OPD Clinic Manager, Suite R

Job Description

The Department of Ambulatory Care Services at SUNY Downstate Health Sciences University Is seeking a full-time OPD Clinic Manager / TH Senior Staff Assistant, Suite R. The successful candidate will:

• Be responsible for the daily management and supervision of the Registrars.
• Provide adequate staffing complement to ensure that there are no delays with patient care/flow.
• Monitor reports to ensure all corrections are updated in Eagle/AIIScript within the 7-day window billing period.
• Ensure continuous training of staff on registration protocol and billing updates.
• Review accounts for appropriate referrals/authorizations to ensure maximum reimbursement to the hospital.
• Monitor daily reconciliation of encounter forms/visit detail listing report.
• Determine staffing needs in clinics/suites/satellite areas to facilitate patient flow.
• Monitor and act as focus of communication OPD lo ensure efficient coordination of the department's activities.
• Communicate all pertinent information to staff and educate staff on policy and procedure.
• Ensure data quality: monitor fail bill report and daily visit error report lo ensure data Is corrected in Eagle/AllScript and ensure staff is educated on errors to reduce the hospital’s accounts receivable.
• Review charts/accounts to ensure Registrars are closing visits at time of service or within 48 hours of visit with the appropriate diagnosis/procedure code.
• Monitor, train and educate staff on all regulatory insurance and health care changes related to their functions and ensure policy and procedure are followed.
• Ensure that patients receive information pertaining to their rights to ensure compliance with state and federal regulations such as HIPAA compliance, NOP, Bill of Rights, Advance Directives.
• Provide support to and consult with the Director on all outstanding issues and activities that have impact on departmental operations.
• Conduct scheduled monthly staff meetings.
• Provide Data collection for statistical purposes and to coordinate work flow.
• Coordinate with Nursing, Physicians and Director, the activities of the clinics/suites.
• Complete projects and assignments in timeframe allotted and provide feedback to the Director.

Job Description

• Be responsible for the daily management and supervision of the Registrars.
• Provide adequate staffing complement to ensure that there are no delays with patient care/flow.
• Monitor reports to ensure all corrections are updated in Eagle/AIIScript within the 7-day window billing period.
• Ensure continuous training of staff on registration protocol and billing updates.
• Review accounts for appropriate referrals/authorizations to ensure maximum reimbursement to the hospital.
• Monitor daily reconciliation of encounter forms/visit detail listing report.
• Determine staffing needs in clinics/suites/satellite areas to facilitate patient flow.
• Monitor and act as focus of communication OPD lo ensure efficient coordination of the department's activities.
• Communicate all pertinent information to staff and educate staff on policy and procedure.
• Ensure data quality: monitor fail bill report and daily visit error report lo ensure data Is corrected in Eagle/AllScript and ensure staff is educated on errors to reduce the hospital’s accounts receivable.
• Review charts/accounts to ensure Registrars are closing visits at time of service or within 48 hours of visit with the appropriate diagnosis/procedure code.
• Monitor, train and educate staff on all regulatory insurance and health care changes related to their functions and ensure policy and procedure are followed.
• Ensure that patients receive information pertaining to their rights to ensure compliance with state and federal regulations such as HIPAA compliance, NOP, Bill of Rights, Advance Directives.
• Provide support to and consult with the Director on all outstanding issues and activities that have impact on departmental operations.
• Conduct scheduled monthly staff meetings.
• Provide Data collection for statistical purposes and to coordinate work flow.
• Coordinate with Nursing, Physicians and Director, the activities of the clinics/suites.
• Complete projects and assignments in timeframe allotted and provide feedback to the Director.

Qualifications

• Associate's Degree.
• 3 to 5 years of supervisory experience in a healthcare setting.
• Prior experience with healthcare/hospital medical billing.
• Knowledge of third-party insurance.
• Or, a satisfactory equivalent combination of experience, education and training.

Preferred Qualifications

• Bachelor's Degree preferred.