MGR BUSINESS OPERATIONS

Covenant Health•Louisville, TN

About The Position

Provides leadership and oversees business and administrative operations for Peninsula Hospital Services. Works collaboratively with all Peninsula support departments to ensure accurate and efficient business operations, management of properties, budgeting and financial management. Works alongside the Director of Clinical Services and the Director of Reimbursement to jointly manage all aspects of outpatient programs and services and to develop systems in the clinic that support clinical services.

Requirements

Strong mental health and business background. Bachelor’s degree required, Master’s preferred.
Must have at least three (3) years experience in business or healthcare field.
Excellent written and oral communication skills needed to communicate directly and effectively with others.
Experience with access, database management, and excel programs are a necessity.

Nice To Haves

Would prefer two (2) or more years in an operations management role.

Responsibilities

Accountable for the effective operation of hospital financial services through leadership, evaluation of staff, orientation, training, direct observation, consumer feedback, consultation with physicians, role modeling and providing other resources to staff as needed.
Responsible for hiring, training, completion of performance evaluations, and discipline of support staff.
Works with Peninsula hospital departments to establish appropriate goals, objectives, policies/procedures, work plans, quality monitors, and internal controls.
Provides leadership for the Registration, Utilization Management, Dietary and support departments (Environmental Services, HIM, Business Office, and Human Resources) that is consistent with the mission and values of Peninsula and that is responsive to the identified needs of the market place and clients served.
Ensures that all processes, which impact on the financial position of departments are properly performed and monitored according to company policies and procedures: Scheduling of patients Collections at front desk Charge entry Billing Mileage, supplies, and other operating expenses Payroll Productivity reporting and analysis Budgeting (operating and capital) Case loads at capacity Grant management Utilization Review and Benefits verification
Collaborates with Director of Clinical Services in developing and maintaining systems, which support delivery of clinical services: Develops and implements policies and procedures, goals and objectives, quality assurance program, and safety standards.
Ensures that telephone and front desk reception is professional and efficient.
Develops and implements a program for staff orientation and continuing self-development.
Stays abreast of regulatory changes issued by Medicare, TennCare, managed care payers and agencies and communicates updates to staff and other necessary departments.
Collaborates with Director of Clinical Services and Director of Reimbursement in the development, implementation and monitoring of the annual operating budget. Ensures that processes are established for clinic accountability with regard to monthly financial reporting.
Provides ongoing financial information as it relates to all programs and makes recommendations to Administrator.
Assures that outpatient departments are appropriately integrated throughout the multi-system organization to provide continuity of client service. Identifies possible synergies with other system facilities.
In conjunction with Director of Clinical Services is accountable for marketing and census building activities for all outpatient departments.
If errors are identified, immediately advises the business office to hold/correct billing and notifies clinical leadership of identified problem areas. Oversees more thorough reviews if indicated.
Performs a pre-audit with other staff, as needed in advance of third party audits and attends audit exit.
Provides ongoing educational support to physicians and departments related to compliance, coding, documentation and billing issues.
Provides regular in-services on appropriate documentation required for reimbursement.
Works closely with IT and the Business Office to monitor data submission to the BHO and to reconcile monthly payments and errors and collaborates with Clinical Services and Finance for the enhancement of patient care and increase reimbursement.
Ensures that appropriate forms are utilized that support documentation requirements that meet reimbursement and regulatory agency requirements.
Assists with coordinating system-wide efforts to consolidate forms and documentation processes.
Collaborates with Peninsula HIM Supervisor to oversee medical records functions and maintain processes to ensure compliance.
Maintains professional growth and development through seminars, workshops, and professional affiliations.
Attends meetings as required and participates on committees as directed. (Example, Revenue Cycle)
Performs other related duties as assigned or requested.