Business Operations Manager VPT

Rockville, MD
Feb 23, 2021
May 23, 2021
Full Time
Under general direction of the Director of Finance, the Business Operations Manager is responsible for Practice Operations, Financial & Revenue Cycle Management, Managed Care Contracting and Credentialing for all Adventist Medical Group (AMG) practices for Behavioral Health and directly managing a billing specialist.

Principle Duties & Responsibilities

• Create workflows within Morrisey Credentialing database to process new provider applications.
• Assist Managed Care Department on insurance contract review and negotiations for fee schedule reimbursement.
• Create and manage CAQH (Council for Affordable Quality Healthcare) database for all employed physicians and clinical staff for third-party vendor access.
• Responsible for sending monthly updated Rosters to Delegated Insurance Carriers for credentialing.
• Manage and direct the work of billing specialist to ensure daily collection of fee tickets from all outpatient clinics.
• Prepare monthly access reports for all outpatient practices.
• Manage monthly financial analysis to monitor practice productivity for all AMG Behavioral Health practices.
• Analyze monthly financial reports for outpatient facility billing.

Education & Experience

• High school diploma/GED required
• Bachelor's degree in Business Health/Administration preferred
• 10 years' healthcare office administration experience.
• 5 years' supervisory/management experience

Work Schedule:

Variable Part Time(VPT)

Tobacco and Drug Statement

Tobacco use is a well-recognized preventable cause of death in the United States and an important public health issue. In order to promote and maintain a healthy work environment, Adventist HealthCare will not hire applicants for employment who either state that they are nicotine users or who test positive for nicotine and drug use.

While some jurisdictions, including Maryland, permit the use of marijuana for medical purposes, marijuana continues to be classified as an illegal drug under the federal Controlled Substances Act. As a result, medical marijuana use will not be accepted as a valid explanation for a positive drug test result.

Adventist HealthCare will withdraw offers of employment to applicants who test positive for Cotinine (nicotine) and marijuana. Those testing positive are given the opportunity to re-apply in 90 days, if they can truthfully attest that they have not used any nicotine products in the past ninety (90) days and successfully pass follow-up testing.

Equal Employment Opportunity

Adventist HealthCare is an Equal Opportunity/Affirmative Action Employer. We are committed to attracting, engaging, and developing the best people to cultivate our mission-centric culture. Our goal is to have a welcoming, equitable, and safe place to work and grow for all employees, no matter their background. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.

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