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)
Currently hiring for a Practice Manager in the Terre Haute, IN area!
Description:
The Practice Manager is responsible for overseeing the overall business operations of the surgery practice and any additional locations where provider(s) offer services.
This position is pivotal in supporting the practice's vision, enhancing the patient experience, optimizing clinical workflow, and ensuring financial growth and stability.
The Practice Manager is expected to possess strong data analytics skills, using data to assess and improve business performance and regularly producing reports to track growth and profitability.
Role Responsibilities:
● Establish and implement effective workplace procedures.
● Ensure policies and best practices align with industry standards and government regulations.
● Maintain organized patient records using electronic health record systems.
● Supervise daily practice operations, including billing, debt collections, security, and occupational health and safety.
● Monitor inventory for medications and medical equipment and coordinate resupply as needed.
● Interact with patients to address their complaints and concerns.
● Coordinate and lead regular staff meetings and conduct performance reviews.
● Collaborate with Physician(s) to develop business/marketing strategies and enhance patient services.
● Oversee administrative staff, including but not limiting to Front Desk receptionists, Patient and Surgical Coordinators, and office contractors.
● Hire and provide training for specific needs as they arise.
● Supervise staff schedules and performance, setting a tone of accountability and professionalism in the office.
● Conduct regular performance reviews for all staff members.
● Ensure a clean and orderly office environment, oversee equipment selection, and ensure proper functioning of all equipment.
● Pay proactive attention to matters that impact the patient experience, including staffing schedules and office flow during clinic hours.
● Maintain brochures of services available for patients.
● Address and resolve conflicts and concerns among staff members, fostering a pleasant patient experience.
Skills & Qualifications:
MUST HAVE:
- Healthcare Industry experience
- Previous office admin within surgical center/healthcare clinic
- High School Diploma
Experience Level:
Intermediate Level
About TEKsystems:We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About the Company:
TEKsystems
About TEKsystems:
Company Size:
5,000 to 9,999 employees
Industry:
Staffing/Employment Agencies
Founded:
0
Website:
https://www.teksystems.com/en/
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0 Medical Policy Manager jobs found in Terre Haute, IN area