Ambulatory Operations Support Coordinator

Tenet Healthcare • Detroit, MI

6h

About The Position

DMC Rehabilitation Institute of Michigan is committed to providing exceptional patient care in a supportive and collaborative environment. As a member of our team, you will have the opportunity to work with advanced technology and be part of a healthcare community dedicated to making a positive impact on the lives of our patients.
Summary Description:
Under general supervision, and according to established policies and procedures, provides business administrative support to the Ambulatory Services function for assigned hospital(s).
Monitors work flow, processing, maintenance and follow-up of various registration, coding and billing actions including charge description master (CDM) maintenance, data entry of clinic charges into the billing system, coding, and correction of bill scrubber edits for physician facility and satellite charges. Serves as a liaison between physician and satellite clinics for registration and charge entry errors.
Recommends corrective action to department leadership to reduce future billing errors. Coordinates monthly meetings with front end staff to provide education and training, share department performance metrics and resolve outstanding issues. Provides technical guidance and support for the billing software used in physician offices. Provides billing software training and support to the clinic staff.
Provides interpretation and training to front end staff for all third party regulations and protocols. Ensures compliance with third party regulatory changes. Monitors and tracks third party authorization denials. Interprets the impact of regulatory and third party contractual changes on the business process of the practice. Responsible for physician charge capture. Proposes corrective mechanisms and actions for charge capture problem areas.
Identifies opportunities for physician and satellite revenue enhancement. Assists leadership with the implementation of new business plans and policies. Provides assistance with the standardization of processes and procedures, as well as the implementation and evaluation of continuous improvement and quality assurance standards. As directed, provides input into procedure/protocol development, ensures compliance therewith and provides interpretation of procedural intent as requested.

Requirements

• Bachelor’s degree in Business Administration, Health Care Administration, Finance or related field, or the equivalent combination of education and/or experience.
• Three years of progressively more responsible experience providing related administrative / operational / financial support.
• Analytical ability required to research, gather, review and disseminate information for management review and to understand and relay information regarding substantive business/clerical issues related to area(s) of responsibility.
• Communication and/or interpersonal skills necessary to effectively communicate with various levels of health care personnel on a daily basis.
• Courtesy and listening skills are required.
• The ability to read and comprehend procedures and technical literature in specific functional area(s) are necessary.
• Technical understanding of various computer software packages such as spreadsheets, word processing, statistical analysis, database management, work flow and graphics programs.

Nice To Haves

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

Responsibilities

• Monitors work flow, processing, maintenance and follow-up of various registration, coding and billing actions including charge description master (CDM) maintenance, data entry of clinic charges into the billing system, coding, and correction of bill scrubber edits for physician facility and satellite charges.
• Serves as a liaison between physician and satellite clinics for registration and charge entry errors.
• Recommends corrective action to department leadership to reduce future billing errors.
• Coordinates monthly meetings with front end staff to provide education and training, share department performance metrics and resolve outstanding issues.
• Provides technical guidance and support for the billing software used in physician offices.
• Provides billing software training and support to the clinic staff.
• Provides interpretation and training to front end staff for all third party regulations and protocols.
• Ensures compliance with third party regulatory changes.
• Monitors and tracks third party authorization denials.
• Interprets the impact of regulatory and third party contractual changes on the business process of the practice.
• Responsible for physician charge capture.
• Proposes corrective mechanisms and actions for charge capture problem areas.
• Identifies opportunities for physician and satellite revenue enhancement.
• Assists leadership with the implementation of new business plans and policies.
• Provides assistance with the standardization of processes and procedures, as well as the implementation and evaluation of continuous improvement and quality assurance standards.
• Provides input into procedure/protocol development, ensures compliance therewith and provides interpretation of procedural intent as requested.

Benefits

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

What This Job Offers

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