DHR Health - US:TX:Edinburg - Days

Summary:

POSITION SUMMARY:

This position ensures quality services by acting as a liaison between all potential clients including general public, physicians, physician office staff, and hospital staff and their service line(s). The Director will coordinate the staffing of front desk, medical assistants, and take care of the needs of physicians and providers working with the office and Practice Managers that they oversee. The Director will also oversee the strategic and operational plans, organize and direct the daily operations of the clinic team through the Manager, Medical Assistant Lead and/or other management personnel. Director will oversee and monitor the billing process, implement and enforce operating policies, procedures, and standards with the help of the Liaison team as needed. The Director will see that senior management policies, initiatives and reports are completed in a timely manner, monitored and followed up on as to their effectiveness as they relate to their offices. They will also escalate any items to senior management as deemed necessary.

POSITION EDUCATION/QUALIFICATIONS:
• High school diploma or equivalent is required
• BS or Master's degree is preferred

• Position requires travel, valid driver's license and vehicle insurance are required


JOB KNOWLEDGE/EXPERIENCE:
• Minimum five (5) years demonstrated leadership in a health care organization preferred
• Five (5) years experience in a healthcare setting as a Manager
• Medical office experience is required
• Experience in a supervisory position is strongly preferred


• Business office experience required, duties to include but not limited to: the oversight of clinical operations, billing, collections, denial and appeals operations

• Knowledge of regulatory requirements (state, federal and The Joint Commission, or other relevant area)
• Must be able to be sensitive to cultural and bilingual issues
• Organizational skills are required along with good written and verbal communication skills
• Ability to read, write and speak English
• Ability to communicate clearly and concisely with all levels of management including: nursing, administration, and physicians


• Ability to interact with providers on a personal and professional level
• Exercises a high degree of initiative, reasoning, good judgment, discretion, and decision- making to achieve organizational objectives
• Ability to conduct medical practice assessments, evaluate data and recommend action plans
• Capable of understanding the goals of the practice and works to obtain these goals
• Requires working with frequent interruptions
• Must project a professional image

Responsibilities:

POSITION RESPONSIBILITIES:
• Acts as a resource for the Manager and is able to escalate issues as needed to senior management
• Supervises the activities performed in all work units within the practice including practice management, implementation of procedures, case management and processing, records management, billing and collections and reporting of statistics, and accounting functions.
• Supervises and coordinates the work of Management, medical assistants and other clinic staff, through the management staff in place including reviewing work performance, motivating subordinates to work more effectively, identifying problems with performance and developing solutions to those problems, determining training needs to improve performance, initiating informal measures to correct misconduct or making recommendations for formal discipline.
• Reviews and approves the clinical staff schedules to include physicians. Ensuring that updates for calendars are submitted for accounting comparisons to contracts
• Helps the Manager determine the need for staffing and presents to Staffing Committee as needed
• Prepares, reviews and analyzes financial studies and reports to trend and identify problem areas. Presents financial reports to MDs for understanding and signature
• Participates in hiring, interviewing and other HR processes such as analyzing the dept. for additional staffing needs, reprimands, unemployment hearings, and termination of employment
• Completes physician credentialing for hospitals and carriers as needed, also keep up with PECOS applications and other requirements as stated by CMS for Medicare and Medicaid.
• Ensures that physician DEA, DPS, licensure and other important documents are kept current.
• Works closely with the medical billing specialists and the billing area, and revenue cycle area to assure daily billing compliance and timely closing and submission of daily office and hospital charges.
• Performs personnel administrative tasks, including coordinating and participating in the hiring and promotion process, supervising the training of new employees and the ongoing training of other employees, resolving unusual employee problems, and supervising employee time and attendance records.
• Ensures the fiscal, operational and personnel practices are in compliance with RMF, state and federal regulations
• Serves as a liaison between senior management and the physician with the implementation of policies and processes as set forth by the RMF Board
• Assures proper maintenance of all office equipment, schedules maintenance and upgrades of equipment and recommends purchase of new equipment
• Understands TJC regulations and ensures that the clinic is compliant
• Acts as a reference point for physician questions
• Develops and implements systems and processes to establish and maintain understanding and monitoring for all work units within the practice
• Coordinates with reception area staff for effective communication with all areas of the facility for good patient workflow
• Handles complaints from patients or medical staff with excellent customer service skills
• Update office policies and procedures to make sure that they are applicable in the current office situations
• Assists in the development and implementation of policies within the practice
• Responsible for annual analysis to help in budgeting process and forecasting of what will be needed regarding staffing and equipment for the following year
• Work with Renaissance Medical Foundation Administration to design and implement strategic plan to perpetuate and ensure practice growth.
• Familiar with all regulatory areas and agencies in order to answer employee and physician questions
• Other duties as assigned.

LINES OF REPSONSIBILITY:

(Chain-of-command) 1. Chief Ambulatory Officer → 2. Chief Executive Officer

Other information:

CUSTOMER SERVICE:

Provide excellent customer service to all DHR customers. All employees are required to attend the DHR C.A.R.E.S program which outlines the Customer Service Principals including: Commitment, Accountability, Respect, Excellence and Service.

AGE SPECIFIC:

Employees must be able to demonstrate the knowledge and skills necessary to provide care appropriate to the age of the patients served in his/her assigned unit. The individual must demonstrate knowledge of principles of growth and development over the life span and possess the ability to assess data reflective of the patient's status and interpret the appropriate information needed to identify each patient's requirement relative to his or her age.

AMERICANS WITH DISABILITIES ACT: (ADA):

A. Essential Duties: Indicated by bold print within performance standards, preceding individual numbered criteria.

The following table provides physical requirements that will be associated with, but not limited to, this position:

Light/moderate lifting up to 20 lbs, from the floor to shoulder height.

Yes

Kneeling

Yes

Must be able to assist other employees with lifting more than 20 lbs.

Yes

Walking

Yes

Light/moderate carrying up to 20 lbs.

Yes

Standing/Squatting

Yes

Straight pulling

Yes

Sitting

Yes

Pulling hand over hand

Yes

Pushing

Yes

Repeated bending

Yes

Stooping/Bending

Yes

Reaching above shoulder

Yes

Climbing Stairs

Yes

Simple grasping

Yes

Climbing Ladders

No

Dual simultaneous grasping

Yes

Depth Perceptions needed

Yes

Ability to see

Yes

Identify Colors

Yes

Operating office equipment

Yes

Twisting

Yes

Operating mechanical equipment

Yes

Crawling

No

Ability to read and write

Yes

Ability to Count

Yes

Ability to hear verbal communication without aid

Yes

Operating Personal Vehicle

Yes

Ability to comprehend written/verbal communication

Yes

Other: Ability to deal with stress

Yes

OSHA Category

III

B. Working Conditions: The individual spends over 95% of his/her time in an air-conditioned environment with varying exposures to noise. There is protection from weather conditions but not necessarily from temperature changes. The position does have low exposure to malodorous, infectious body fluids from patients and some minimal exposure to noxious smells from cleansing agents.

C. Occupational Exposure: This position has minimal to no exposure to blood, body fluids, or tissues and is an OSHA Category III (although situations can be imagined or hypothesized under which anyone, anywhere, might encounter potential exposure to body fluids). Person who performs these duties are not called upon as part of their employment to perform or assist in emergency medical care or first aid or to be potentially exposed in some other way.

D. Aptitudes: HIGH 1 2 3 4 5 6 LOW

Intelligence: General learning ability: The ability to "catch on" or understand instructions and underlying principles. Ability to reason and make judgments. 3

Verbal: Ability to understand meanings of words and ideas associated with them, and to use them effectively. To comprehend language, to understand relationships between words, and to understand meanings of whole sentences and paragraphs. To present information or ideas clearly. 3

Numerical: Ability to perform arithmetic operations quickly and accurately. 2

Spatial: Ability to comprehend forms in space and understands relationships of plane and solid objects. Frequently described as the ability to "visualize" objects or two or three dimensions, or to think visually of geometric forms. 2

Form Perception: Ability to perceive pertinent details and objects or in pictorial or graphic material to make visual comparisons and discriminations and see slight differences in shapes and shadings of figures and widths and lengths of lines. 3

Clerical Perception: Ability to receive pertinent details and verbal or tabular material. To observe differences in copy, to proofread words and numbers, and to avoid perceptual errors in arithmetic computation. 2

Motor Coordination: Ability to coordinate eyes and hands to fingers rapidly and accurately in making precise movements with speed. Ability to make a movement response accurately and quickly. 3

Finger Dexterity: Ability to move hands easily and skillfully. To work with fingers in placing and turning motions. 3

Manual Dexterity: Ability to move hands easily and skillfully. To work with hands in placing and turning motions. 3

Eye-Hand-Foot Coordination: Ability to move the hand and foot coordinately with each other in accordance with visual stimuli. 3

Color Discrimination: Ability to perceive and respond to similarities or differences in colors, shapes, or other values of the same or different color. To identify a particular color, or to recognize harmonious or contrasting color combinations, or to match color adequately. 3

I have read and reviewed my job description with my supervisor or designee and I understand the job I am expected to perform.

If applicable ____________ certification will be completed within _________ time frame of hire/transfer date.

Employee Signature: Date:

Transfer/Hire Date Effective: .