The Role
Manages daily outpatient clinic operations, supervises registrars, coordinates staffing and patient flow, monitors billing and encounter data accuracy, and ensures compliance with healthcare regulations. Reviews referrals, authorizations, accounts, and coding; trains staff on registration, billing, insurance, and policy updates; conducts meetings; coordinates with clinical leaders; and supports the Director with departmental projects and operational issues.
Summary Generated by Built In
The Department of Ambulatory Care Services at SUNY Downstate Health Sciences University Is seeking a full-time OPD Clinic Manager / TH Senior Staff Assistant, Suite R. The successful candidate will:
- Be responsible for the daily management and supervision of the Registrars.
- Provide adequate staffing complement to ensure that there are no delays with patient care/flow.
- Monitor reports to ensure all corrections are updated in Eagle/AIIScript within the 7-day window billing period.
- Ensure continuous training of staff on registration protocol and billing updates.
- Review accounts for appropriate referrals/authorizations to ensure maximum reimbursement to the hospital.
- Monitor daily reconciliation of encounter forms/visit detail listing report.
- Determine staffing needs in clinics/suites/satellite areas to facilitate patient flow.
- Monitor and act as focus of communication OPD lo ensure efficient coordination of the department's activities.
- Communicate all pertinent information to staff and educate staff on policy and procedure.
- Ensure data quality: monitor fail bill report and daily visit error report lo ensure data Is corrected in Eagle/AllScript and ensure staff is educated on errors to reduce the hospital’s accounts receivable.
- Review charts/accounts to ensure Registrars are closing visits at time of service or within 48 hours of visit with the appropriate diagnosis/procedure code.
- Monitor, train and educate staff on all regulatory insurance and health care changes related to their functions and ensure policy and procedure are followed.
- Ensure that patients receive information pertaining to their rights to ensure compliance with state and federal regulations such as HIPAA compliance, NOP, Bill of Rights, Advance Directives.
- Provide support to and consult with the Director on all outstanding issues and activities that have impact on departmental operations.
- Conduct scheduled monthly staff meetings.
- Provide Data collection for statistical purposes and to coordinate work flow.
- Coordinate with Nursing, Physicians and Director, the activities of the clinics/suites.
- Complete projects and assignments in timeframe allotted and provide feedback to the Director.
Required Qualifications
- Associate's Degree.
- 3 to 5 years of supervisory experience in a healthcare setting.
- Prior experience with healthcare/hospital medical billing.
- Knowledge of third-party insurance.
- Or, a satisfactory equivalent combination of experience, education and training.
Preferred Qualifications
- Bachelor's Degree preferred.
Are you looking to take your career to new heights with a leader in healthcare? SUNY Downstate Health Sciences University is one of the nation's leading metropolitan medical centers. As the only academic medical center in Brooklyn, we serve a large population that is among the most diverse in the world. We are also highly-ranked by Castle Connolly Medical, a healthcare rating company for consumers, among the top 5 leading U.S. medical schools for training doctors.
About the Team Equal Employment Opportunity
SUNY Downstate Health Sciences University is an affirmative action, equal opportunity employer and does not discriminate on the basis of race, color, national origin, religion, creed, age, disability, sex, gender identity or expression, sexual orientation, familial status, pregnancy, predisposing genetic characteristics, military status, domestic violence victim status, criminal conviction, and all other protected classes under federal or state laws.
Women, minorities, veterans, individuals with disabilities and members of underrepresented groups are encouraged to apply.
If you are an individual with a disability and need a reasonable accommodation for any part of the application process, or in order to perform the essential functions of a position, please contact Human Resources at [email protected].
Skills Required
- Associate's degree
- 3 to 5 years of supervisory experience in a healthcare setting
- Prior experience with healthcare or hospital medical billing
- Knowledge of third-party insurance
- Bachelor's degree
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The Company
What We Do
SUNY Downstate Health Sciences University is Brooklyn’s only academic medical center and part of the State University of New York. Through five schools and University Hospital at Downstate, it educates physicians, nurses, scientists, public-health leaders, and allied health professionals; advances biomedical, healthcare, and public-health research; and delivers patient-centered care while promoting health equity for New York’s diverse communities across the borough.
