Ambulatory Operations Support Coordinator

Tenet Healthcare • Detroit, MI

5d

About The Position

Under general supervision and according to established policies and procedures, the Ambulatory Operations Support Coordinator provides business administrative support to Ambulatory Services for assigned hospitals. The role monitors workflow and the processing, maintenance, and follow-up of registration, coding, and billing activities, including charge description master maintenance, entering clinic charges into the billing system, coding, and correcting bill scrubber edits for physician facility and satellite charges.

The coordinator acts as a liaison between physician and satellite clinics regarding registration and charge-entry errors, recommends corrective actions to reduce billing errors, and coordinates monthly meetings with front-end staff to provide training, share performance metrics, and resolve issues. The role provides technical guidance and billing-software training and support to clinic staff, interprets third-party regulations and protocols, and helps ensure compliance with regulatory changes.

Responsibilities also include tracking third-party authorization denials, interpreting the effects of regulatory and contractual changes on practice business processes, supporting physician charge capture, proposing corrective actions for charge-capture problems, and identifying revenue-enhancement opportunities. The coordinator assists leadership with implementing business plans and policies, standardizing processes and procedures, and implementing and evaluating continuous-improvement and quality-assurance standards. As directed, the role contributes to procedure and protocol development, ensures compliance, and interprets procedural intent.

Requirements

• Bachelor’s degree in Business Administration, Health Care Administration, Finance, or a related field, or an equivalent combination of education and/or experience.
• Three years of progressively more responsible experience providing related administrative, operational, or financial support.
• Analytical ability to research, gather, review, and disseminate information for management review; understand and relay substantive business or clerical issues; interpret complex financial reports, studies, and processes; and present findings to management.
• Communication and interpersonal skills to communicate effectively with various levels of healthcare personnel; courtesy and listening skills.
• Ability to read and comprehend procedures and technical literature in the specific functional area.
• Technical understanding of computer software packages such as spreadsheets, word processing, statistical analysis, database management, workflow, and graphics programs.

Nice To Haves

• Performance Improvement/Quality Assurance data analysis experience.
• Billing certification.

Responsibilities

• Monitor workflow and registration, coding, and billing actions, including charge description master maintenance, clinic charge entry, coding, and correction of bill scrubber edits.
• Serve as a liaison between physician and satellite clinics regarding registration and charge-entry errors.
• Recommend corrective actions to department leadership to reduce future billing errors.
• Coordinate monthly meetings with front-end staff to provide education and training, share performance metrics, and resolve outstanding issues.
• Provide technical guidance, training, and support for billing software used by physician offices and clinic staff.
• Interpret third-party regulations and protocols for front-end staff and help ensure compliance with regulatory changes.
• Monitor and track third-party authorization denials.
• Interpret the effects of regulatory and third-party contractual changes on practice business processes.
• Support physician charge capture and propose corrective mechanisms for charge-capture problem areas.
• Identify revenue-enhancement opportunities for physician and satellite services.
• Assist leadership with implementation of business plans and policies.
• Support standardization of processes and procedures and implementation and evaluation of continuous-improvement and quality-assurance standards.
• As directed, provide input into procedure and protocol development, ensure compliance, and interpret procedural intent.

Benefits

• Medical, dental, vision, and life insurance
• 401(k) retirement savings plan with employer match
• Paid time off (PTO)
• Career development and continuing education opportunities
• Health savings accounts
• Healthcare and dependent flexible spending accounts
• Employee Assistance program
• Employee discount program
• Voluntary pet insurance, legal insurance, accident and critical illness insurance, long-term care, elder and childcare, and auto and home insurance

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level