Practice Administrator/Practice Manager
6 days ago
POSITION SUMMARY:
The Practice Administrator II is a member of Somnia’s leadership team and works directly with the Associate Vice President – Practice Administration, collaborating with the rest of the Practice Administration Team. He/she is responsible for supporting the hospital leadership at St. Joseph’s Medical Center in Stockton, CA and the San Joaquin General Hospital in French Camp, CA. The Practice Administrator II will work with Somnia’s executive management team as well as local hospital leadership. Strong interpersonal, organizational and time management skills are a must.
RESPONSIBILITIES:
Revenue Cycle Management
- Follow standard chart batching and scanning process according to Somnia’s billing partner’s policies and procedures.
- Work with hospital, Somnia and billing company to scan directly to pertinent imaging system.
- Submit 100% of charts within 3 business days.
- Complete or appropriately train support staff to thoroughly scrub charts for all the pertinent pieces of information related to the service provided
- Lead discussions to establish interfaces between the hospital and billing partner to include clinical documentation, billing interface and demographic interface
- Maintain 100% accurate case logs and enter information into the Admin Database (SIMs) within 3 business days of DOS.Reconciliation within 1 week of email notice when discrepancies with billing case log are identified.
- Assist to ensure enrollment of new clinicians with payers prior to start date.
- Review billing IR log daily.Keep IR list to less than 7% of monthly case volume. Address pending items within 48 business hours.
- Insurance Conversions – work with billing partner and VP of Patient Revenue to determine a site-specific process for following up on self-pay accounts.
- Billing coding /compliance – establish and maintain quarterly audit review meeting with billing partner and VP of Patient Revenue and Corporate Compliance Office
Operations
- Complete HIPAA Compliance Officer training and distribute annual and/or updated compliance and HIPAA materials to providers. Obtain and track acknowledgement forms.
- Maintain up to date, complete and accurate monthly reporting - Hospital Account Review Report
- Maintain all required information on the Somnia Intranet including FTE model, clinician contact list, presentations, educational pieces, staff meeting minutes and other materials as needed.
- Maintain all work on network drive. Migrate any locally saved work to Somnia Intranet or network folder
- Ensure education, utilization, and audit of Somnia standard forms (work with EMR development where applicable).If standard forms cannot be implemented or incorporated into EMR system responsible for alerting VP of Operations and VP of Patient Revenue
- Clinician Support Tasks – implement TLO for time keeping system (ADP), submit payroll data, fully integrate QGenda scheduling system, and create and follow standard process for when a clinician leaves your group.
- Credentialing and Enrollment Support – be point person for collecting and distributing provider information for initial and re-credentialing process, lead the onboarding process for assigned clinicians, and support recruitment efforts
- Complete Somnia University modules as assigned and participate in the development of content when requested.
- Create non-clinical policies where required/requested and ensure annual review and update of said policies and procedures.
Quality
- Provide support to ensure a positive and supportive working relationship with the hospital quality department, including periodic visits and emails to ensure that we are meeting the goals and expectations of the hospital. Communicate any issues to Somnia’s Quality Department
- Facilitate and support improvements in conducting periodic clinical practice audits and maintaining accurate records/reporting
- Ensure completion of at least 1 cost savings project annually
- Formally Document on-going process improvement projects
- Ensure timely completion of F/OPPEs
- Review hospital SCIP (surgical care improvement project) data with chief and staff, if applicable
- Ensure OB epidural tracking times are reported and either captured locally or sent to billing partner.
- Facilitate and support improvements in patient satisfaction, especially with OB patient satisfaction, i.e. patient education, tablet e-survey roll-out, etc.
- Conduct annual surgeon satisfaction survey to obtain feedback from > 30% of surgeons (or more frequently if required by contract)
- Support annual nursing satisfaction survey, if applicable
- Develop, implement, and audit action items based on patient, surgeon, and nursing satisfaction survey results.
- Respond timely to requests for information / data collection for creation of quarterly, annual, and ad-hoc client reports.
- Implement, maintain, and make available an up-to-date policy and procedure manual
- Facilitate and support improvements in incident reporting rates.
- Maintain complete, accurate, and timely QM database entries.
- If the site does not already have readily available and accurate Periop/OR data on the traditional KPI metrics, facilitate and support a process to either implement a new electronic tracking process or one by hardcopy form.
- Support and facilitate the regular presentation and discussion of compliance and quality related data and issues during staff meetings, etc.
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