Indianapolis, Indiana
Clinic Director Job Opening in Indianapolis, Indiana - Description
The Clinic Director oversees all medical and behavioral health/substance abuse services and care provided to Damien Cares and Damien Center patients with assistance from the Clinical Manager and Mental Health/Substance Abuse Manager. Works in coordination with the Damien Center Directors of Operations, Compliance, and Development to provide seamless wrap-around services to Damien Cares? patients. Meets with Directors weekly to report on clinic activities and issues. Oversees all scheduling, billing, credentialing and office operations for medical and mental health/substance abuse care providers.
Duties and Responsibilities
Oversees the day-to-day operations of Damien Cares clinic, including supervision of the clinic?s Nurse Practitioners, Clinical Manager, Mental Health/Substance Abuse Program Manager and Front Office staff
Oversees billing, scheduling, inventory, recordkeeping and supervision of clinic and counseling staff
Works with third party billing, credentialing, and accounting companies to ensure 1) all providers are credentialed with payers, 2) billing of accounts is done in accordance with payer and federal/state guidelines, and 3) payments received by the clinic reconcile with the practice management system
Directs communication with insurance companies, patients and others as necessary to resolve unpaid claims
Answers difficult questions regarding accounts and policies
Monitors weekly and monthly reports assessing trends, achievements and concerns
Provides weekly dashboards and month-end reports to the Executive Director
Keeps management informed by summarizing financial information and trends
Assists with completion of reports for grant funded programs and other clinic related projects
Monitors and assesses clinic operations for areas of improvement and continued successes
Identifies and implements operational protocols and systems to assist in developing efficiencies across all service lines within the clinic
Researches and develops innovative programming for the clinic and mental health services
Interacts with patients, as needed, to ensure positive patient outcomes
Enforces HIPAA and compliance with professional standards, state and federal regulatory requirements
Oversees adherence to the Program Standards of Care for HIV Services set forth by the Marion County Public Health Department Ryan White Services Program
Other duties as needed or required by the agency and/or the funder
Staffing
Supervises the day-to-day work activity all clinic and counseling staff in collaboration with department and program managers
Manages, in partnership with Human Resources, the selection, training, development, performance evaluation and disciplinary actions of clinic staff
Provides daily oversight to front office staff to ensure compliance with policies and procedures
Approves assigned staff?s time off requests and time sheets
Oversight of front office functions
Works closely with staff to develop a team approach to patient care
Works with Clinical Manager and Mental Health/Substance Abuse Manager to maximize provider schedules
Ensures front desk is covered during all hours of operation
Tracks time-of-service collections using daily batch folders; keeps a daily log of patient volumes and collections; handles daily deposits
Manages front desk cash drawer
Oversight of billing and credentialing functions
Works with credentialing company to handle all insurance credentialing of providers including updates to NPPES, CAQH and PECOS
Documents all follow-up emails or phone calls with payers or credentialing liaison
Maintains payer grid for all providers with effective dates for each plan
Updates staff, management and Marion County Public Health Department regarding any new payer/agency requirements
Oversees posting of charges and payments into practice management system (PMS) within 48 hours
Assists bookkeeper with reconciling vaccine inventory to accounts billed for vaccines
Follows up on all correspondence received within the payers? established timeframe to avoid claim denials for timely filing limits
Reviews monthly all unpaid claims over 30 days for all insurance payments and patient balances
Follows up on all payer denials and requests for additional information
Monitors EOB payments and adjustments
Prepares refund request forms and provides to management
Keeps management informed and up-to-date regarding denied claims or pending claim issues
Requests approval from management for all non-contractual write-offs including past filing limit denials and bundled services
Assists with training of case management staff on insurance requirements and financial assistance options, including but not limited to sliding scale fees
Reporting
Balances and completes weekly and month end reports for management
Analyzes PMS reports for trends and reports to management
Miscellaneous
Oversees visitors to Damien Cares
Monitors and orders office supplies, as necessary
Addresses issues with office equipment or software applications; informs management of any issues which need attention/repair
Submits tickets to iSalus or IT support when users have issues with computers, EMR or PMS
Researches new systems or equipment and makes recommendations to management
Creates, understands, implements, follows and enforces all administrative policies and procedures
Supports the mission and values of the organization as established by management
Miscellaneous projects as directed by management
Skills and Qualifications
Bachelor?s Degree in Business Administration, Business Management, Health Care Administration or related field required
Certified coder through the AAPC or AHIMA, or comparable knowledge of CPT, HCPCS, and ICD-10 coding required
Three to five years of medical office management and operational experience in a Health Care Organization or similar experience required
Three years of billing, coding and/or credentialing experience required
Experience working with physicians, midlevel providers and healthcare administration
Strong leadership skills and experience building a positive, cohesive team environment
Ability to take initiative and problem solve successfully without direction or supervision
Excellent organizational, communication and time management skills
Ability to work independently while also being part of a team
Ability to multi-task successfully
Excellent customer service skills
Attention to detail
Skilled in using a computer and other standard office equipment
Proficient in Microsoft Office Suite products (Word, Excel, Outlook)
Ability to lift 20 pounds
Please Note the Following
If a candidate is offered and accepts this position, s/he will be required to agree to a background check. Employment will be contingent upon the findings.
If a candidate is offered and accepts this position, s/he will be required to sign confidentiality and data security agreements. All employees are required to sign agency confidentiality statements, pass HIPAA training, and agree to all policies and procedures.
The Damien Cares is an Equal Opportunity Employer.
Job Type: Full-time
Required education:
Bachelor's
Required experience:
medical office management and operational experience in a Health Care Organization or similar: 3 years
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