Practice Business Manager

Full-and Part-Time Employee Benefits

Medical, Dental, and Vision Insurance Cancer plan.

401(k) retirement plan with matching Accident plan.

Paid time off (PTO) program Critical life events plan.

Tuition and certification reimbursement Employee Assistance Program (EAP).

Group Term Life Insurance and AD&D Free parking at all locations.

Short term and Long term disability Mileage reimbursement for company travel.

Un-reimbursed medical and dependent care.

POSITION SUMMARY

The Practice Business Manager will manage the business functions and pursue opportunities for the non-hospice lines of business and develop innovative programs in conjunction with the clinical team to improve the quality of life for those facing serious illness and improve the financial health of the organization. The Practice Business Manager will work collaboratively with the clinical leaders of non-hospice service lines to ensure success of the practices and programs by promoting quality, efficiency, and fiscal viability. As the lead role for our Accountable Care Organization (ACO), the Practice Business Manager will ensure that practice is compliant with the rules and regulations of the ACO and ensure all quality data is reported and meets or exceeds standards set by the ACO.

QUALIFICATIONS

Education: Bachelor’s degree in business administration, Health Care Management or related fields. Additional experience above the minimum may substitute for the degree.

Experience: Three years minimum in running a medical practice.

Additional Experience: Competent with business computer software applications including Microsoft Word and Excel. Business development experience.

PRIMARY RESPONSIBILITIES

1. In collaboration with the CMO and Chief Financial Officer (CFO) assumes overall responsibility for the business and financial functions of the practice.
2. Ensures that complete and accurate information is collected on payment sources at patient enrollment (e.g. insurance benefits, in-network vs. out-of-network status, preauthorization requirements, patient liability, etc.)
3. Ensures that patient liability is collected prior to each visit.
4. Oversees coding, billing and collections to ensure claims and patient statements are submitted accurately and on a timely basis, and that appropriate reimbursement is received for all services rendered.
5. Collaborates with Finance Department to manage the billing process and accounts receivable.
6. Works with clinical staff to optimize billing and revenue and ensure that documentation supports services billed.
7. Collaborates with the Finance Department on the preparation and analysis of financial reports.
8. Coordinates with the Medical Staff Coordinator to ensure that all new providers are enrolled and/or credentialed with Medicare, Medicaid and other third party payors in a timely manner.
9. Coordinates with the Director of Facilities and Materials Management to ensure that new providers are added to the organization’s malpractice insurance coverage prior to providing patient care and that departing providers are removed from coverage in a timely manner.
10. Participates in the budget development process for medical practices.
11. Conducts regular financial reviews to assess the efficiency and effectiveness of clinical operations, identifying areas for cost reduction and reimbursement optimization.
12. Ensures compliance with all contractual quality, performance and/or risk-based measures.
13. Assists in the writing of grants and reporting the required data to meet grant requirements.
14. Coordinates with IT department to optimize clinical software and data systems.
15. Collaboratively works with VP of Business Development to facilitate program development and expansion of existing and new service lines.
16. Assumes the lead role in the management of our participation in the ACO
    1. Ensures they stay compliant with regulations and terms of agreement.
    2. Supports them in quality initiatives as directed by the ACO.
    3. Serves on ACO committees as assigned.
    4. Works with business development to recruit new participating providers to the ACO.
17. Engages frequently with partners to ensure successful communication and reporting of required quality data.
18. Promotes continuous improvement in patient care quality and safety.
19. Attends monthly leadership meetings and provides updates on the practice.
20. Develops and revises policies and procedures for the practices and programs.
21. Participates in quality improvement efforts and reporting.
22. Reviews and negotiates contracts with insurance companies, vendors, and facilities in collaboration with the overall organizational contracting function.
23. Coordinates with other departments to integrate clinical services across the organization.
24. Establishes and maintains partnerships with external healthcare providers and organizations.
25. Works closely and collaboratively with all organizational departments/personnel to ensure integration of the practice.
26. Leads and mentors direct reports and other employees to foster a high-performance team.
27. Assesses and responds to the evolving healthcare environment and policy changes.
28. Prepares and presents reports to the board and stakeholders on practices and programs.
29. Role model for accountability and effective communication skills.
30. Meets regularly with CMO and other organizational leaders to discuss practice and provider issues to improve efficiency, revenue, employee satisfaction and goals.
31. Oversees the accreditation process for clinical programs and services.
32. Ensures compliance with all applicable state and federal laws, regulatory standards, and organizational policies and procedures.
33. Manages departmental FTEs within established guidelines including controlling agency and overtime expenses.
34. Develops professional relationships with associates that result in a positive working environment, and increased productivity, loyalty, and commitment.
35. Actively pursues opportunities and partnerships that help the practice meet its goals and mission.
36. Approve time and attendance, and PTO records of employees, coordinate and establish employee schedules, and practice hours of operation.
37. Recommends policies, practices, and procedures to enhance cost-effective and efficient daily operations.
38. Supervises staff and provides timely feedback, including the completion of performance evaluations when they are due.
39. Maintains strict confidentiality at all times.
40. Utilizes and models excellent customer service skills at all times; seeks opportunities to assist patients, families, and co-workers; demonstrates teamwork and cooperation.
41. Accepts direction and follows instructions from supervisor; seeks additional information as needed; works with minimal supervision.
42. Adheres to all organizational and departmental policies and procedures.
43. Continually meets organizational standards for attendance and punctuality; notifies supervisor in a timely manner when employee will be absent or late for work.
44. Attends all required meetings and inservices; seeks opportunities for additional professional development activities as appropriate.

COMPETENCIES, KNOWLEDGE, SKILLS, AND ABILITIES

THIS SECTION DESCRIBES WHAT KNOWLEDGE, SKILLS AND ABILITIES AN EMPLOYEE IN THIS POSITION SHOULD CURRENTLY POSSESS. THIS LIST MAY NOT BE COMPLETE FOR ALL KNOWLEDGE, SKILLS AND ABILITIES REQUIRED FOR THIS POSITION.

1. Knowledge of the hospice concept.
2. Knowledge of multiple computer software applications.
3. Ability to communicate effectively both orally and in writing with co-workers and other customers.
4. Ability to follow basic safety policies and procedures.
5. Ability to use good judgment and to maintain confidentiality of information.
6. Ability to work as a team player.
7. Ability to demonstrate tact, resourcefulness, patience and dedication.
8. Ability to accept direction and adhere to policies and procedures.
9. Ability to work in a fast-paced environment.

This position is designated as a safety sensitive position because it performs the above listed functions while regularly working with confidential and/or proprietary Arkansas Hospice and patient information, including but not limited to patient medical records, current or former employee information, Arkansas Hospice records, and other information that the employee regularly uses to perform job functions.

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