MANAGER OF PROVIDER BUSINESS OPERATIONS

Department: Ambulatory Services Administr - SRMC

FTE: 1.00
Full Time
Shift: Days

Position Summary:
Plans, oversees, and monitors revenue-generating operations and systems of Advanced Practice Providers. Develops and implements business strategies, policies, protocols, and systems that improve practice productivity, efficiency and customer service, and which support the enhancement of revenue. Monitors and oversees compliance with all applicable federal and state laws, regulations, and guidelines. Ensure adherence to Hospital and Departmental Policies and Procedures. No patient care assignment.

Detailed responsibilities:
* LEADERSHIP - Provide leadership through identification of problems and opportunities for improvement, program planning, implementation, and evaluation
* OPERATIONS - Plans, monitors, and quality-controls the performance of the clinical revenue-generating operations of the department, to include oversight of the performance of agents of the department; develops and implements appropriate operating benchmarks and standards
* ANALYSIS - Performs complex and comprehensive financial and operating analyses to be used directly in senior management decision making; gathers clinical practice data from a wide variety of internal and external sources
* PLANNING - Participates in strategic business planning for the department; researches new clinical practice opportunities, and makes recommendations to management regarding financial feasibility
* PLANNING - Develops, implements, administers, and evaluates the department’s annual clinical revenue action plan
* BILLING - Oversees and evaluates the department's billing operations to ensure compliance with appropriate procedures and applicable laws, regulations, and policies; trains and updates providers and staff on proper billing and coding practices; recommends remedial action as appropriate
* BILLING - Coordinates the billing processes and systems of the department; participates in the supervision and training of medical coding analysts, and oversees the resolution of billing and coding problems
* COORDINATION - Work closely with UNM Medical Group, UNMCC, UNM Hospitals and UNM Sandoval Regional Medical Center Finance Division departments to coordinate efforts related to Revenue Cycle Improvement.
* RESOLUTION - Ensure timely documentation and resolution of process issues, escalate issues to appropriate decision-making authorities when necessary
* POLICIES AND PROCEDURES - Review and update policies, procedures and guidelines within scope of position.
* CONTRACTS - Reviews the department's clinical contracts, and makes recommendations for improvements and enhancements as they impact department subspecialties
* COMMITTEES AND MEETINGS - Attend technical and administrative meetings; participate in committee functions; participate in hospital-wide activities and committees within the scope of this position or as directed
* PROFESSIONAL DEVELOPMENT - Enhance professional growth and development through attendance at relevant conferences, seminars, workshops, in-services, behavioral health classes, meetings and reading professional journals and online articles

Qualifications
Related Education and Experience may be substituted for one another on a year for year basis.

Education:
Essential:
* Bachelor's Degree
Education specialization:
Essential:
* Business Administration or Related

Experience:
Essential:
2 years directly related experience

Nonessential:
No preferred experience

Credentials:
Essential:
* Not Applicable/Not Required

Physical Conditions:
Sedentary Work: Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

Working conditions:
Essential:
* No or min hazard, physical risk, office environment
* Subject to an annual contract and performance appraisal