Operations Specialist

Position Purpose:

To provide the administrative leadership for the daily operations of the medical center; this encompasses all functions related to the management of the office as defined by the AHCA, OSHA, CMS, and the Florida Health Department.

Knowledge/Experience:  

Required:

• High school diploma.
• Five (5) years of health care experience with at least four (2) years as Office Manager for a large group medical practice or urgent care center.

Management Profile:

Culturally diverse, Strong Time Management and Organizational skills, Strong Oral and Written Communications, Strong Presentation skills, Collaborative leadership, Shared decision making, Analytical skills, Critical Thinking skills, Ability to build successful teams and strategic working relationships, Technical and Professional Knowledge.

Position Responsibilities:

1.     Manages the daily clinic operations for the medical center(s), inclusive, but not limited to patient scheduling, customer service, inventory management, oversight of the medical record maintenance process and petty cash

2.     Supervises the administrative and clinical staff for the medical center(s).

3.     Serves as the HIPAA Privacy officer for the business unit(s).

4.     Facilitates issue resolution with patients, health plans and the corporate office.

5.     Establishes, facilitates, and monitors a patient retention program.

6.     Provides patient education when appropriate.

7.     Monitors the provider referral coordination process for the participating business unit health plans.

8.     Provides ongoing staff training for medical practice systems.

9.     Creates a system of ongoing communication between the administrative and medical staff to ensure efficient patient flow

10.  Works with the senior leadership team in planning and establishing goals and policies to improve quality and cost-effectiveness of care and service for patients.

11.  Works with the senior leadership team to identify and evaluate adverse trends in the utilization of medical services, unusual referring provider practice patterns, and adequacy of benefit/payment components.

12.  Develops a system to manage the administrative continuity of care for critically ill patients with multiple co-morbidities.

13.  Develops alliances with the referring provider community, social service organizations and community outreach programs.

14.  Represents the business unit at appropriate internal and external committees.

15.  Responsible for being the lead marketing representative of the business unit; developing and promoting the practice. This is inclusive of coordinating and managing marketing events.

16.  Ensure that each patient chart is stamped and recorded by the physician prior to entering a patient bill.

17.  Ensure that each patient visit generates a bill or encounter for all the services performed before the close of the business day of the patient visit.

18.  To ensure that all services provided to members are billed in a timely manner and collected in accordance with the members benefit plan and Payor contract.

19.  Ensure that the medical centers reflect an accurate/compliant high Medicare Risk Adjustment (HCC) risk score and adherence to all HEDIS measures.

20.  Other duties as assigned.

21. All protocols and responsibilities regarding VFC and VAXCARE.