Coordinating Mgr - L B

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Company: NYC Health + Hospitals

Location: New York, NY 10025

Description:

NYC Health + Hospitals/Metropolitan is the community hospital of choice for residents of East Harlem, northern Manhattan, and neighboring communities. The hospital provides culturally-sensitive care in a welcoming and hospitable setting, emphasizing primary care medicine and utilizing the latest advances in medical science. Metropolitan delivers high quality health services with compassion, dignity, and respect to all, without exception. Since its founding in 1875, the hospital has been affiliated with New York Medical College, representing the oldest partnership between a hospital and a private medical school in the United States. Metropolitan is a part of the NYC Health + Hospitals, the largest municipal hospital and health care system in the country.

At NYC Health + Hospitals, our mission is to deliver high quality care health services, without exception. Every employee takes a person-centered approach that exemplifies the ICARE values (Integrity, Compassion, Accountability, Respect, and Excellence) through empathic communication and partnerships between all persons.

Work Shifts

9:00 A.M - 5:00 P.M

Job Description

SUMMARY OF DUTIES:

Under the supervision of the Administrator of Ambulatory Care Services, assures that area follows Joint Commission standards, Department of Health standards, and all regulatory agencies by taking the initiative to assist in planning, organizing, controlling and coordination of administrative and clinical operations. Aids management executives in operation of the practice and assists in supervision of a group of services. Performs administrative and managerial functions related to the operation of the department or specific patient services. Implements and coordinates new programs and projects and monitors their operations and effectiveness.

Purpose of Position:

The Practice Manager plans, controls, coordinates administrative and office operations and interprets compliance with predetermined standards for quality care in a variety of organizational settings and modalities in the delivery of business, office and management support systems. Integrates, coordinates programs, operations, functions and services with other departments and Central Office sectors to optimal levels of performance in the administration and supervision of such functional activities. Systematically approach patients by processing patients entering the practice and accomplish the following:
To clearly delegate and outline individual front desk registration responsibilities and serve as guide and reference.
To help contribute towards adequate and effective continuity of patient care by providing for sustained and efficient patient flow and productive utilization of clerical personnel.
To facilitate accurate and timely billing and reimbursement.
To enhance the patient experience and facilitate practice flow.
To augment and enhance work performance and morale of personnel in the practice.

Major Duties and Responsibilities:

Under general supervision, with some latitude for independent initiative and judgment, performs the following functions:
Greet patients in a courteous and professional manner using the AIDET and the ICARE standards
Coordinates and schedules referrals from workqueues and other Referral Systems utilized by Amb Care; works in conjunction with Referral Office for community referrals, specialty and primary care services within the hospital, and facilities with the organization. Registers patients when needed, follow and enforce registration standard flow:
Oversees and manages the Work queue for E-Consults by:
Scheduling patients and working alongside the referring Physician and their administrators for all proper documentation i.e. history and physical; prior authorizations.
Scheduling Case Request in EPIC, PAT and Financial Screening where appropriate
Reviewing Work que for Referral that can be converted to direct screening appointments. (MD confirmation)
Review status of all patients in the work que i.e. schedule to clinic or schedule for procedure
Reviewing the Depot to efficiently scheduled the patients based on available equipment and clinical criteria, where appropriate
Handles and troubleshoots patient complaints and grievances
Maintains open communication and collaboration with multidisciplinary team in the practice
Monitors and shares data for productivity Reports environmental issues
Schedules appointments for PAT/ and/ or financial clearance
Maintains close communication with HCI's and clinical team in relation to surgical procedures, authorization, and denials
Provides supervision of the front desk registration and any other administrative support staff
Assures that all registration staff registers patients accurately, and ensures proper documents are scanned
Makes changes and recommendations regarding the development and modifications of patient scheduling templates.
Does daily rounds to ensure practice is running smoothly and coordinates such with nursing and medical staff assigned to the practice.
Handles problems in practice areas in an expeditious manner.
Assists and cooperates with investigation and resolution of patient complaints through appropriate channels.
Takes all appropriate action to ensure patient confidentiality.
Monitors efficiency of services through data collection; reports findings, identifies problems, and recommends corrective action to the Department Director, Nursing Services, and Head Nurse.
Assists in the preparation of statistical data reports for patient census and related quality improvement/ regulatory monitoring activity.
Collect patient's statistical data; part verification (beginning and end of month).
Actively participates in departmental meetings/conferences, insures that appropriate information is related to practice personnel.
Works as liaison to ensure the administrative operations of the practice are in place, which includes, but is not limited to housekeeping, medical records, radiology, & Hospital Information System.
Registers patients when needed, follow and enforce registration standard flow:
Identify patients with two (2) identifiers, name and date of birth
Registers patients in Electronic Medical Record (EMR)
Prints wristbands and places on patients' wrist where necessary
Schedules appointments; creates, and submits dental claims
Submits dental claims for pre-authorization of treatment
Reviews insurance eligibility, re-directs patients if necessary
Monitor status of pre-authorization, contacts patients and schedules accordingly
Reminds patients of upcoming appointments
Handles and troubleshoots patient complaints and grievances
Maintains open communication and collaboration with multidisciplinary team in the practice
Coordinates and maintains practice schedules and template management
Communicates challenges and gaps to Practice Director and Provider manager
Reports environmental issues
Monitors referrals and / or waiting list for appointments in EMR
Participates in meetings and conferences as needed
Covers front desk registration when needed
Prepares documents for ambulatory surgery procedures
Schedules appointments for PAT/ and/ or financial clearance
Maintains close communication with HCI's and clinical team in relation to surgical procedures, authorization, and denials
Provides supervision of the front desk registration and any other administrative support staff
Provides supervision/direction on the patient intake/exit process within the assigned clinic setting. Checks accuracy/completeness of physicians schedules and ensures their conformity with established department guidelines.
Schedules patient in Scheduling System and assures that patients are being checked in and out to 100% compliant
Assures that all registration staff registers patients accurately, and ensures proper documents are scanned
Makes changes and recommendations regarding the development and modifications of patient scheduling templates.
Does daily rounds to ensure practice is running smoothly and coordinates such with nursing and medical staff assigned to the practice.
Handles problems in practice areas in an expeditious manner.
Assists and cooperates with investigation and resolution of patient complaints through appropriate channels.
Takes all appropriate action to ensure patient confidentiality.
Monitors efficiency of services through data collection; reports findings, identifies problems, and recommends corrective action to the Department Director, Nursing Services, and Head Nurse.
Assists in the preparation of statistical data reports for patient census and related quality improvement/ regulatory monitoring activity.
Collect patient's statistical data; part verification (beginning and end of month).
Actively participates in departmental meetings/conferences, insures that appropriate information is related to practice personnel.
Works as liaison to ensure the administrative operations of the practice are in place, which includes, but is not limited to housekeeping, medical records, radiology, & Hospital Information System.

OTHER RELATED DUTIES:
Answers telephones and relays messages, screens all incoming calls to the practice.
Make appointments for patient by using Scheduling System. Obtains consultation appointments for patients.
Procurement of medical and office supplies.
Prepares patient mailing when indicated.
Makes reminder calls to patients of their upcoming appointments, if needed.
Identify and report items in need of repair and follow-up on completion.
Be responsible for wearing professional attire to the workplace as well as during off-site work when conducting business on behalf of the Hospital.
Adhere to the Vision/Mission/and Value statement of Organization in all endeavors.
Meet all compliance standards/requirements such as OHS assessment, mandatory annual trainings, security awareness in-service, fire drills, etc.
Continuously assess and improve performance of the Department and facility through Performance Improvement activities by providing necessary resources and communicating such to employees.
Ensures that policies and procedures are developed, implemented, reviewed, and updated in order to ensure compliance with Joint Commission standards, Department of Health standards, and all regulatory agencies.
Performs other related duties as required for the department.

Minimum Qualifications
1. Master's degree from an accredited college or university in Public Health, Public Administration, Business Administration, Social Work, Psychology or Rehabilitation Counseling; and one (1) year of full-time experience in medically-oriented health care and medical support systems environment; or
2.Bachelor's degree from an accredited college or university in disciplines listed in "1" above; and two(2)years of full-time experience in medically-oriented health care and medical support systems environment; or
3.A satisfactory equivalent combination of education, training and/or experience, in which each year of relevant training and/or experience can be substituted for 30 semester credits from an accredited college or university. However, all applicants must at least have a Bachelor's degree or its educational equivalent.

If you wish to apply for this position, please apply online by clicking the "Apply for Job" button.

NYC Health and Hospitals offers a competitive benefits package that includes:
  • Comprehensive Health Benefits for employees hired to work 20+ hrs. per week
  • Retirement Savings and Pension Plans
  • Loan Forgiveness Programs for eligible employees
  • Paid Holidays and Vacation in accordance with employees' Collectively bargained contracts
  • College tuition discounts and professional development opportunities
  • Multiple employee discounts programs

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