Practice Operations Specialist

AllCare Management Services•Grants Pass, OR

54d•$20 - $27•Hybrid

About The Position

The Practice Operations Specialist supports eHealth, provider training, value-based care, and credentialing activities within Practice Operations. This hands-on, detail-oriented role serves as a key resource for Veradigm-supported practices by providing EHR training, workflow optimization support, troubleshooting assistance, and user guidance to providers and staff. The specialist also supports MSO Value-Based Care programs through chart review and charge scrubbing activities to promote quality measure performance and gap closure. In addition, this role assists with provider enrollment and credentialing activities and collaborates with Revenue Cycle Management, eHealth, and other internal departments to support provider and practice success.

Requirements

Associate degree in Healthcare Administration, Health Information Management, Business Administration, Medical Office Administration, Healthcare Technology, or a related field.
Equivalent combination of education and relevant healthcare operations experience may be considered
One (1) year of experience working in a healthcare, medical office, provider services, healthcare technology, credentialing, revenue cycle, or related environment required.
Working knowledge of healthcare operations and medical office workflows.
Knowledge of HIPAA, patient confidentiality requirements, and healthcare compliance standards.
Proficiency with Microsoft Office Suite, including Outlook, Word, Excel, PowerPoint, and Teams.
Strong written and verbal communication skills, including technical documentation and training material development.
Ability to learn and support Electronic Health Record (EHR) and Practice Management systems.
Strong analytical, organizational, problem-solving, and time-management skills.
Ability to maintain accurate records and documentation while managing multiple priorities.
Customer service and service recovery skills with the ability to resolve issues professionally.
Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume.
Ability to apply concepts of basic algebra and geometry.
Job requires specialized computer skills. Must be adept at using various applications including database, spreadsheet, report writing, project management, graphics, word processing, presentation creation/editing, communicate by e-mail and use scheduling software.
Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form.
Ability to work with problems involving several concrete variables in standardized situations.
The employee must occasionally lift and/or move up to 10 pounds.
While performing the duties of this job, the employee is regularly required to sit; use hands to finger, handle, or feel and talk or hear.
The employee is occasionally required to stand; walk and reach with hands and arms.
The noise level in the work environment is usually moderate.
Because of exposure to patient records of all types, the highest standard of patient confidentiality and privacy as established by business policy and HIPAA requirements must be maintained.

Nice To Haves

Two (2) or more years of experience in one or more of the following preferred: Electronic Health Record (EHR) systems support, training, or implementation.
Medical practice operations.
Provider enrollment and credentialing.
Revenue Cycle Management (RCM).
Value-Based Care (VBC), quality reporting, chart review, or charge scrubbing.
Customer service or technical support in a healthcare setting.
Experience with Veradigm EHR/Practice Management systems preferred.
Experience training adult learners and developing training materials preferred.
Experience with: Veradigm EHR and Practice Management systems.
Modio credentialing software.
PECOS.
NPI Registry.
Availity.
Medicare, Medicaid, and commercial payer enrollment portals.
Knowledge of: Provider enrollment and credentialing processes.
Revenue Cycle Management workflows.
Medical terminology, coding, and documentation standards.
Value-Based Care programs, quality measures, and gap closure initiatives.
Workflow analysis and process improvement methodologies.
Basic understanding of computer systems, software applications, networking concepts, and troubleshooting techniques.

Responsibilities

Adheres to all federal, state, and local healthcare regulations, including HIPAA, CMS, and organizational policies, by following established procedures, maintaining accurate documentation, and protecting patient confidentiality.
Provides eHealth support through Veradigm EHR training, workflow optimization, user support, troubleshooting assistance, and development of training resources for providers and staff.
Supports MSO Value-Based Care and provider enrollment activities through chart review, charge scrubbing, quality measure monitoring, gap closure support, credentialing assistance, and collaboration with internal departments.
Coordinates and delivers Veradigm EHR and Practice Management training for providers and staff, including onboarding, refresher training, workflow optimization, and new feature implementation.
Provides user support for Veradigm systems by assisting with workflow questions, navigation, troubleshooting, and escalation of technical issues when appropriate.
Assists providers and staff with EHR workflow optimization to improve efficiency, documentation quality, and user satisfaction.
Assists with development, updates, and maintains training materials, user guides, workflows, and standard operating procedures related to Veradigm systems and eHealth services.
Performs MSO Value-Based Care chart reviews and charge scrubbing activities to support quality measure capture, coding accuracy, reimbursement opportunities, and gap closure initiatives.
Reviews documentation and charges to identify opportunities for improved quality reporting and value-based care performance.
Collaborates with providers, clinic staff, Revenue Cycle Management, and eHealth teams to support quality and value-based care initiatives.
Assists Revenue Cycle Management staff with workflow support and issue resolution related to provider documentation, workflows, and EHR processes.
Assists with provider enrollment, credentialing, recredentialing, and revalidation activities with commercial, Medicare, Medicaid, and other payer organizations.
Maintains accurate provider records and documentation within credentialing, enrollment, and regulatory systems.
Supports implementation of EHR enhancements, workflow improvements, and operational initiatives related to provider and staff use of technology.
Maintains compliance with HIPAA, CMS, payer, and organizational requirements.
Travels periodically to provider offices to provide onsite training, workflow support, and implementation assistance.
Drafts reports, training documentation, communications, and educational materials as needed.
Maintains organized and secure electronic and physical records in accordance with organizational policies.
Maintains punctual, regular and predictable attendance.
Works collaboratively in a team environment with a spirit of cooperation.
Respectfully takes direction from leadership.
Meets all required training including those listed in Relias Learning Module System (LMS).
Performs other duties as assigned.