Medical Practice Administrator

Position Summary

 An exempt position responsible for oversight of the following departments:

·         Finance Department – Direct report of Finance Control

·         Clinical Operations Department – Direct report Clinical Operations Director

·         Human Resource Department – Direct report Human Resource Director

·         Administrative Department

A Medical Practice Administrator is a professional who is responsible for the overall management and operation of a medical practice and will be responsible for developing and implementing policies and procedures, managing budgets and finances, overseeing staff and operations, and serving as a liaison between the practice and external organizations. This position will demonstrate expert knowledge of practice administration in a healthcare setting to ensure exceptional healthcare services to our patients.

Reports To: Board of Directors

Principal Duties and Responsibilities:

1. Work closely with other departments including clinical operations, information technology, and ancillary departments to streamline procedures that will help ensure correct billing to patients and payers in a timely manner, thereby expediting receivables.
2. Oversee and review monthly financial performance for assigned physicians and makes recommendations for improvements to leadership and board.
3. Direct the selection, supervision, and evaluation of staff.
4. Oversee orientation and continuing education for all management staff. Ensure mandatory and relevant training is provided to management staff in a timely manner.
5. Implement a Quality Assurance program for key functions and monitor staff and team performance, including vendors when outsourced functions, making changes, when required, to support high performance and compliance.
6. Oversee and maintain departmental policies and procedures. Communicate relevant information to other departments. Establish controls and review mechanisms to ensure procedures are being followed correctly. Recommend policy changes to the Board President.
7. Evaluates and recommends facility utilization and improvement, including expansion of AAAI with oversight of future construction and renovation projects.  
8. Assist with the development of budgets and monitoring of department operations to achieve goals within the budget.
9. Ensure compliance with relevant regulations, standards, and directives from regulatory agencies and third-party payers.
10. Provide leadership, guidance, and support to all departments.
11. Monitor key performance indicators (KPIs) and implement strategies to optimize revenue cycle processes to improve efficiency and reduce costs.
12. Maintains extensive knowledge of revenue cycle and regulatory requirements associated with governmental, managed care, and commercial payers.
13. Develops and maintains internal controls to target revenue recovery throughout the organization by identifying charge capture, coding, and reimbursement problems, then recommending/implanting solutions.
14. Ensures compliance with relevant federal, state, and payor-specific billing requirements.
15. Regularly provides upper management with revenue cycle status including reports, metrics, and presentation.
16. Ensure staff are educated on new technology, goals, and contracts.
17. Work with Managed Care vendors in identifying any payer relation issues or contracts that need to be renegotiated or negotiated for the first time.
18. Additional projects, goals, issues surrounding the revenue cycle and clinical operations regarding conflicts, or concerns as directed or indicated by Administration.
19. Performing other administrative tasks as required.
20. Develop and oversees implementation and administration of internal practice policies and procedures in conjunction with AAAI standard policies and procedures.
21. Oversee and support the daily operations of revenue cycle functions: front, middle and end. 

Required Skills, Knowledge, and Abilities

1. Proven track record of managerial experience in a healthcare setting.
2. Expert knowledge of patient financial services (PFS) processes and standards.
3. Expert knowledge of driving best practice performance through continuous process improvement and automation. 
4. Knowledge of regulatory requirements related to patient accounting, including a solid understanding of Medicare, Medicaid Commercial and managed care processes.
5. Ability to work and communicate effectively with a diverse group of people including other department directors, managers, staff, physicians, patients, and the public.
6. Ability to read, analyze and interpret financial reports, contracts, and other legal documents.
7. Outstanding ability to work independently to achieve results.
8. Ability to set and maintain priorities when dealing with multiple demands and interruptions.
9. Strong analytical and problem-solving skills.
10. Dedication to the development of others and willingness to coach and mentor people as necessary to promote their personal and professional growth.
11. Intermediate computer skills including email, word processing, spreadsheets, and working with graphics.
12. Excellent leadership and interpersonal skills.

Education

• Required:
• Master’s degree in business or healthcare administration or related field.

 Experience

•  5+ years of senior leadership-level experience in physician enterprise or medical group.
• Strong financial management skills, including budget preparation and cost control.
• Excellent leadership, communication, and interpersonal skills
• Ability to analyze data and make data-driven decisions.
• Strong problem-solving and critical thinking skills
• Knowledge of relevant federal, state, and local healthcare regulations and compliance requirements.
• Ability to analyze complex data and develop strategies to improve performance.
• Prefer experience working with Greenway/Intergy and Waystar software experience.

Other Requirements

• Certification as a Medical Practice Executive (MPE) or similar certification