First Health Of The Carolinas

Clinic Manager

First Health Of The Carolinas$70K — $95K *
US-AnywhereRemote in North Carolina, US
Healthcare
Less than 5 years of experience
Job Overview by Ladders

Qualifications

  • BS Degree preferred in Business, Accounting, Finance, Healthcare Administration, or Applied Science.
  • Minimum of 3 years of supervisory experience in a physician practice.
  • Strong financial and analytical skills required.
  • Exceptional verbal and written communication capabilities.
  • Proficient in customer service and patient relations.
  • In-depth knowledge of insurance practices including reimbursement and coding (ICD-10, CPT).
  • Experience with various medical software systems is essential.

Responsibilities

  • Manage operating and capital budgets while correcting any over-expenditures promptly.
  • Ensure compliance with accreditation standards and regulatory requirements (JCAHO, CLIA, OSHA, HIPAA, etc.).
  • Develop and implement clinic policies and procedures in collaboration with administration.
  • Hire, train, and supervise clinic staff utilizing HR resources and guidelines.
  • Resolve patient complaints effectively while identifying process improvements to prevent future issues.
  • Oversee reimbursement procedures and billing practices, ensuring compliance with regulations.
  • Monitor operational processes, identify issues in patient care, and implement corrective measures.

Benefits

  • Comprehensive training and development programs for staff.
  • Support in handling patient billing and accounts for better financial management.
  • Access to a compliance plan focusing on continuous education and audits.
  • Collaborative work with healthcare administration in policy development.
  • Engagement in local and national accreditation standards to enhance professional growth.
Full Job Description
Overview

Manages operating and capital budgets indenting over expenditures and effectively correct in a timely fashion.

Ensures accreditation standards, licensing and regulatory requirements for JCAHO, CLIA, OSHA, Radiation Protection, HIPAA, OGI and others as required by Federal or State statues and as applicable to that specific clinic site. Develops, recommends, implements policies and procedures for the clinic in conjunction with all FH FCC, supervised, assisted and monitored by clinic administration. Hires, trains, counsels, coaches and supervises staff with assistance from FH Human Resource department and FHC associated guidelines and policies. Resolves patient complaints/concerns and reports appropriately to clinic administrations andrisk management; identifies those areas where processes could be changed to assist in preventing on-going complaints of this nature, corrects and monitors. Implements, monitors, and improves effective reimbursement procedures, including CPT and ICD-10 coding, in compliance with established third party billing regulations, federal, state, commercial. Supports all administrative efforts regarding FH FCC Compliance Plan, its implementation and on going maintenance. Maintenance is defined as staff education, audits, pre and post-testing were applicable. Manages patients billing accounts, working denials, correcting and re-filling as needed monitoring errors and applying corrections through education of staff etc. where needed.Manages financial planning and collections thru workable financial plans that adhere to FH finance policies while using people skills to promote patient understanding. Drops outstanding balances greater than 120 days to FHC Collections agencies once all appropriate efforts and documentation have been completed to prompt collection compliance. Monitors all operational processes throughout the clinic, identifying negative trends, patterns, patient quality care issues and implementing appropriate correction, documentation and follow-up monitoring.Monitors assist with and coordinate the correct accurate collection of co-pays and any over-the-counter payments, end of day balancing and deposits functions meeting compliance standards.

Qualifications

Prefer BS Degree in Business, Accounting, Finance, Healthcare Administration, Applied Science or equivalent. Minimum of three years experience in physician practice including supervisory responsibilities required.Financial/analytical skills. Excellent verbal and written skills. Excellent customer service skills. Extensive knowledge of insurance rules, including but not limited to reimbursement, third party payers, pre-certification, ICD-10 and CPT coding. Maintain strict confidentiality of medical, financial, and staff related information. Able to perform several tasks at once in an organized manner. Extensive knowledge of various medical software systems required. Strong organizational and people skills.

About First Health Of The Carolinas

FirstHealth of the Carolinas is a private, non-governmental, not-for-profit health care network serving the mid-Carolinas. Its core purpose is to provide quality health care services, promote health and wellness, educate patients and the community, and support research. The network includes four hospitals, primary and convenient care clinics, dental centers, home health, hospice and palliative care services, and a variety of other services.
Learn more about First Health Of The Carolinas
Size
5,000 employees
Industry
Net Income
$50 million
5 Year Trend
+5%
Revenue
$1 billion

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