Medical Policy Manager jobs in Daytona Beach, FL

All the benefits and perks you need for you and your family:

• Benefits from Day One
• Paid Days Off from Day One
• Student Loan Repayment Program
• Career Development
• Whole Person Wellbeing Resources

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

Schedule: Full Time

Shift: Days/Monday-Friday

Location: 770 WEST GRANADA BOULEVARD, SUITE 317, Ormond Beach, 32174

The role you’ll contribute:

The Practice Manager directs and supervises the day-to-day functions of assigned Medical Group Physician Practices in accordance with federal, state, local standards and Adventist Health Systems Corporate guidelines and regulations. The Practice Manager is responsible for carrying out all established policies including but not limited to revenue cycle management and human resources.

The value you’ll bring to the team:

• Manages offices in a cost-effective, efficient manner assuring that staff provides high quality care in a courteous and friendly atmosphere.
• Oversees the start-up of new physician practices. This includes newly recruited physicians and established community physicians. Assists with credentialing activities.
• Will coordinate, monitor and improve the operations of each practice; this includes flow management, documentation, training and staffing and oversight of all provider practice operations.
• Coordinates in the hiring process for practices. Completes performance evaluations timely and is involved in employee counseling, coaching and termination per policy. Provides orientation for new employees and ensures compliance with department policy and procedure. Maintains high levels of employee engagement and job performance by providing recognition and opportunities for learning
• Provides oversight and is responsible for Practice revenue cycle management including but not limited to up-front collections, correct use of modifiers and physician coding for “Clean Claim” processing.
• Communicates to the Director concerning the operations of Practices.
• Acts as Liaison between Physician and CBO, HCP Finance and FHMMC operations.