FirstHealth of the Carolinas, Inc. • Troy, NC 27371
Job #2817559165
Position Summary:
Travel to all onsite clinics and report to OH Program Manager.,
Frequent
interruptions,
multiple
deadlines
from
multiple
sources.
Fast paced
Manages operating and capital budget expenditures and effectively corrects discrepancies
in a
timely
fashion.
Ensures accreditation standards,
licensing
and regulatory requirements for NHSC, CLIA, OSHA, Radiation Protection, HIPAA, OIG, and
others
as
required
by
Federal or
State
statues
and
as
applicable
to
that
specific
clinic
site.
Develops, recommends, and implements policies and procedures for the clinic in
conjunction with all FHPG with supervision, assistance, and monitoring from clinic
administration.
Hires, trains, counsels, coaches, and supervises staff with
assistance
from FH Human
Resource
department
and FHC
associated guidelines
and policies.
Resolves patient complaints/concerns and reports appropriately to clinic administrators
and
FH
MRH
Risk
Management;
identifies
those
areas
where
processes
could
be
changed
to
assist
in
preventing
on-going
complaints
of this nature;
corrects
and monitors.
Implements,
monitors
and
improves
effective
reimbursement
procedures,
including
CPT
and ICD-10 coding, in compliance with established
third party
billing regulations,
federal,
state, commercial.
Supports all administrative efforts regarding FHPG Compliance Plan, its implementation
and ongoing maintenance.
Maintenance is defined as staff education, audits, and pre and
post
testing
were applicable.
Manages assigned work queues and in-baskets in Epic.
Monitors errors and applies
corrections
through
education
of staff,
etc. where needed.
Collaborates
with
Central
Billing
Office
regarding
accounts,
outstanding
balances,
financial
planning, and
collections.
Monitors all operational processes throughout the clinic,
identifying
negative trends,
patterns, and patient quality care issues; implements
appropriate correction
documentation,
and
follow-up
monitoring
Utilizes
PDCA
when
appropriate
Monitors and coordinates the correct,
accurate
collection of co-pays and any
over the
counter
payments,
end of day
balancing, and deposit functions, meeting compliance
standards.
Facilitates clinic growth through
efficiencies
and easy effective access while reducing
wait
times and
no show
situations.
Responsibilities:
Financial/analytical skills. Excellent verbal and written skills. Excellent customer service skills. Extensive knowledge of insurance rules, including but not limited to reimbursement, third party payers, pre-certification, ICD-10 and CPT coding. Ability to lead others. Maintain strict confidentiality of medical, financial, and staff related information. Able to perform several tasks at once in an organized manner. Extensive knowledge of various medical software systems.
Strong organizational and people skills. Strong sense of Customer Service
Qualifications:
Minimum of four years’ experience in physician practice including supervisory responsibilities. Prefer at least 3 years of clinical experience Occupational Health or Convenient Care.
Graduate of accredited school of nursing. Valid NC CMA/LP N License
Required Certifications or must obtain with 90 days or hire:
Department of Transportation (DOT) urine collector
DOT Breath Alcohol Tester
Certified Occupational Hearing Conservationist
Certified National Institute for Occupational Safety and Health Spirometry
Additional Skills:
Financial/analytical skills. Excellent verbal and written skills. Excellent customer service skills. Extensive knowledge of insurance rules, including but not limited to reimbursement, third party payers, pre-certification, ICD-10 and CPT coding. Ability to lead others. Maintain strict confidentiality of medical, financial, and staff related information. Able to perform several tasks at once in an organized manner. Extensive knowledge of various medical software systems.
Strong organizational and people skills. Strong sense of Customer Service.
Physical Requirements:
Ability to access all areas of the facility; ability to sit for long periods of time; visual and hearing acuity. Ability to travel to facilities other than main campus.
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