PRACTICE MANAGER-PPO

Summary: Responsible for all revenue cycle functions performed in the faculty practice through collaboration and communication with physicians, staff, and billing services to ensure efficient and effective operations. Manages the staff and operations of the faculty practice, evaluating operational needs and providing recommendations to continually improve performance against budget, and standards.

• Responsible for all aspects of human resource and personnel administration of assigned non-physician staff. Interviews, selects, orients, trains, and counsels personnel. Implements and processes all Human Resource changes and requests as necessary. Assists and orients new physicians as needed.
• Responsible for all aspects of practice revenue cycle management in accordance with established PPO policies and procedures. Manages daily revenue cycle activities to ensure accurate recording of all financial transactions and compliance with Faculty Practice standards, policies and procedures.
• Specific activities include, but are not limited to: scheduling, registration, insurance authorization, coding, charge entry, cash applications, cash reconciliations, paper claims submission, and edit reporting. Collaborates with the Director of Reimbursement in reviewing fee schedules, ICD-9 codes and CPT codes. Implements changes in coding and fees as necessary.

Requirements:

3-5 years of experience ***

Bachelor's Degree required; Master's Degree preferred in areas of Business Administration, Healthcare Administration, and/or other related fields.