A premier 3 physician group in Ventura/Oxnard, CA, is seeking a hands-on and experienced manager. You will need superb communication, organizational and personnel skills and a passion for getting things done. Demonstrated success in team leadership, billing and collection management and patient service supervision are essential. If this sounds like you, send your resume with salary history to: Jeffrey J Denning, Practice Performance Group 8070 La Jolla Shores Dr #518, La Jolla CA 92037 Jeff@PPGconsulting.com No phone calls, please.
HealthCare Partners Medical Group is a multispecialty medical group that is recognized for its quality of care and high rates of patient satisfaction. HealthCare Partners has over 3,500 employees, including 500+ primary care and specialty physicians, caring for more than 500,000 patients throughout Los Angeles County and Northern Orange County. HCP operates 40 medical clinics, five urgent care centers, two medical spas, and an ambulatory surgery center. If you're looking to make a difference with a large, financially stable, well-recognized, privately-owned Medical Group. HealthCare Partners may be the employer for you.
We are currently seeking an: Site Administrator, Redondo Beach & Glendora, CA To Apply on line: Click Here
Responsible for planning, coordinating, directing and monitoring all operational and financial aspects of the Health Center (one large site) in conjunction with providing effective leadership to managers, supervisors and staff and overseeing the delivery of quality, cost-effective patient care.
ESSENTIAL FUNCTIONS:
Consistently exhibits behavior and communication skills that demonstrate HealthCare Partners' (HCP) commitment to superior customer service, including quality, care and concern with each and every internal and external customer.
Provides overall direction and guidance to clinical and administrative team of staff, supervisors and/or managers.
Communicates organizational objectives and vision to the team.
Assists supervisors and managers with the development and implementation of departmental goals, policies, procedures, budgets and reporting tools.
Promotes a team approach to delivering quality, cost-effective care to where patient satisfaction is the primary goal.
Prepares annual capital equipment and operating budgets for the Health Center. Monitors departmental activities and justifies variances when necessary. Implements effective tools to improve operational efficiencies and control costs.
Ensures the coordination of provider schedules and the scheduling of patients. Monitors appointment availability and implements changes as needed.
Works in conjunction with designated lead physician and regional team to enhance provider satisfaction. Assists in resolving provider-related issues when necessary.
Monitors the impact of growth on the facility's existing space plan based on projected enrollment, visits and utilization. Proposes, plans and directs facility expansion and enhancement projects when required. Maintains a professional facility appearance that meets patients' expectations.
Enhances Health Center visibility through community involvement.
Participates actively on organizational and ad hoc committees as needed.
Reports progress, operational issues, organizational opportunities and threats to the regional team on a monthly basis or as needed.
Monitors patient satisfaction through various programs such as the formal complaint process, new patient survey, etc. Responds as appropriate.
Works toward ensuring customer service standards are met.
Ensure staff compliance with all HealthCare Partners (HCP) policies and procedures.
Uses, protects, and discloses HCP patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
Performs additional duties as assigned.
EDUCATION:
Bachelor's degree from a four-year college and/or a professional certification requiring formal education beyond a two-year college.
Master's degree in Healthcare Administration, Business Administration or Nursing preferred.
EXPERIENCE:
Minimum:
Over 7 years and up to and including 10 years of experience.
Healthcare industry experience within managed care and/or medical group operations environment.
CHW Medical Foundation is in search of a CFO to join their team!
The CHWMF clinic operates locations throughout Northern California including Sacramento, Woodland, Grass Valley, Santa Cruz, San Carlos, Stockton and (beginning in late 2010) Merced. Each geographic location is associated with one or more Medical Groups that provide physician services to the patients of CHWMF. The CFO, CHWMF is responsible for managing all financial activities for these locations, the associated medical groups, and the development of financial analyses for new patient care locations and programs as may be determined from time-to-time.
POSITION REQUIREMENTS:
This position requires a Bachelors Degree, MBA and/or CPA Preferred, along with demonstrated leadership experience in accounting and financial analysis in a health care organization. The successful candidate will also have extensive experience in managed care, medical group relations and contract negotiations, along with experience in spreadsheets, accounting, and decision support. Five years in a healthcare finance organization with a minimum of three years in healthcare budgeting and financial analysis experience; or a comparable combination of education and experience. Familiarity with medical foundations and clinic operations, and knowledge of physician contracting and Stark laws are required. Preferred experiences include some or all of the following: (a) hospital and clinic contract preparation and review, (b) California Department of Managed Health Care report preparation, filing, and defense (c ) physician compensation planning, (d) management and analysis of capitated healthcare programs and related utilization management experiences, (e) Cost Report preparation, filing and defense, (f) Medicare and Medicaid Disproportionate Share calculations, (g) OSHPD Report preparation, filing and defense h) Fair Market Valuation analyses, and (i) Physician compensation modeling, analysis and administration.
CHALLENGES:
• For all medical groups, leads the PSA negotiations, modeling, strategy and tactics in concert with President/CEO CHWMF
• Profit/Loss management (expense & revenue) in concert with President/CEO, CHWMF
• Responsible for month end close in collaboration with Director of Finance
• Responsible for annual budget, in collaboration with Director of Finance and President/CEO, CHWMF
• Responsible for Patient Financial Services / billing, collection, compliance, cashflow
• Manages the strategic/capital planning activities in collaboration with President/CEO, CHWMF
• In collaboration with key stakeholders, develops, implements and manages the CHWMF Managed Care strategy to address changing business conditions and the external environment including contracting and care / utilization management
• Leads activities associated with regulatory compliance in concert with President/CEO, CHWMF
• Leads activities associated with business planning and new market analysis in concert with President/CEO, CHWMF
KEY ACTIVITIES:
Develops and maintains excellent working relationships with physicians, physician groups and hospital leadership.
Responsible for the development and success of those working within the department including succession planning for all management positions.
Serves as the CHW System interface and finance content expert RE CHW’s physician integration strategies, specifically including friendly PC models, relationships with physicians via MSO and/or IPA models, risk-sharing relationships with medical groups, and core physician-practice Information Technology systems.
For consideration, please apply to requisition ID #89125 via our website: www.chwcareers.org. CHW Medical Foundation is an equal opportunity employer.
Under the direction of the Business Operations Manager, the Coding Director is responsible for the efficient and effective operation of the Medical Coding and Data Entry teams to ensure accurate and timely billings consistent with the Mission and Philosophy of CHW Medical Foundation.
1. Manage CPT coding activities and data entry function on all services provided by CHWMF.
2. Monitor coding operations and data entry for compliance with established policies, procedures, and standards.
3. Request, prepare, and/or maintain requested reports on coding and data entry activities.
4. Monitor coding issues to provide feedback to physicians and to improve clinical documentation.
5. Assure compliance with applicable industry rules and regulations.
6. Regularly analyzes operational volume to determine appropriate staffing requirements.
7. Manage the processing of all personnel actions; initiate corrective-action plans when appropriate, including reporting results of follow-up audits.
8. All other duties as assigned to maintain department function.
QUALIFICATIONS To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Associate Degree or commensurate work experience
Previous Supervisory/Management experience
Extensive knowledge of coding guidelines, CPC certified
Previous experience in Physician coding
Must have knowledge of physician billing regulations, understanding of professional claims and billing procedures, fee schedule set up and reimbursement issues.
Ability to plan work and establish priorities.
Good interpersonal skills to deal effectively and courteously with business-related associates and staff members.
Requires working knowledge of computers and demonstrated proficiency in using Email systems, Internet and Microsoft Office software applications with emphasis on Microsoft Word and Excel.
Preferred:
Bachelor Degree
Knowledge of IDX billing system is desirable
MS Access experience
PHYSICAL DEMANDS The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
List the essential physical requirements
WORK ENVIRONMENT The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
For consideration, please apply to requisition ID #87897 via our website: www.chwcareers.org. CHW is an equal opportunity employer.
This position reports to the Chief Financial Officer and is accountable for leading the Finance team in managing the financial and accounting policies, systems and processes, tax and regulatory requirements, ongoing financial analysis, financial modeling and annual business plan. Provides strategic direction and leadership to the Finance Team
ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.
• Responsible for the delivery of cost effective and efficient accounting and financial systems, policies and processes that meet the current and future business requirements.
• Ensure consistent service delivery in a consultative and solutions-based capacity with regards to accounting, financial analysis and budgets.
• Oversee the continuous improvement of Accounting and Financial policies and processes and the development of the team with the goal to achieve best practices and optimal output.
• Lead the annual business plan development and budgeting process.
• Provide financial modeling and analysis to support the development of short and long term strategic initiatives and business plans to business partners.
• Develop reporting and analysis, including key metrics reports, and conduct ad hoc financial analysis as required.
• Develop and oversee the preparation of the monthly Management Operating Reporting Package.
• Oversee the presentation of monthly and year-to-date financials with accompanying analysis of results.
• Oversee the External Audit, review and analyze results and recommend for approval the Audited Financial Statements.
• Ensure that CHWMF is in compliance with all internal policies and relevant regulations and ensure filings are completed in a timely manner.
• Develop and oversee the Internal Review function to ensure that finance and operations controls and policies are complied with. Ensure effective follow up processes are in place.
• Ability to build effective teams and provide coaching, guidance and support, set professional development plans to assist employees to reach their full potential through the Performance Management process.
• Continually evaluates and prioritizes workload ensuring optimal deployment of resources to achieve business goals and ensures the highest standard of collaboration and customer service.
• Experience with strategy development and implementation
• Ability to grasp Foundation’s short and long term priorities and develop systems, processes and policies to support the achievement of them in a cost effective manner.
• Ability to communicate effectively at all levels with proven experience in relationship building onsite and with remote locations.
QUALIFICATIONS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are
representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Required:
• 10 years working knowledge in accounting and finance with at least 5 years leadership experience.
• Exceptional Interpersonal skills, a collaborative style and the ability to communicate effectively at all levels
• Physician practice, compensation and relationship management experience.
• Healthcare system experience; preferably multi-entity.
• Demonstrated initiative and the ability to work effectively within time constraints
• Knowledge of Financial systems
• Proficient in Microsoft Office software
• BS in Accounting
Preferred:
• CPA Preferred
• Understanding of the healthcare industry
• Lawson, IDX and Access
• Sound knowledge of compliance regulations for organizations working within the not-for-profit sector
For consideration, please apply to requisition ID #94348 via our website: www.chwcareers.org. CHW is an equal opportunity employer.
Primary care medical group in Torrance working under the auspices and support of a hospital based MSO, is seeking a Practice Administrator. The Administrator manages busy medical practice and ancillary business lines including laboratory, radiology and ultrasound. Seeking experienced medical practice administrator with business background and/or education. The ideal candidate possesses:
·A minimum of five years experience in medical group management
The California Medical Association, a private non-profit advocacy organization that promotes the well-being of patients, the protection of public health and the betterment of the medical profession has an immediate opening for a Reimbursement Advocate to join a dynamic team of practice management experts.
Reimbursement Advocate-Summary:
Advocates for CMA physician members on reimbursement and medical practice issues. Develops resources and tools to empower physician practices, creates and conducts educational seminars for members, and directly assists members with individual reimbursement and practice related issues through CMA’s Reimbursement Helpline. Establishes effective relationships with private and government payors and regulatory entities that promote a problem-solving focus on member specific issues.
Successful candidate will possess the following skill sets:
• Medical office management or health plan operations experience is required
• Ability to manage multiple complex issues in a fast paced environment
• Excellent customer service skills
• Strong written and oral presentation skills
• Strong knowledge of medical practice operations including billing and collection processes, managed care contracting, and other practice management issues
• Ability to research California and Federal laws and regulations
• Strong problem solving and interpersonal skills
Our headquarters is located in downtown Sacramento. The California Medical Association offers a competitive salary and benefit package.
For immediate consideration, please forward resume and letter of interest indicating salary requirements to: hr@cmanet.org
About the job: The office manager is responsible for recognizing and then acting on ways to improve service to patients and to help the physician reach his stated goals. The office manager implements the policy decisions of the physician owner of the practice, brings issues for resolution to the attention of the physician and volunteers suggested solutions to problems and courses of action. The manager is responsible for the staffing of the office, the performance of all employees and the operation of the smooth running of the practice.
Duties of the job
Staffing: Schedules working hours, lunch and breaks to assure office coverage throughout the day. Fills-in for all positions as needed for continuity of coverage and at peak times. Schedules vacation absences to minimize disruption to physician productivity and patient service. Recruits, selects, trains and evaluates all non provider personnel in consultation with Dr. Moore. Collaborates with Dr. Moore on performance reviews. Conducts staff meetings to solicit practice and patient service improvement ideas, announce policy changes and train employees. Maintains payroll time records and personnel files. Maintains, distributes and enforces the written personnel policies and rules of the practice. Supervises the outside transcriber.
Financial: Supervises outside billing company. Reviews all surgery and office charges to submission. Ensures daily deposit of all monies received. Provides physician contact with A/R reports as needed. Monitors third party reimbursement patterns and supervises action of billing service on payment problems.
Prepares accounts payable invoices for payment outside the office.
Cooperates with the practice accountants and other advisors and supervises the timely submission of data to and receipt of reports from outside advisors.
Patient relations: Schedules all surgeries. Preauthorizes all surgery. Answers patient questions and receives patient complaints and suggestions. Handles all dissatisfied patients. Updates patient information brochures and educational material as needed, but at least annually. Responsible for determining patient, attorney and adjuster attitudes and satisfaction level, making recommendations to the physician as appropriate. Monitors employee communications with patients and coaches staff in etiquette, courtesy and tact. Monitors telephone accessibility by patients and referring physicians.
Physician services: Maintains hospital privileges, dues and licensure, managed care contract and similar files and calendars. Acts as practice point of contact for professional liability issues. Collects and publishes agenda for monthly physician policy meetings at least 24 hours in advance. Attends physician policy meetings, records decisions, due dates and responsibility assignments. Collects and publishes physician schedule. Continuously analyzes office scheduling for improvement of patient service and physician productivity. Is point of contact for referring physicians unable to reach a physician of the practice. Monitors all prescription refills and authorizes them in the absence of a provider. Carries out projects assigned by the physician.
Plant and equipment: Responsible for office maintenance and housekeeping. Recommends suite enhancements and implements physician decisions. Responsible for inventory of office and professional supplies and supervises ordering personnel. Responsible for maintenance and repair of office equipment. medical equipment and telephones.
Problem solving: The office manager continuously analyzes the following areas of the practice for improvement and will make at least one improvement in each area each year:
Accounts receivable
Patient billing Insurance billing
Facilities Telephones
Patient flow Appointments
Employee training Medical records (EHR under consideration)
External marketing
The office manager will attend two educational meetings per year and is responsible for his/her continued management development. The manager is also responsible for supervising compliance with State and Federal health and safety, employment, and business practices laws and regulations.
Other duties: The office manager will perform other tasks and duties as may be added from time-to-time. The manager will set a good example to other employees in all aspects of his/her work and will exhibit flexibility and willingness to be evaluated. The manager will bring office problems to the attention of the physicians and will propose solutions.
Authority boundaries: Makes no independent policy, staffing or expenditure decisions other than for normal replacement of expendable supplies. Has no authority to obligate the practice. Is specifically instructed to enforce existing policy in a manner consistent with getting the best management result for the practice.
To considered for the position please fax resumes to: 831-655-4266.
Sansum Clinic is a large ambulatory care clinic seeking an experienced RN to direct our clinical services throughout Santa BarbaraCounty and all the clinic’s 17 locations.
Candidates will possess current RN license, minimum of 5 years clinical nursing, 2 years experience in ambulatory care setting; BSN and management experience preferred.Candidate must also possess strong knowledge of regulatory, accrediting (Joint Commission, IMQ) standards, advisory requirements including state, county and CDC recommendations.
Responsibilities of the position include directing nursing practice, nursing education and clinical services for the group practice; applications of new technologies in patient care; be a resource for physicians and clinical staff; assist with planning, organizing and evaluating nursing policy and procedures; protocol management and infection control measures.
Premier ophthalmology/optical practice with two physicians, three optometrists, and four locations in Napa, St. Helena, AmericanCanyon and Concord, CA is recruiting a dynamic administrator to lead the team!Candidate should have at least 8 years progressive medical management experience ideally with growth oriented groups.Candidate must have strong financial analysis skills with successful track record in strategic planning, contracting/negotiation, business development and implementation, operational efficiency, cost containment, EMR, physician recruitment, HR and team building.Practice is tech savvy.MBA or FACMPE a plus. The present manager is retiring December 31st , 2010.Position available prior to, or shortly after this date.
Our growing market is within the stunningly beautiful wine country with excellent weather, world class restaurants, resorts, outdoor recreation and close to San Francisco.
We offer an excellent benefit package to include; health, dental, life, PTO, 401K, CME and more.
Internationally known aesthetic surgeons, Corey Maas, MD and Shahin Javaheri, MD, seek an outstanding, dynamic, innovative, entrepreneurial individual who can drive the business development opportunity to grow and expand the practice, Medispa, clinical research and surgery center with 12+ staff. Additional satellite locations in Truckee and Berkeley. Strong Financial, Operations and Personnel Management skills including Budgeting, Financial Analysis/Planning, Marketing, A/R, A/P, excellent team building/morale skills and HR management. Outstanding office location close to CaliforniaPacificMedicalCenter.FT or 4/5 time position,MBA a plus,7+ years Experience. Competitive Salary/Benefits/Incentive Bonus. Visit www.maasclinic.comPLEASE DO NOT CONTACT PRACTICEResume to: AesAdmin@practiceconsultants.net or Fax (415)764-4802.
