Practice Manager-PPA

Company Name:
Catholic Medical Center
Under the direction of the VP of Physician Practices and in collaboration with the (PPA) Physician Practice Associates Medical Director, and within established policies and procedures, the incumbent performs the following duties: Essential Functions: Provides direction to practice through monthly monitoring and achievement of annual budget and business plan. Communicates practice achievement plan to physicians and staff to ensure targets are met/exceeded. Places emphasis on physician productivity, revenue enhancement, expense management and physician satisfaction with PPA. Directs the day to day operation of practice. Implements PPA best practice models in clerical and clinical areas, medical record management protocols, and regulatory compliance, including adherence to Joint Commission standards. Provides or delegates training on policies and procedures (e.g. registration, billing coding, new payer plans, reimbursement and accounting). Ensures each employee understands how to access the PPA Policy and Procedures Manual as well as the Catholic Medical Center Administrative Policies. Integrates new physicians to practice (schedule, staffing, call, provider #'s, etc.) in a timely fashion. Documents and communicates progress to VP of Physician Practices. Assures credentialing process of physician is accurate and complete. Guides physician enrollment into appropriate payer plans. Conducts monthly meetings at each practice with physicians and staff to keep information current and resolve issues. Prepares agendas and maintains meeting minutes. Ensures practice purchases are within budget. Follows Accounts Payable procedures, controls capital equipment and inventory; maintains fixed assets in coordination with fixed assets policies. Oversees physical property; serves as a liaison between offsite facilities manager, condo associations as appropriate and Practice. Reviews each practice's monthly income statement and registration/billing reports - provides financial information to each physician on a regular basis. Works in conjunction with Catholic Medical Centers Compliance Manager and (PPA) Physician Practice Associates Medical Director to ensure practice meets required compliance and clinical competency thresholds. Maintains and processes physician requests for vacation, CME, monitoring for compliance and accuracy according to physician contract and PPA procedures. Notifies VP of Physician Practices of key physician issues on regular basis, with proposed resolutions. Implements resolutions. Implements and supports a system of continuous quality improvement to ensure effective and efficient use of resources and smooth patient flow, while adhering to budget and optimizing physician productivity. Adheres to all operational excellence standards and stresses excellence to all practice personnel. Provides periodic reports or other data relative to practice operations to PPA management. Ensures rental and internal/external service contracts for property and equipment are current and services are value-added works, in conjunction with VP of Physician Practices and hospital policies. Works with VP of Physician Practices with regard to office building and architect in construction projects, providing direction on facility location, design, equipment, furniture, etc. Responsible for selection, purchase and delivery of equipment, furniture and supplies, within established purchasing policies and budget constraints. Integrates practice with Human Resources and ensures clerical and clinical vacancies are filled/covered in a timely fashion. Ensures staff coverage for vacancies. Analyzes results of patient satisfaction surveys on a monthly basis and takes appropriate action to improve satisfaction level. Works in collaboration with billing department to ensure that billing is done timely and effectively. Assists PPA Administration and provides feedback when testing new billing/registration models, enhancements, and changes to the billing system. Investigates any patient complaints, assuring a satisfactory resolution. Ensures confidentiality of employee, legal, client/patient, budget and all company matters. Interviews and selects candidates for employment within area of responsibility. Develops a comprehensive orientation plan for new employees. In conjunction with Human Resource Services, outlines scope of authority as well as job responsibilities. Initiates and/or makes recommendations for personnel actions, including but not limited to hiring, transferring, suspending, discharging, assigning, rewarding or disciplining involving assigned personnel. Prepares and conducts formal/informal performance evaluations, or job performance improvement plans and recommends appropriate merit increases involving subordinate staff. Ensures all staff maintains appropriate competencies (licensures & certifications) within area of responsibility per job description. QUALIFICATIONS: Education: o Bachelor's Degree preferred. Experience: o Three years of relevant experience in healthcare management, billing and reimbursement or related field preferred.

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