Insurance Operations Administrator Jobs in Georgia

At Clayton Eye Center, our purpose is to provide the highest level of eye care possible to each patient enhancing individual lifestyles and vision. We are committed through a highly skilled and compassionate team of Doctors providing services with leading-edge technology in efficient and cost effective manner. We offer various services including Cataracts, Glaucoma, Retina, Family Eye Care, contact lenses, cosmetic, oculoplastic & reconstructive surgery with multiple locations on the south side of Georgia.

Under general direction from the Director of Surgical Services and Vice President of Surgical Services, the Facility Administrator directs the staff and programs of the Ambulatory Surgery Center. Develops and introduces approves standards and guidelines for ambulatory services and programs. Collaborates with Medical Director and Nurse Manager to ensure surgical services of high standards.

• Manage operations of the assigned facility according to policies, protocols, orders and regulations.
• Utilizes each facility's comparative information and principles of continuous quality improvement to drive efficiencies in the facility. The Administrator serves alongside clinical staff, the Director of Surgical Services, Vice President of Surgical Services, and Medical Director to oversee the efforts of quality management in the facility.
• Works closely with the Medical Director and the Nurse Manager at the facility staff to ensure all clinical aspects of care delivered at the facility meet established regulatory standards. The Administrator will work with all attending physicians to implement specific patient care orders and protocols.
• Will manage all employee relations and human resource activities to meet patient care needs within established budgets and staffing patterns. The Administrator will be supported by Human Resources staff in managing employee relations and HR activities.
• Will work with corporate Procurement staff and the facility staff to manage supplies and inventory to ensure necessary supplies and equipment are available for patient care needs. The Administrator will utilize company processes to ensure appropriate accounting and internal controls are maintained for ordering and receiving materials and equipment.
• Will demonstrate effective leadership and communication skills to motivate associates. The Administrator will conduct staff meetings as necessary and applicable to enable effective communication and adhere to regulatory requirements.
• Will work with EyeSouth's corporate compliance team to continually meet the requirements of State Licensure, ASC CMS Conditions for Coverage and accrediting organizations.
• Will identify and recommend procedural changes and solutions for inefficiencies.
• Will act as a liaison for the providers to relay any surgical, operational, or other issues the providers may have via the appropriate channel.
• Will ensure key performance indicators are met across all departments.
• Provides on-site support and direction for the staff for coordination with Revenue Cycle services, to ensure appropriate procedures are followed for patient scheduling, registration, medical record documentation, billing and collections.
• Provides a systematic approach in working with patient grievances and EyeSouth's Compliance Team to resolve any issues of patient care.
• The Administrator will work with EyeSouth's corporate team to create, analyze, and provide routine ad hoc reports related to the assigned facility as directed.
• Will participate through created reports and on-site presence in Governing Body meetings as applicable and necessary.
• Will strategize methods to meet/exceed monthly budget parameters by working closely with EyeSouth's corporate team.
• Will adhere to the facility's policies and procedures.
• Will complete in services in a timely fashion.
• Will participate in performance improvement and continuous quality improvement activities.
• Must maintain patient's right to privacy by not discussing privileged information outside the work area or within hearing range of visitors, family, or patients.
• Ensure proper and efficient surgical workflow.  Works with providers and nursing staff to develop and implement standard operating procedures.
• Oversee the use of software solutions and regularly identifies and recommend areas for improvement, including relationship management with specific vendor representatives.
• Conducts monthly staff meetings.
• Ensures the efficient and effective administration of the Front Office, including superb customer service, front-end revenue cycle responsibilities (insurance verification, demographic data entry, and collection of patient responsibility balances), and scheduling processes.
• Ensures time sheet authorization, PTO approvals, and all required payroll reporting is completed in a timely fashion.
• Ensures the facility culture is reflective of the Facility's mission, vision, and core values.
• Ensure operational and facility compliance measures are met with the assistance of the EyeSouth Chief Compliance Specialist, and Chief Medical Officer
• Ensures corporate and medical compliance programs are implemented and adhered to under the directions of the EyeSouth Compliance Specialist and Chief Medical Officer.
• Ensure accounts payable duties are performed timely and accurately
• Ensures month-end reporting is provided timely and accurately

• Minimum 3 years of ambulatory surgery operations management experience required
• Bachelor's of Science degree from an accredited college or university preferred
• Licensed, Registered Nurse required
• BLS & ACLS Certification required
• Strong understanding of skilled nursing standards, federal and state regulations, and AAAHC or another ASC accreditation body's patient safety and quality standards.
• Proven ability to lead and develop a team and drive performance improvement, demonstrated by progressive increases in management responsibility
• Proven ability to thrive in a highly matrixed environment
• Strong financial aptitude with experience managing a P&L statement
• Rational and analytical approach with a friendly disposition; ability to remain calm in difficult situations
• Ability to work beyond normal hours, as needed (including potential weekends)
• Excellent presentation, interpersonal and communication skills; written and documentation skills
• Professional & reliable demeanor with strong work ethic
• Excellent time management skills, organizing and prioritizing workload, to meet deadlines
• Ability to quickly learn new software, new systems, adapt to change and communicate effectively
• Intermediate computer skills including Microsoft Office; especially Word, Excel, and PowerPoint
• Excellent interpersonal skills including the ability to interact effectively and professionally with individuals at all levels; both internal and external
• Exercises sound judgment in responding to inquiries; understands when to route inquiries to the next level, with a strong sense of urgency.
• Self-motivated with strong organizational skills and superior attention to detail
• Must be able to manage multiple tasks/projects simultaneously within inflexible time frames.
• Ability to adapt to frequent priority changes
• Team player who develops strong collaborative working relationships with internal and external partners and can effectively engage
• Ability to build consensus among cross-functional teams
• Strong problem-solving and negotiation skills

We offer a competitive benefits package to our employees:

• Medical
• Dental
• Vision
• 401k w/ Match
• HSA/FSA
• Telemedicine
• Generous PTO Package

We also offer the following benefits for FREE:

• Employee Discounts and Perks
• Employee Assistance Program
• Group Life/AD&D
• Short Term Disability Insurance
• Long Term Disability Insurance

EyeSouth Partners is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.