Front Office Team Lead at ORTHOCINCY

Description

Primary Functions:

Supervises   front office personnel in the areas of patient access reception, revenue   cycle liaison, credentialing, insurance verification, compliance and   scheduling of surgical procedures in accordance with facility policies,   procedures, philosophy, and objectives. Ensures that all team members adhere   to established protocols and provide support where needed to achieve   operational excellence and improved patient outcomes. Responsible for payroll   monitoring and reporting. Coordinates activities with other departments and   participates in obtaining and maintaining qualified personnel. Responsible   for environmental control of area. Promotes a favorable image of the facility   to physicians, patients, insurance companies, and the general public. May   delegate duties as he or she deems necessary.

Duties and Responsibilities:

1. Philosophy

a) Supports the facility’s ideology, mission, goals, and   objectives

b) Performs in accordance with the facility’s policies and   procedures

c) Follows the facility’s standards for ethical business   conduct

d) Conducts self in a professional manner, and as a   positive role model and team member

e) Recognizes patients’ rights and responsibilities and   supports them in performance of job duties

f) Participates in facility committees, meetings,   in-services, inventory and activities

2. Communication

a) Communicates effectively and professionally with   patients, visitors, physicians, and coworkers

b) Interacts with others in a positive, respectful, and   considerate manner

c) Maintains professional relationships with physicians,   coworkers and leadership

3. Supervisory   duties

a) Direct supervision of front office personnel, including   orientation, performance appraisal, and maintenance of front office personnel   records

b) Ensures that front office duties are carried out   according to facility policies and procedures

c) Ensures that front office duties are carried out   efficiently and accurately

d) Works closely with Clinical Director to ensure the   efficient, timely flow of overall operation

e) Works closely with billing company to ensure the   efficient computer entry of all necessary demographic information, insurance,   operative notes, invoices to allow timely coding and billing

f) Recommends revisions in front office policies and   procedures to maintain compliance with federal and state rules and   regulations

4. Compliance   program

a) Contributes to the progress and development of the   organization’s adopted compliance program

b) Performs according to established compliance policies   and procedures

c) Remains current on all federal and state guidelines   regarding front office practices (e.g., fraud, abuse, and anti-kickback   statutes)

5. Performance-improvement   program

a) Contributes to the progress and development of the   organization's adopted performance-improvement program

b) Performs according to established   performance-improvement policies and procedures

6. Safety/Risk-management   program

a) Adheres to safety policies and procedures in performing   job duties and responsibilities

b) Reports observed or suspected safety violations,   hazards, and policy/procedure noncompliance to safety officer or another   designated person

7. Professional   competence

a) Participates in continuing education and other learning   experiences

b) Shares knowledge gained in continuing education with   staff

c) Seeks new learning experiences by accepting challenging   opportunities and responsibilities

d) Welcomes suggestions and recommendations

8.    Payroll

a) Organizes and maintains payroll and employee benefit   records to maintain compliance with federal and state rules and regulations

b) Reviews timecards and payroll verification forms for   accuracy and compliance with facility policies

c) Maintains records regarding vacation, sick leave, etc.

9.    Financial   practices

a) Uses facility resources appropriately and avoids   wasteful practices

b) Reports wasteful practices

c) Analyzes work area and makes recommendations for   potential cost-effective improvements

d) Ensures that financial transactions follow facility   policy and procedures

e) Works with Clinical Director to develop and maintain   case cost analyses

f) Reviews pre-qualification of procedures by third-party   payers

g) Serves as a positive liaison with insurance companies

h) Oversees timely and accurate delivery of billing   information to billing company

11. Scheduling

a) Oversees scheduling tasks to maintain efficient patient   flow

b) Works closely with Clinical Director to ensure   appropriate time allowances and special-equipment requests are communicated   in a timely manner

c) Assists in monitoring physician block time and makes   recommendations for effective utilization to Clinical Director

d) Oversees Scheduling Manager for compliance with   facility policies and procedures

e) Serves as a positive liaison with physicians and their   office personnel

12. Medical   records

a) Oversees medical record maintenance to ensure timely   dispensation of completed charts

b) Monitors medical record charts for accuracy,   completeness, and compliance with federal and state rules and regulations

c) Maintains security and confidentiality of medical   records

13. Credentialing

a) Works with medical practice credentialing entity to   monitor timeliness of reapplications

b) Ensures computer scheduling module contains current   licensure, malpractice insurance, and delineation of privilege information

Responsibility for Assets:

1. Responsible for monitoring office supplies and equipment

2. Responsible for petty cash

3. Responsible for work queues maintained in EMR

5. Responsible for medical records

6. Responsible for credentialing software 

7. Responsible for payroll records

Requirements

Qualifications:

1. Cooperative work attitude toward coworkers, management, patients, visitors, and   physicians

2. Ability to promote favorable facility image with physicians, patients, insurance   companies, and general public

3. Ability to make decisions and solve problems

Requirements:

Required

1. High school diploma or GED certificate 

2.  Two years of medical facility or medical business office experience

Preferred

1. Supervisory experience

2. ASC experience

3. Strong knowledge of computers (e.g., word processing, spreadsheets, automated   computer billing systems)

4. Strong managed-care expertise with Medicare, Medicaid, and/or third-party payers

5. Basic knowledge of medical terminology

6. Basic knowledge of anatomy

Job Quality Requirements:

1. Accuracy

2. Attention to detail

3. Timeliness

4. Organization

5. Little supervision needed to accomplish tasks

Dependability:

1. Attendance

2. Punctuality

3. Ability to follow instructions

4. Ability to meet deadlines

Physical/Mental Requirements:

1. Ability to sit/stand for long periods; ability to walk

2. Visual and auditory acuity for frequent use of computer and telephone, and   occasional use of other office equipment

Working Conditions (Environmental):

1. Well lit and ventilated, with non-hazardous and hazardous equipment

2. Category III: exposure to bloodborne pathogens and may encounter chemical hazards