• Clinic Manager

    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.