Medicare Operations Manager Jobs in Arizona (NOW HIRING)

SUMMARY:
Manages daily operations of medical practice for TMC HealthCare's physician practices; oversees operations, staffing, patient flow, budgets and efficiency of operations of multiple practice sites.
This position is distinguished from Manager, Practice Management in that it oversees two or more practices and has broader scope of responsibilities.
ESSENTIAL FUNCTIONS:
Manages and supervises staff of multiple physician practices; interviews, hires, and trains; evaluates employee performance; deals with performance problems as appropriate; delegates work assignments effectively.
Reviews profit/loss statements and makes recommendations on budget resource allocations and financial decisions; ensures all financial transactions are properly executed and recorded.
Serves as liaison for physicians with administrative issues; resolves employee disputes and patient complaints.
Ensures records, logs, files and databases are maintained in accordance with organizational and industry standards, and ensures adherence to state and federal policies, procedures, rules and regulations.
Manages budget development and monitors monthly expense and revenue reports to achieve established targets; makes recommendations for capital expenditures and investment plans.
Assists in daily activities to ensure continued operations at a site, when necessary.
Ensures that all patients, family members, and other office visitors are treated courteously by staff members.
Monitors patient flow and participates in the development and execution of marketing activities to support assigned practice(s); ensures efficiency of operation.
Develops contingency plans and responds to unforeseen circumstances utilizing planned resources.
Participates in varying degrees in the preparedness and response to external agencies (i.e., JCAHO, Department of Health Services, Medicare, etc.); assists with annual staffing evaluation and quality improvement evaluations.
Adheres to and supports team members in exhibiting TMCH values of integrity, community, compassion, and dedication.
Adheres to TMC organizational and department-specific safety, confidentiality, values, policies and standards.
Performs related duties as assigned.
TMC Integrative Pain Center:
In addition to the duties as stated above, the Senior Practice Manager will:
Identify indicators to measure, evaluate, and improve care in alignment with TMC's true north pillars.
Develop a strong, collaborative relationship with the medical director dyad.
Development and revision of policies and procedures specific to the department's program of care in collaboration with medical director and/or clinical nurse educator.
Utilize other clinical resource experts, such as a clinical nurse leader or clinical nurse educator, to ensure best practice methodology is followed.
Promote excellent customer service to both internal and external non-patient customers; other hospital support service or ancillary departments, referral base and other community care partners.
Community outreach in the form of networking, office calls, and generalized promotion of services.
Prepare documentation and participate in evaluation of potential capital equipment.
Report DOR variances using tool provided by TMC finance department.
Pivot and institute necessary modifications to procedures and department resource commitments as financial changes dictate.
Monitor daily revenue and usage reports to assure appropriate charge entry within the Epic EMR; monitor for timely, accurate charge entry and reconciliation.
Knowledge of department applicable billing and coding; ability to identify resources to assess accordingly.
Review monthly denial reports and assess for variables that may be corrected.
Assess daily operations for potential improvement in efficiency and potential cost savings for the department.
Evaluate for technology and medical supply trends which may impact and improve patient care quality and provide cost savings.
Strategize with department team, providers, and director on potential growth opportunities to serve our community and elevate the experiences we create and the value we bring.
MINIMUM QUALIFICATIONS
EDUCATION:Bachelor's degree in business management, finance, accounting or related field preferred.
EXPERIENCE: Six (6) years of physician practice management of supervisory experience, preferably in managing multiple practice sites.
An equivalent combination of education, training and experience may be substituted, which together total ten (10) years.
LICENSURE OR CERTIFICATION: None required.
KNOWLEDGE, SKILLS, AND ABILITIES:
• Knowledge of management theory, practices, and tools utilized (preferably within the hospital or healthcare industry).
• Knowledge of federal and state requirements as it relates to medical insurance and Medicare/ Medicaid.
• Skill in budget management, compiling statistics, composing letters and reports.
• Skill in computer applications such as basic functionality of the computer, PC file and folder, Microsoft Word, Excel, Outlook, PowerPoint and presentation skills.
• Ability to read and interpret documents, contracts, proposals, and related legislation.
• Ability to prepare detailed reports and correspondence.
• Ability to speak effectively before groups of employees or customers.
• Ability to calculate figures and compute rate, ratio, and percent and to draw and interpret bar graphs and apply basic algebraic concepts.
• Ability to define problems, collect data, establish facts, and draw valid conclusions.
• Ability to interpret an extensive variety of technical instructions in a mathematical or diagram form and deal with several abstract and concrete variables.
• Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.