Clinical Operations Specialist
About The Position
This role implements clinical and operational procedures to ensure efficient, quality patient care. The specialist ensures clinic operations are compliant with internal standards and external regulations, and supports nursing personnel in practice operations. They participate in the development of clinic goals and implement complex changes or new procedures. The role involves assessing clinic processes and operational data, identifying trends, and recommending methods to improve patient access, operational efficiency, and productivity. Additionally, the specialist oversees charge capture, reporting, data entry, and cash collection, advises leadership on billing issues, and refines patient billing and coding practices to ensure compliance with contracts and guidelines. They identify opportunities to maximize revenue capture and develop mechanisms to validate billing and coding. The role also coordinates clinic and provider productivity metrics, applies findings to recommend operational, financial, and quality improvements, and works closely with practice managers and physician practice leads to ensure program activities integrate with practice operations and physician workflows. The specialist leads clinic administrative staff, provides training and performance feedback, and ensures patient-related issues are managed in accordance with HIPAA and patient billing regulations. They provide direction and oversight for purchasing, prepare budget requests, assess clinic resources, and recommend cost reduction strategies. The role leads IT implementations for a clinic, identifies and addresses clinic technology needs, collaborates with IT to resolve issues, and oversees training on IT systems and applications. Finally, the specialist represents the clinic in campus-wide meetings as a subject matter expert on clinic operations, oversees facilities management projects associated with clinic sites (including inspections, renovations, and equipment installation), and ensures capital equipment and space needs are met.
Requirements
- Experience in clinical operations
- Knowledge of healthcare regulations and compliance
- Proficiency in charge capture, reporting, data entry, and cash collection
- Understanding of patient billing and coding practices
- Experience with IT implementations in a clinic setting
- Familiarity with HIPAA regulations
- Budget preparation and resource assessment skills
- Leadership experience with administrative staff
- Training and performance feedback capabilities
- Facilities management oversight experience
- Experience with capital equipment and space needs assessment
Nice To Haves
- Experience in developing clinic goals
- Experience in improving patient access, operational efficiency, and productivity
- Experience in maximizing revenue capture
- Experience in coordinating clinic and provider productivity metrics
- Experience in collaborating with IT to resolve issues
- Experience in representing clinic in campus wide meetings
Responsibilities
- Implements clinical and operational procedures ensuring efficient, quality patient care
- Ensures clinic operations are compliant with internal standards and external regulations
- Supports nursing personnel in practice operations
- Participates in the development of clinic goals and implements complex changes or new procedures
- Assesses clinic processes and operational data and identifies trends
- Recommends methods and processes to improve patient access, operational efficiency and productivity
- Oversees charge capture, reporting, data entry and cash collection
- Advises leadership on billing issues
- Refines patient billing and coding practices ensuring compliance with contracts and guidelines
- Identifies opportunities to maximize revenue capture
- Develops mechanisms to validate billing and coding
- Coordinates clinic and provider productivity metrics
- Applies findings to recommend operational, financial and quality improvements
- Works closely with practice managers and physician practice leads to insure program activities integrate with practice operations and physician workflows
- Leads clinic administrative staff
- Provides training and performance feedback
- Ensures patient-related issues are managed in accordance with HIPAA and patient billing regulations
- Provides direction and oversight for purchasing
- Prepares budget requests, assesses clinic resources and recommends cost reduction strategies
- Leads IT implementations for a clinic
- Identifies and addresses clinic technology needs
- Collaborates with IT to resolve issues
- Oversees training on IT systems and applications
- Represents clinic in campus wide meetings, serving as a subject matter expert on clinic operations
- Oversees facilities management projects associated with clinic sites including inspections, renovations and equipment installation
- Ensures capital equipment and space needs are met
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
