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RESPONSIBILITIES

I. JOB SUMMARY/RESPONSIBILITIES:

• Under the direction of the Manager, and in collaboration with QHI Medical Directors and Managers, assists, develops, and maintains reports used by the practice for clinical, financial, and patient experience performance improvement activities, including but not limited to physician scheduling, credentialing, benchmarking and productivity, quality metrics monitoring, and other program development initiatives.

• Works collaboratively with management to ensure operations are in compliance with applicable regulatory requirements and are within the policies and procedures of The Queen’s Medical Center.

• Supports the day-to-day physician operations of the Queen’s Heart Institute to promote excellence in clinical care, quality, and patient safety.

II. TYPICAL PHYSICAL DEMANDS:

• Essential: finger dexterity, seeing, hearing, and speaking.

• Continuous: standing, sitting, walking, repetitive arm/hand motions.

• Frequent: stooping/bending, static gripping of an object for prolonged periods, walking.

• Occasional: climbing stairs, walking on uneven ground, lifting and carrying usual weight of 1 pound up to 5 pounds, reaching above, at and below shoulder lever

• Operates computer, telephone, fax and printer

III. TYPICAL WORKING CONDITIONS:

• Not substantially subjected to adverse environmental conditions.

• Work may be performed at various locations under varying conditions.

IV. MINIMUM QUALIFICATIONS:

A. EDUCATION/CERTIFICATION AND LICENSURE:

• Associate’s degree; OR two (2) years’ experience in any or combination of the following: physician practice, health clinic operations, physician practice services, hospital business office may substitute for educational requirement.

B. EXPERIENCE:

• In addition to education requirement, two (2) years of experience in a healthcare setting (i.e., physician practice), with knowledge of healthcare reimbursement and professional billing, including but not limited to CPT, ICD-9, ICD-10 coding principles; regulatory requirements, third party requirements.

• Experience to demonstrate:

o Strong knowledge of MS Office (Outlook, Word, Excel, and PowerPoint).

o Exceptional analytical skills, including a thorough understanding of how to interpret business needs and translate them into actionable and operational requirements.

o Highly autonomous, capable of working independently on multiple assignments and making decisions with limited direction or oversight as appropriate.

o Strong communication and interpersonal skills, capable of developing relationships with physicians, leadership and peers.

o Ability to communicate clearly and concisely at all organizational levels, verbally and in writing.

o Knowledge of Medical Staff and Payer Credentialing preferred.

o Prior experience demonstrating ability to work effectively with physicians preferred.

o Experience using physician scheduling and utilization programs highly desirable.

Equal Opportunity Employer/Disability/Vet