Practice Coordinator- New Castle

UPMC Community Medicine Incorporated is hiring a full-time Practice Coordinator to support UPMC Regional Orthopaedics. This position will support both the New Castle and Wilmington locations.

Purpose:
Coordinate and supervise the processes in both the centralized and decentralized practice sites for: registration, scheduling, coding, charge and cash posting. Complete financial analysis, projects, evaluations and needs assessments of operational policies and procedures, practices, and computer systems. Provide support, training, development, guidance to CBO staff in their daily activities including reimbursement trends, billing follow up and fiscal calculations. Interact with personnel from Information Services, the CBO, physicians, administrators and the practice plan to ensure that all operational and revenue needs are met. Analyze, prepare and present relevant revenue data to CBO management, practice managers/administrators and physicians. Develop solutions to operational problems, create and implement action plans, as well as day-to-day operational revenue management.

Responsibilities:

• Monitor and meet practice specific benchmarks inclusive of point of service and scheduling (inclusive of template management for timely patient access), if applicable.
• Analyze staff development needs and initiates training programs with Education and Training to meet those needs. Schedule employee orientation and staff development training.
• Assist management in the formation of quarterly and yearly goals, and in the development and implementation of policies and procedures to support Registration/Scheduling and Patient Business Services operations.
• Provide backup coverage to support daily processes performed during peer vacations, absences, etc.
• Develop and maintain a patient-centric culture, centered around patient arrival and follow up activities in line with the consumerism initiatives, if applicable.
• Engage in open communications with UPP Management regarding information systems, third party payer and regulatory updates and/or enhancements and ensures appropriate training is provided to staff. Develops and maintains detailed policies and procedures with coordination of CBO management.
• Communicate with and assist Information Services in the development, implementation and training of practice management system enhancements. Provide analysis and initiate documentation for the enhancements to the practice management system as required to support the revenue cycle processes, billing and reimbursement of claims and regulatory changes.
• Investigate, analyze and recommend actions and solutions for registration, financial counseling, coding, charge entry, cash collection, posting and balancing problems.
• Perform accounts receivable trending on payors and denials, including calculation for days in accounts receivable and financial analysis on gross and net collections.
• Participate in the recruitment and evaluation of personnel under direct supervision of the Department Manager. Provide timely performance evaluations.
• Perform random audits of staff work to monitor performance and quality. Monitor quality and performance issues; follow up with UPP Management with findings. Investigate staff issues and provides feedback as appropriate on resolution.

Bachelors Degree + 2 years healthcare experience w/ 1 year management experience OR Associates Degree + 2 years healthcare experience w/ 1 year of management OR High School Diploma + 3 years healthcare experience w/ 1 year of management experience

Licensure, Certifications, and Clearances:

• Act 34

UPMC is an Equal Opportunity Employer/Disability/Veteran