Administrator/director of Operations Medical

2 weeks ago

Rockville, United States Medical Practice - Nephrology Full time

The responsibilities include oversight of operations, facilities management, revenue cycle activities and various programs in conjunction with the Executive Director. This role assists in planning and executing initiatives to solve problems with goals of improving efficiency, accuracy, effectiveness and increasing collections.

This role reports to the Executive Director; and depending on the project, the work may be individual or part of a team.

**Operations**
- Examines internal operations and identifies gaps. Provides best practices for workflow, efficiency, cost containment and attainment of goals
- Performs Unannounced visits at each sub-practice location. Assists with goal setting and achievement per office.
- Assists with writing the Operations Manual and updates.
- Collaborates in writing additional policies and procedures as needed
- HIPAA/OSHA monitoring of each location
- Contributes to maintaining consistent standards and adherence to compliance.
- Coordinates with Executive Director on evaluating staff and processes and resolving issues as they arise to improve staff performance.

**Human Resources**
- Supports HR as needed in on-boarding new staff and management.

**Billing**
- The role is required to have detailed step-by-step knowledge of the billing process as well as the broader picture and the ability to spot trends etc. with the ultimate goal of accurate submissions and improving collections.
- Acts as back up for Dialysis Billing tasks and submission. This requires deep knowledge of the process and insurance carriers.
- Reviews and monitors Dialysis Billing submissions and collections to ensure timely and accurate collections
- Produces end of month reports and ad hoc reports as a back-up. Develops additional reports as needed.
- Oversees Acumen 2.0 Work Queues - internal and outsourced staff - for accuracy and timeliness.
- Reviews and evaluates Hospital Billing workflow and identifies areas for improvement. Collaborates with others on steps needed for goal achievement.
- Participates in RCM Meetings and provides feedback to improve outcomes.
- Performs analysis on payer payments to ensure reimbursement is in accordance with allowable amounts.
- Writes and updates a Billing Manual.

**Contracting**
- Insurance Contracting with various commercial payors.

**Medicare Programs**
- Supports the program as needed

**Facilities**
- Oversees repair and maintenance, tenant improvements, contractors etc.
- Participates in the new Telephone system roll-out.

**Credentialing**
- Provide credentialing assistance as needed.

**Other Duties**
- Other duties as assigned

**Skills/Experience**
- Proven relevant experience with demonstrated results.
- Healthcare operations experience preferably in a nephrology specialty.
- Experience partnering with leadership.
- Organizational and project management skills, with the ability to lead and collaborate with team members and effectively prioritize time and resources.
- Excellent communication skills across all levels of business, both written and verbal; Interpersonal skills including ability to listen effectively and communicate information clearly and professionally.
- Ability to adapt quickly to a complex work culture and develop successful professional relationships with key stakeholders.
- Willingness and ability to travel to various work sites in Maryland/DC/Virginia.
- Excellent computer skills:

- Microsoft Office
- EMR - Prior Acumen 2.0, Epic experience preferred
- Prior work with clearing house such as Waystar
- Prior work experience with insurance portals
- Prior Clinical training.
- Ability to develop and support teams and team building skills.

Pay: $65,000.00 - $95,000.00 per year

**Benefits**:

- 401(k)
- Dental insurance
- Health insurance
- Health savings account
- Paid time off
- Retirement plan
- Vision insurance

Schedule:

- 8 hour shift
- Day shift
- Monday to Friday

Ability to Relocate:

- Rockville, MD: Relocate before starting work (required)

Work Location: In person

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