The PPA Business Operations Manager oversees all provider clinics' business operations through direct leadership of the individual clinic office managers. This role is focused on leading for results to optimize clinic performance based on key performance indicators (KPI) relevant to the organization and practice while ensuring compliance with healthcare regulations and implementing operational improvements to deliver high-quality patient care in all clinics.

Qualifications

Education/Experience:

Required:

• Bachelor's degree in business, management, or related healthcare field degree may be substituted with relevant experience


• 5 years' experience in a medical office or related field


• 3 years' experience in a managerial role


• Excellent organization, analytical, and communication skills


• Proficiency in healthcare

 

Responsibilities

• Provides positive leadership to the clinic office manager team through an environment of teamwork, open communication, and customer service.


• Coaches, mentors, and assists with professional development of the clinic office managers to build a high-performing team


• Holds regular meetings with clinic office managers to review individual clinic performance metrics, address challenges, and share best practices.


• Identifies opportunities for cross-clinic process consistency and improvement, and facilitates solutions


• Responsible for human resources processes including interviewing, ongoing performance management, timekeeping, and required documentation.


• Provides comprehensive training and onboarding to new clinic office managers


• Promote the use and implementation of processes and technology in the workplace to streamline operations, facilitate communications, and optimize work processes.


• Works closely with the Director and Vice President to develop clinic operational goals and objectives based on the organizational strategic plan


• Tracks CLIA licenses and updates for clinics and lab


• Supervises Physician Practice and Credentialing Coordinator to include oversight of:
  
  
  
  • Insurance credentialing
  
  
  • Updates and validates the BCBS Value Based Roster
  
  
  • Site administrator for HRSA
  
  
  • Enrolls providers in Medical Malpractice, works with broker on renewals, and notifies of provider terminations
  
  
  • Facilitates Clinic Changes Notifications with insurance payers
  
  
  • Provider Terminations
  
  
  
  


• Assists in developing financial budget to achieve organizational strategies and financial targets; leads clinic office managers on a path to optimize revenue and reduce costs.


• Oversees policy and work instruction development and maintenance as it relates to clinic operations to sustain compliance with regulatory standards and to improve the overall operation of the organization.


• Participates in special projects, committees, or task forces as requested

HIPAA: This position will have access to the Protected Health Information described below, in order to carry out the duties related to the position at Hays Medical Center, based on the following criteria:

• Primary – required (routine) to do the job;


• Secondary – required for the job, but mostly by exception; and


• None – no approved access

 

Description of Information:

• Secondary
  
  
  
  
  • Coding Information (clinical information that is in (alpha) numeric format): ICD-9 Codes, Rev Codes, CPT Codes
  
  
  • Clinical Information (information that describes a patient’s health status): Diagnosis, Reports/Medical Notes, Test Results, Problem List, Procedures, History and Physical
  
  
  • Patient Demographic Information (information used to identify a person): Name, Date of Birth, Address, Race, Marital Status, Religion
  
  
  • Financial Information/Insurance (information related to insurance, billing, and payment): Billing Information, Payer Name, Payer ID, Account Balances, Plan Elements Covered, Payment Information, Payment Rates
  
  
  
  

 

Infection Control: This position will include initial and ongoing training in dealing with infection control. Training could include, but is not limited to, blood-borne pathogens, bodily fluids, and biohazardous materials, as it applies to your daily work environment.

Patient Interaction: Frequent