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Primary Care Associates of Appleton

<div>Description:

DEPARTMENT: Leadership
REPORTS TO: CEO
SUMMARY: The Manager of Clinic Support Services is responsible for activities performed by front desk, scheduling staff/switchboard, transcription and, medical records/imaging prior authorization. This job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for the job. Duties, responsibilities, and activities may change at any time with or without notice.
DUTIES AND RESPONSIBILITES:<ul><li>
Provide leadership and direction for Clinic Support Services departments, ensuring alignment with the organization&rsquo;s vision and values.</li><li>
Maintains positive relationships with all customers, employees, providers, and patients.</li><li>
Establish employee relationships and maintain a high level of visibility and accessibility.</li><li>
Lead change initiatives, supporting the organizational changes for staff and providers and developing strategies for successful implementation.</li><li>
Work in collaboration with the HIPAA Privacy Officer.</li><li>
Responsible for developing, updating, and implementing policies and procedures for the collection, storage, maintenance, retrieval, and disposition of patient health records.</li><li>
Lead initiatives to improve upfront cash collections through efficient collection processes.</li><li>
Utilize data to track performance indicators such as registration accuracy, denial rates and collection rates.</li><li>
Serve as the primary point of contact for clinic support services inquiries for the clinic.</li><li>
Maintain staff schedules to assure adequate staffing within departments.</li><li>
Ensure compliance with all regulatory requirements within the departments.</li><li>
Develop denial metrics for the radiology prior authorization team to ensure the organization is meeting benchmarks.</li><li>
Develop metrics with transcription team to ensure timely completion of transcription, which allows for claims to be dropped timely.</li><li>
Utilize Epic system to review dashboards, reports and work queue monitoring to improve accuracy and overall metrics.</li><li>
Effectively manage and direct all areas to ensure quality, productivity, and excellent customer service.</li><li>
Ensure the accuracy and completeness of daily registrations.</li><li>
Interdepartmental collaboration with all Leadership Team members.</li><li>
Responsible for the education of all staff and must assure all staff is competent.</li><li>
Manages multiple departments/staff and assures all issues are addressed timely.</li><li>
Provides clear communication and expectations for staff.</li><li>
Complete performance evaluations timely based on organizations policy.</li><li>
Completes tasks and assignments in a timely, accurate and efficient manner.</li><li>
Works in department for all roles.</li><li>
Performs other related duties as assigned by leadership.</li></ul>
SUPERVISORY RESPONSIBILITES:<ul><li>
Directly supervises 25 employees within the listed department(s).</li><li>
Carries out manager responsibilities in accordance with the organization's policies and applicable laws.</li><li>
Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.</li><li>
Conducts evaluations of departmental activities to ensure current professional standards are met and makes recommendations for change when required.</li><li>
Develop strategic/tactical plans for medical records.</li></ul>
Requirements:

QUALIFICATIONS:<ul><li>
Bachelor's Degree (BA) from four-year college or university, or one to two years of related experience and/or training, or equivalent combination of education and experience preferred.</li><li>
Computer skills required: Human Resource Information Systems; Microsoft Office Suite; EPIC Preferred with Cadence Experience.</li><li>
Knowledgeable in requirements of HIPAA, HITECH, Freedom of Information Act, Tort Claims and authority agencies about the release of sensitive and confidential information.</li><li>
Knowledge of and skill in the application of established principles, concepts and techniques of medical records administration to perform recurring medical records administration assignments.</li><li>
Monitor and ensure pertinent patient health data are collected, stored and governed for clinical and administration decision support.</li><li>
5 to 7 years of supervisory experience in patient registration and insurance verification experience in a health care setting is required.</li><li>
Knowledge of various types of insurance plans and payors required</li></ul>
OTHER SKILLS REQUIRED:<ul><li>
Previous management experience preferred</li><li>
Strong organization skills</li><li>
Demonstrates self-starter behavior</li><li>
Possess a high degree of confidence</li><li>
Possess a high degree of independent judgement</li><li>
Acts independently and will deal with a certain level of ambiguity</li><li>
Ability to work well with all customers of Primary Care Associates</li><li>
Ability to function as a part of a team with cooperative attitude</li><li>
Ability to work under pressure and in a fast-paced environment</li><li>
Ability to prioritize and work efficiently</li><li>
Strong accounts receivable and clearing house experience</li><li>
Advanced understanding of billing, accounts receivable, and financial reporting</li></ul>
PHYSICAL DEMANDS AND WORK ENVIRONMENT:<ul><li>
Continually required to stand, walk, sit, bend, stoop, talk or hear.</li><li>
Continually required to utilize hand and finger dexterity</li><li>
While performing the duties of this job, the noise level in the work environment is usually moderate.</li><li>
The employee must occasionally lift and/or move up to 20 pounds.</li><li>
Specific vision abilities required by this job include: close vision; distance vision; color vision; peripheral vision; depth perception and ability to adjust focus.</li></ul>
The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or physical requirements. Nothing in this job description restricts management&rsquo;s right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.</div>

MANAGER OF CLINIC SUPPORT SERVICES

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Primary Care Associates of Appleton

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MANAGER OF CLINIC SUPPORT SERVICES