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Revenue Cycle Manager - Billing Manager - San Diego, CA
We are a San Diego based private Orthopedic practice with 8 Physicians. We are looking for an experienced Billing Manager to lead our billing team.
The Billing Manager oversees the day-to-day operations of the billing department to maintain revenue and ensure accuracy in coding and billing processes. This position requires a strong leader with the ability to prioritize, plan, and direct the department.
Revenue Cycle Manager - Billing Manager Responsibilities:
Revenue Cycle Manager - Billing Manager Qualifications:
Revenue Cycle Manager - Billing Manager Compensation:
We are offering a salary in the $65 – 80,000.00 range. We offer medical, dental and vision insurance, PTO, a 401K plan with 3% employer match and profit sharing.
Our private practice runs on a Monday – Friday 8:30 am to 5:00 pm schedule. We are closed on all major holidays.
Our commitment to you
Plaza Personnel Service specializes in direct hire medical staffing for Physician offices throughout San Diego, CA. Our goal is to make a great long term match with the employer and employee. We will listen and understand your experience, your goals and your needs. We make every effort to match the candidate with the employer so that a long and happy working relationship results.
This opportunity is offered through Plaza Personnel Service, a permanent placement employment agency. Plaza Personnel has specialized in direct hire medical staffing for Doctors’ offices in the San Diego area since 1991. Please visit our website at www.PlazaPersonnelService.com
Pomona Valley Hospital Medical Center
Reviews documentation and data. Identifies diagnostic and procedural information. Abstracts and/or verifies documentation to support diagnoses, procedures, and treatment results. Follows coding conventions. Identifies discrepancies, potential quality of care, and billing issues. Stays abreast of current regulations to maintain certification. May be required to cross train in different specialties. May perform other duties as assigned.
EDUCATION: High School diploma or equivalent
CERTIFICATION: Coding Certification from AAPC/AHIMA
EXPERIENCE: Coursework in Medical Terminology/Anatomy. Must have good computer skills (MS Word, Excel, PowerPoint, Internet, etc.). Must have good organizational and analytical skills, as well as good verbal and written communication skills.
EDUCATION: Associates' Degree
EXPERIENCE: Two to five years of coding experience with an emphasis on Medicare and Medi-Cal requirements. Prior experience in the healthcare field specifically related to coding and/or medical billing and compliance. Familiar with state, federal laws and professional coding standards. Experience with coding tools (e.g. 3M Encoder, CPT Assist, NCCI, etc.).
To apply visit our web-site at www.pvhmc.org and apply to Req. 11564.
Drug Free Workplace
Director of Clinical Quality
Stanford Health Care - University Healthcare Alliance
Stanford Health Care strives to deliver the absolute best in patient care, seeking innovative solutions and expanding the limits of what is possible. It’s this legacy of excellence that creates the foundation for transformations still ahead, all driven by incredible people.
Avoca Search is honored to partner with Stanford Health Care - University Healthcare Alliance (UHA) in recruiting its Director of Clinical Quality. UHA is a medical foundation born out of the aspiration for Stanford Medicine and local, high-quality providers to bring a greater range of leading-edge health care services to patients across the Bay Area. UHA is comprised of three medical groups with over 70 clinic locations and over 350 board-certified primary care and specialty care providers, and includes an affiliated IPA network, Affinity Medical Group.
The Director of Clinical Quality will be a highly visible leader who will drive quality policy-setting, implementation of quality programs, design and institution of population health programs, development of patient safety initiatives, and will direct UHA’s provider credentialing functions. Striving to create a high-performance organization, this Director will be an integral member of UHA’s executive team and will provide support and leadership in furthering clinical performance and process improvement, advancing population health, devising, tracking and reporting key metrics, and guiding and facilitating response to risk, safety and licensing issues for the medical foundation.
UHA is headquartered in Newark, California, located 35 miles south of San Francisco. As part of the East Bay, Newark has evolved into a center of high-tech, bio-tech, and health sciences, all while maintaining a small hometown feel. As a family-friendly community, the East Bay offers abundant recreational, cultural and sports venues with access to numerous hiking and biking trails, beaches, local zoos, amusement parks and other entertainment options. Enjoy excursions to nearby San Francisco to visit the Golden Gate Bridge, Alcatraz Island, Fisherman’s Wharf, and Golden Gate Park. Within a two-hour scenic drive is the world-famous wine country of Napa County.
Ideal candidates will be highly organized, process driven, relationship-builders, and experienced in large matrix organizations. They will have proven ability as change agents in elevating clinical quality and will possess knowledge of Value-Based Programs (IHA AMP, MACRA/MSSP), Patient Safety, Infection Control and Scope of Practice. Ambulatory quality experience preferred. Seven years experience in quality; five years in experience in management. Bachelor’s degree and RN required; BSN preferred. Master’s in Nursing, Health Administration, or another related field highly desirable.
Please send confidential resumes, inquiries, or nominations to:
Chief Administrative Officer
Sutter Medical Group, Sacramento
The Chief Administrative Officer will plan, oversee, manage, and optimize the business and administrative operations of Sutter Medical Group (SMG) to ensure organizational effectiveness. Provide consultation to the President/CEO, SMG Board, Committee Chairs, and medical group leaders to enable appropriate business decisions. Communicate and partner with Sutter Medical Foundation (SMF) Leadership Team relating to business operations and strategic planning. Collaborate with SMG, SMF, and Sutter Health leadership to fulfill strategic initiatives and enhance the integrated system of healthcare. Represents SMG in its internal and external business relationships.
Sutter Medical Group is a successful, 1000+ member multi-specialty group offering physicians and clinicians the opportunity to build their practices within a progressive, financially sound and collaborative organization. Sutter Medical Group is an affiliated medical group with Sutter Health, one of the nation’s largest healthcare providers, demonstrating a commitment to our patients and communities in Northern California. SMG is recognized as a Top Performing Physician Group by the Integrated Healthcare Association. Our members are dedicated to providing the highest quality and most complete health care possible to the people in the communities we serve in the greater Sacramento Sierra Region of Amador, Placer, Sacramento, Solano and Yolo Counties.
The new CAO, will be replacing the retiring incumbent, and shall report directly to the SMG President/CEO. The CAO shall provide direct oversight and management to the SMG Administrative Support team; Administrative Assistants, Administrative Directors, Senior Executive Assistant to the President/CEO and Board of Directors; and the SMG Revenue Cycle Liaison.
Duties / Responsibilities
· Overall SMG Business Operations and accounting oversight of SMF business support services within Accounts Payable, Monthly Financials, 401(k)/Retirement Plan
· Member of the Advanced Practice Clinician (APC) Management Committee. Provide direction, oversight, and management of the financial results of APCs within SMG
· Manage and oversee the performance of the Administrative support functions. Perform on-going mentoring and development
· Perform annual evaluation for SMG Revenue Cycle Liaison
· Advise and participate in the Professional Services Agreement (PSA) negotiation process between SMG and SMF
· Support Board governance function and development, including education and performance assessment
· Oversee retirement plan services as representative to the Plan Administrator and the Fiduciary
· Serves on various strategic, operational, business, legal, compensation, and financial committees as warranted and assigned
· Provides counsel to SMG Leadership and Board on strategic and operational decisions
· Participate in the annual strategic planning development process
· Represents SMG Leadership to internal and external constituencies
· Direct oversight in the development of operating budgets
· Facilitate, negotiate, interpret, and engage in contracts with various entities and organizations on behalf of SMG
· Provides counsel to SMG Leadership on succession planning and Leadership Development
· Commits to and models behaviors consistent with the SMG Compact
· Other duties as assigned
Education and Experience Requirements
· Masters prepared candidate required or demonstrated equivalent experience
· Five to ten years’ experience in healthcare, with an emphasis on medical group management
· Five to ten years’ management experience, with demonstrated experience in business and financial performance
· Experience in physician group operations, finance, and contract negotiations
· Demonstrated knowledge of group practice culture and challenges facing medical groups
· Effective communication skills, including negotiation and conflict resolution
· Other applicable, demonstrable skills and experience will be considered to address any deficiencies for the above listed criteria
Salary commensurate with experience.
Please send Cover Letter and Resume to: Nick Crespo, Recruitment Manager
2750 Gateway Oaks, Sacramento, CA 95833
Front Operations Manager
South Bay San Francisco
Join a stable, high revenue group with multiple upscale locations and multiple physicians in the South Bay. This position oversees front desk and revenue cycle operations in all locations with direct management of 20+ staff. The core functions are overseeing staff and physician scheduling, billing support and operations to maintain optimal revenue, efficiency and patient satisfaction.
• Hire, supervise, guide, train, counsel, appraise and perform corrective action with staff on an ongoing basis.
• Lead monthly staff meetings.
• Build teamwork and guide front office and billing staff in engagement, teamwork and support.
• Update job descriptions and hold staff accountable with metrics.
• Optimize patient flow through the clinics through real-time monitoring and adjusting of staff as needed.
• Maintain and update physician scheduling templates.
• Attend monthly meeting and respond to operational issues timely.
• Assist in maintaining strong relationships with referring provider offices
• Coordinate repair and maintenance of all office equipment.
• Ensure facilities are kept clean, free of clutter and safe for patients and staff.
• Maintain adequate office inventories by reviewing staff order patterns, checking stock in exam rooms and other monitoring tools.
Billing/Revenue Cycle Management
• Verify staff is obtaining and documenting accurate referral/authorizations & insurance card information.
• Clear EMR workflow dashboard buckets by location
o Manager holds
o Missing tickets
o Patient appointments to reschedule
• Oversee billing staff/RCM process.
Qualities desired include: Strong organizational skills, high emotional intelligence, proactive problem solving, entrepreneurial attitude/initiative with a “can do” attitude and strong communication and interpersonal skills dealing with employees. The physicians, staff and management are exceptional in medical skill, caring and compassion.
Minimum: 5 years medical office management experience with direct staff management.
The Search is confidential – Excellent salary, benefits, 401K
RESUMES to: OMFront@practiceconsultants.net or FAX 415-764-4802
Join an outstanding multi-specialty orthopedic group with state of the art facilities in the Silicon Valley/South Bay area. The group’s mission is to provide the highest level of patient care with care and compassion in a personalized setting.
The group is looking for a professional, team player, service driven manager. The ideal candidate will have an excellent work ethic, positive attitude, ability to multi-task with attention to detail, be organized, flexible and take initiative to problem solve. Clear, calm and empathic communication with staff, patients and physicians is imperative
This position oversees all back office clinical staff including Ortho techs, Athletic trainers, Medical assistants, X- ray techs, MRI techs and operations with direct management of 33 staff. Oversight of Advanced Practice Clinicians in conjunction with physicians. The core functions are overseeing staff and operations to maintain optimal delivery of care, efficiency and patient satisfaction.
The position will be ½ time in Los Gatos and ½ time in Capitola with periodic travel to Watsonville and Morgan Hill offices.
Essential Job Responsibilities Include:
Excellent salary, health, dental, life, HSA, FSA, 401K and other benefits.
Minimum: 5 years medical office RN, LVN, X-Ray Tech, Certified Athletic Trainer or Certified Medical Assistant experience with direct staff management. BS, BSN or health administration degree preferred but on the job experience may qualify.
Recruiters and Candidates - DO NOT CONTACT THE PRACTICE RESUMES to: CLMGR@practiceconsultants.net or FAX 415-764-4802
Chief Finance Officer
Join an organization that places you at the forefront of health care innovation! Our Executive Leadership team is currently seeking a Chief Finance Officer to oversee our financial planning and accounting practices to support our medical group.
In this role, you will oversee and direct the budgeting, audit, tax, accounting, purchasing, long-range forecasting, and insurance activities. You will develop and implement financial policies and procedures and ensure compliance. This role will evaluate our organization’s financial position and report on our financial stability, liquidity, and growth. This role will oversee preparation of annual budgets as well as the preparation and issuance of the organization's annual tax and other reports.
You will need ten plus years’ experience in financial/accounting management with experience in health care financial management strongly preferred. You must have a Master’s degree and CPA. Additionally, advanced financial accounting and statistical skills are necessary.
Apply now: firstname.lastname@example.org
Medical Assistant/Surgery Scheduler
EXPERIENCED Medical Assistant/Surgery Scheduler needed for a busy surgical specialist office. The ideal candidate will be detail oriented, dependable, and interested in performing at a high level. Above average computer skills, knowledge of insurances, an understanding of medical terminology, and the ability to organize multiple tasks is critical in the effective performance of this position. Knowledge of insurances required. DO NOT apply with less than 2 years of surgery scheduling experience. Full-time with benefits offered after the successful completion of the probation period.
Job Type: Full-time
Pay: $14.50 - $18.50 per hour
8 Hour Shift
Monday to Friday
Surgery Scheduling: 2 years (Required)
Medical Office: 2 years (Required)
This Job Is Ideal for Someone Who Is:
Dependable -- more reliable than spontaneous
Adaptable/flexible -- enjoys doing work that requires frequent shifts in direction
Detail-oriented -- would rather focus on the details of work than the bigger picture
Job description but not limited to:
Review all incoming documents and handle accordingly (physical therapy, referrals, additional patient information)
Review all incoming referrals and determine if patient can be scheduled for consultation.
Scrub in office schedule to make sure all documents for appointment are in patient’s chart, make sure all CDs for appointment are here
Obtain authorization for all procedures ordered by the doctor – surgery, radiology, referral consults, physical therapy, etc.
Send referrals for any procedure once approved
Schedule follow up appointments as needed
Schedule surgery with the hospital & patient
Order all pre-op tests
Track any missing documents and ensure they are received in time for surgery
Assist with answering telephones
Return all telephone messages
Send in prescriptions to pharmacies
Complete all disability forms
This Company Describes Its Culture as:
Detail-oriented -- quality and precision-focused
Stable -- traditional, stable, strong processes
Apply to: Shari Bell at email@example.com
Practice Administrator - Cardiology Practice
Confidential opportunity to replace the retiring Practice Administrator in a busy interventional cardiology practice. This is a wonderful 10 physician group to work for, established in the community for more than 50 years, very well respected and concerned with providing quality care for their patients. Large staff of over 70 employees in four locations and varying departments including HR/Controller, Billing, Clinical (Nursing, Mid-Levels, MAs), Nuclear, Echo, Pacer, Stress, Reception Team, all of whom have department supervisors who report to the Administrator. We continue to grow and expand services. Need someone experienced in managing a large staff of pleasant long time employees. Must be competent in interpersonal skills, skilled in customer service techniques, some accounting, profit/loss, revenue management, budget projections, contracting, MIPS/QPP reporting, basic managerial functions. The ideal candidate will have some experience in the clinical arena as well as health care administration. Excellent benefits including a generous PTO policy, paid health insurance (employee only}, paid portion of dental insurance, paid life insurance, paid long term disability and extremely generous retirement program in which contributions are made on your behalf. Stockton and the surrounding areas are great places to live; affordable housing and good weather, Bay Area amenities without the Bay Area cost of living, within short distances of waterways and lakes, camping, mountains and the ocean.
PLEASE DO NOT CALL THE OFFICE TO DISCUSS AS RETIREMENT HAS NOT BEEN ANNOUNCED YET.
Apply to: firstname.lastname@example.org
Central Business Office SupervisorPomona Valley Hospital Medical Center
THIS POSITION IS FOR PROFESSIONAL AND OUTPATIENT SERVICES
(ON-SITE, NOT A REMOTE POSITION)
Responsible for supervising and coordinating daily operations related to Coding, Charge Entry and Insurance Verification to achieve established productivity goals. Effectively monitors, supervises, audits and Mentors staff to ensure exceptional performance and coding compliance. Provides input regarding policy systems, methods and procedures for the effective management and control of Coding, Charge Entry, Insurance Verification and Clinical Documentation improvement process. Acts as liaison with A/R Supervisor, Clinic Staff and Providers. May perform other duties as assigned.
[Required] High school or equivalent. Certified Professional Coder (CPC) for ICD.9 and ICD.10. Five years Professional coding experience with at least two (2) years of supervisory/leadership experience. Ability to assess EHR system and adjust workflows for coding and charge data entry processes. Demonstrate proficiency with monitoring, teaching, mentoring and training of staff and providers. Ability to manage Unbilled Kept Appointments with no Charges, tasks, coding related denials, and provide accurate reporting of same. Must have strong analytical, investigational and leadership skills, excellent oral/written communication and presentation skills and proficiency in Microsoft Office Suite, i.e. Outlook and Internet Explorer.
[Preferred] Bachelor's degree in Business, Healthcare or a related field. NextGen experience a plus.
To apply: Visit our web-site at www.pvhmc.org and apply to Req. 11109.
For more information contact: Sandra.email@example.com
Drug Free Workplace
Practice Manager - Monterey County, CA
Busy Healthcare Management Firm is in search of a qualified candidate for the position of Practice Manager for medical groups located in Monterey County, California. The Practice Manager oversees the adequacy and soundness of the clinics' and other supervised practices' financial structures. Reviews operating results of the practices, compares them to established objectives and benchmarks and takes steps to ensure the appropriate measures are taken to correct unsatisfactory results. Establishes current and long-range objectives, plans and policies, subject to the approval of the executive team.
Human Resources of the practice
Billing and Collections
Financial Modeling and Analysis
Budgeting and Finance Functions
5+ years Medical Group Management Experience; MBA or Master's degree in healthcare strongly desired. Please see job description for full details.
Apply to/at: firstname.lastname@example.org
Orthopaedic Group located in Newport Beach seeks a strong, experienced RCM Manager.
The Orthopedic Billing Manager position oversees the day-to-day patient accounting functions of the practice in accordance with current applicable federal regulations and cost reimbursement principles relating to health care operations as may be directed by the Practice Administrator.
Requires a minimum of 5 years’ management experience in a high-volume, physician billing environment with a focus on Orthopedic surgery specialties. CPC certification with strong working knowledge of CPT and diagnosis coding is also required. Bachelor´s degree in healthcare administration, business or a related field is strongly preferred. Must have high-level knowledge of physician reimbursement and contract analysis with the ability to interpret and analyze data from a variety of financial reports. Requires expertise in a variety of PC applications including but not limited to Microsoft Word, Excel, and PowerPoint. Must have exceptional verbal and written communication skills. Must be willing and able to collaborate on processes and procedures as an integral part of the Revenue Services management team. High level analytical skills are essential to success.
Skills and Proficiency’s Required:
Job Duties Include:
Apply to: Karrie Smith at ksmith@Calortho.org
Chief Operating Officer, Synergy Orthopedic Specialists Medical Group (Synergy)
Synergy Orthopedic Specialists Medical Group (Synergy), located in San Diego, California, is seeking an experienced Chief Operating Officer (COO) who will lead operations, drive continued growth and profitability as well as grow shareholder value of a growing independent group practice. The COO will provide operational leadership to a high-quality provider organization comprising the largest orthopedic medical group in San Diego, well on its way to becoming the premier orthopedic group regionally. The COO will serve as the most senior non-physician executive, contributing to the strategic, operational, and clinical missions of the organization.
Synergy Orthopedic Specialists is a 21-physician specialty group in San Diego with 11 practice locations and strategic hospital affiliations. The group was founded to bring individual surgeons together to provide patients with the highest standards of excellence in orthopedic care. In addition to their Board Certified and Fellowship-Trained surgical practice, Synergy operates three physical therapy locations and an MRI center, thereby offering the full spectrum of musculoskeletal care.
Reporting to the seven-member Board of Directors, the COO will provide leadership of Synergy Orthopedic Specialists to advance business objectives and strategic plans that facilitate growth, build long-term value, and provide consistent return to the organization. Ideal candidates will be experienced leaders of successful, growing physician practices. Master’s degree in healthcare administration or MBA highly preferred.
This is an opportunity to live in beautiful San Diego, a world-class coastal area with an abundance of recreational and cultural activities.
For consideration apply directly to:
Emily Breyan, Korn Ferry
T: (215) 861-2617