables that contribute to strong financial performance.
• Analyze the practice’s financial performance and champion opportunities for improvement.
• Successfully navigate matrix-management relationships
• Monitor and manage all aspects of the practice’s operations as a means of continuously improving the patient experience and ensuring every patient encounter is a positive one.
• Work in concert with managers and staff to ensure operational efficiencies, optimal billing and collections practices, and activities related to administration, patient satisfaction, personnel management, facilities, effective marketing, medical records, human resources, and regulatory compliance.
• Meet with physician shareholders regularly to review and discuss financials, reimbursement trends, quality metrics and strategic plan.
• Assist with development and implementation of a robust marketing plan to expand market share and increase therapy locations.
• Lead in a collaborative manner that promotes teamwork and a positive environment while treating patient care as a priority.
• Coach and mentor staff by example and through clear, effective communication, regular meetings, annual performance reviews and progressive discipline when indicated.
• Manage physician recruitment in collaboration with physician shareholders.

ESSENTIAL QUALITIES

• Excellent judgement understands what s/he does not know and what questions to ask to reach well informed decisions while minimizing risk.
• Collaborative style, with the ability to build a consensus that moves teams forward.
• Treats patient care as a priority.
• Confident, self-motivated, flexible, deals well with ambiguity and does not require positional authority to get things done.
• Clear and effective communicator in writing and verbally.
• Absolute and unquestionable integrity.

EDUCATION/EXPERIENCE

• Master’s degree required, preferably in Health or Business Administration.
• Five years’ experience in a surgical practice required.
• Experience in health care administration roles demonstrating increasing responsibilities, preferred.
• Demonstrated experience involving, fiscal and operational management of clinics and ancillaries.
• Experience with eClinical Works EPM and EHR a plus.
• Strong skills with Microsoft Office products and other management tools and software required.
• Experience with QuickBooks Online Accounting Software, is a plus.

BENEFITS

• The salary for this position commiserates with experience. Excel Orthopaedic Specialists cares about our employees and offers a generous benefits package including Health, Dental & Vision insurance, Paid Time Off, 401K plan and Profit Sharing. 

If this opportunity sounds like a good fit for you, please send your resume with a detailed cover letter describing why you are the best candidate for the position. Resumes without a cover letter will not be considered. We are looking for specific achievements and accomplishments that demonstrate you meet the criteria.

We check references and perform background and credit checks on qualified candidates.

Excel Orthopaedic Specialists is proud to be an equal opportunity employer. We are committed to creating an inclusive environment, and we welcome and encourage people of all backgrounds, perspectives, experiences, and skills to apply.

All employment decisions are based on business needs, job requirements and individual qualifications, without regard to race, color, religion or belief, national, social or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.

Submit your resume and cover letters to information@karenzupko.com

Posted 7-6-21

mailto:eclark4@lifespan.org