Practice Manager

Maimonides Medical Center•New York, NY

About The Position

The Practice Manager is responsible for the business operations of a division, including its Faculty Practice and off-site practices or clinic locations. The role oversees services, provider schedules, office clerical functions, budgets and financial maintenance, patient experience, and professional and technical billing. In conjunction with the AVP, the Practice Manager establishes staffing procedures, hires and supervises staff, reviews productivity, monitors quality of care and patient satisfaction, and manages practice costs. The position also works with insurance carriers and HMOs to obtain authorizations, develops marketing objectives to support growth and market share, and ensures effective operation of the physician practice.

Requirements

  • Bachelor’s degree in Business or Health Administration.
  • At least 5 years of experience in a health-related field.
  • Strong clinical background.
  • Knowledge of computerized billing systems, word-processing, spreadsheet, and database programs.
  • Familiarity with reimbursement policies and procedures.
  • Clinical familiarity with the area of specialty.
  • Good oral and written communication skills.
  • Good interpersonal skills.
  • English speaking, reading, and writing ability to the extent required by the position.

Nice To Haves

  • Two to three years of experience in a managerial capacity, preferably with an emphasis on financial and operational management.

Responsibilities

  • Manage practice operations and act as a liaison between the division and other Medical Center departments.
  • Develop and implement billing policies and procedures that comply with federal and state requirements and third-party payor rules; analyze payor systems, recommend ways to increase revenue, and monitor compliance.
  • Manage provider schedules in the scheduling system; ensure appointments are booked, eligibility checks are completed, and self-scheduled appointments are confirmed before appointment time.
  • Manage procedure scheduling in collaboration with OR scheduling staff.
  • Coordinate ordering of supplies and equipment with the supply chain team, including processing invoices in the online requisition system.
  • Review fee schedules; prepare applications and manage provider enrollment in HMOs and capitation agreements; ensure physicians are enrolled and recredentialed as needed; and support new physicians with hospital credentialing and insurance enrollment.
  • Maximize reimbursement by overseeing physician documentation deficiencies, establishing workflows, reviewing work, and reconciling charges to ensure all charges are captured and procedures are billed promptly.
  • Analyze monthly divisional collection and expense reports, provide requested expense variance explanations to the AVP, and review billing reports for trends and improvement opportunities.
  • Prepare monthly statistics and meet with the AVP as needed to review productivity and identify issues that may affect productivity goals.
  • Coordinate practice process-improvement plans focused on efficiency and cost reduction.
  • Review and compile patient satisfaction survey results, report findings to the practice, and recommend changes to resolve operational issues and improve customer satisfaction.
  • Participate in staff selection, hiring, supervision, disciplinary action including termination, and annual performance appraisals.
  • Develop work schedules and assign tasks; provide daily staff supervision; and monitor and address timekeeping, payroll, warehouse, and related issues.
  • Respond to complaints involving billing, operations, and customer service.
  • Develop and administer programs and marketing strategies to support future divisional growth.
  • Liaise with community and other organizations regarding departmental services and respond to community concerns or refer them to the AVP.
  • Maintain knowledge of equipment technology changes; implement and monitor preventive maintenance; ensure equipment functions properly; and contact vendors when repairs are needed.
  • Work with residency, medical student, and fellowship training programs on administrative functions, including onboarding and ongoing maintenance.
  • Maintain departmental policies and procedures, objectives, quality assurance, safety, environmental, and infection-control standards.
  • Comply with the Medical Center’s Conflict of Interest policy, including completing an annual Conflict of Interest Certificate.
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