Medical Policy Manager manages and implements corporate policy and process for medical provider and other reimbursements. Ensures that all claims are reviewed, settled, and processed in compliance with and according to contract provisions and regulatory requirements. Being a Medical Policy Manager evaluates and develops policies and provider reimbursement guidelines to effectively manage and control medical claims cost. Requires a bachelor's degree of finance, business or healthcare administration. Additionally, Medical Policy Manager typically reports to head of a unit/department. The Medical Policy Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Medical Policy Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)
We are seeking an experienced and highly organized Office Manager to join our team. As an Office Manager, you will be responsible for overseeing the day-to-day operations of our office, ensuring smooth workflow and efficient processes. The ideal candidate will have a strong background in medical terminology and practice management, with the ability to handle various administrative tasks and provide support to our healthcare professionals.
Responsibilities:
- Manage and supervise office staff, including receptionists, administrative assistants, and medical records personnel
- Develop and implement office policies and procedures to ensure efficient operations
- Coordinate and schedule appointments for patients, ensuring optimal utilization of healthcare providers' time
- Maintain accurate and up-to-date medical records, ensuring compliance with privacy regulations
- Assist with utilization management by monitoring patient appointments and coordinating referrals to specialists as needed
- Oversee billing and coding processes, working closely with insurance companies to ensure timely reimbursement
- Manage office budget, including monitoring expenses and implementing cost-saving measures
- Collaborate with healthcare providers to optimize patient care delivery and improve patient satisfaction
- Stay updated on industry trends and advancements in healthcare systems, recommending improvements to enhance office efficiency
Requirements:
- Proven experience as an Office Manager or similar role in a healthcare setting
- Strong knowledge of medical terminology and practice management principles
- Familiarity with eClinicalWorks or similar electronic medical record systems
- Proficient in budgeting and financial management
- Excellent organizational and multitasking skills
- Strong communication and interpersonal abilities
- Ability to work effectively in a fast-paced environment
- Attention to detail and accuracy in all tasks
We offer competitive compensation based on experience.
Job Type: Full-time
Pay: From $55,000.00 per hour
Expected hours: 36 – 40 per week
Benefits:
Healthcare setting:
Schedule:
Experience:
Work Location: In person
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