Front End Operations Manager - Hem/Onc
George Washington Medical Faculty Associates - Washington, DC

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This position will manage the administrative and financial support service functions for an extremely complex clinical, research or income-supported division.

Essential Duties and Responsibilities
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Other duties may be assigned.

• This position is responsible for all aspects including directing, planning and overseeing activities related to department revenue cycle management and enhancement.

• Provides key leadership consultation and expertise regarding all pre and post patient access activities, financial counseling, POS collections, denials management, payer relations, charge master maintenance and systems.

• Makes recommendations for improvements to business systems and processes including formal proposals and or presentations to management.

• Monitors key practice financial performance and revenue cycle indicators and makes periodic reports on revenue cycle performance and key financial indicators.

• Continuously keeps abreast of regulatory and reimbursement matters affecting revenue cycle operations.

• Supervises the front end clinic support staff to ensure an accurate and timely patient registration and charge capture.

• Represents Division of Hematology / Oncology on issues related to professional billing. Coordinates overall support of Department of Medicine Initiatives around MFA.

• Oversees the professional billing for the infusion area to assure that there is accurate capture of charges for technical services being provided.

• Supervises the Pre-certification Unit to assure that the accurate and timely pre-certification of treatment for drug administration and radiological tests are preformed.

• Supervises the Scheduling Unit in performing all scheduling for professional encounters.

• Develops and maintains patient tracking mechanisms for physician referrals.

• Works in conjunction with the Director of HemOnc Operations to assure an environment focused on good customer service

• Participates in the development, implementation, and evaluation of measures to enhance services provided in the Cancer Service line.

• Exemplifies standards in all activities and holds staff accountable for conformity with those standards in all activities.

• Serves as administrator for a professional division in supervising financial and office support,

• Recommends supply and equipment purchases, salary expenditures and office service expenses.

• Establishes, with executive approval, internal administrative procedures and controls.

• Conducts special administrative studies and prepares recommendations as assigned.

• Identifies uninsured and underinsured patients prior to the onset of treatment

• Verifies coverage details for potentially underinsured patients, identifying atypical gaps in coverage

• Estimates patients financial obligations to the institution

• Educates patients regarding insurance coverage and out-of-pocket expenses owed to the institution

• Protects the financial standing of the MFA by determining appropriate payment plans and arranging payment on deposits due

• Counsels patients who cannot pay according to the payment schedule, determining appropriate internal and external patient assistance programs to contact for additional support

• Contributes to department goals by making 100% financial arrangements for each patient prior to the onset of treatment when possible

• Adheres to the MFA corporate compliance plan, and to all applicable rules and regulations outlined by accrediting bodies and local, state, and federal agencies

• Conducts patient financial assessment and planning

• Facilitates patient collections

• Supports efficient department operations

• Assumes other duties and responsibilities that are appropriate to the position and area.

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.

Education:
A Bachelor’s degree in business administration or an equivalent combination of training and experience is necessary.

Experience:
Four years of progressively responsible experience in business management, including heath care billing and reimbursement activities and administration is necessary. Similar experience with a Hematology/Oncology practice highly desirable. Supervisory experience is necessary for this position.

George Washington Medical Faculty Associates - 18 months ago - save job - block