OPD Clinic Manager, Suite R

SUNY Downstate Health Sciences University; New York (NY); On-site; USD 55,000 - 75,000; Full time

Job summary

SUNY Downstate Health Sciences University seeks a full-time OPD Clinic Manager / TH Senior Staff Assistant for Suite R. You will oversee daily Registrar operations, ensure adequate staffing, and monitor billing and encounter data to maximize reimbursement.

The role requires supervisory healthcare experience, knowledge of medical billing, and adherence to HIPAA and related regulations. Strong coordination with Nursing, Physicians, and the Director is essential for smooth clinic flow.

Qualifications

• 3 to 5 years of supervisory experience in a healthcare setting.
• Prior experience with healthcare/hospital medical billing.
• Knowledge of third-party insurance.
• Associate's Degree or equivalent combination of experience, education and training.
• Bachelor's Degree preferred.

Responsibilities

• Be responsible for the daily management and supervision of the Registrars.
• Provide adequate staffing to prevent delays in patient care/flow.
• Monitor reports to ensure corrections are updated in Eagle/AIIScript within 7 days.
• Ensure ongoing staff training on registration protocol and billing updates.
• Review accounts for referrals/authorizations to maximize hospital reimbursement.
• Monitor daily reconciliation of encounter forms/visit detail listing reports.
• Determine staffing needs in clinics/suites and satellite areas.
• Coordinate department activities for efficient patient flow.
• Educate staff on policy and procedure and HIPAA compliance.

Skills

Supervisory experience

Healthcare billing

Regulatory compliance

Staff training

Communication

HIPAA compliance

Education

Associate's Degree

Bachelor's Degree preferred

Job description

Job Description

The Department of Ambulatory Care Services at SUNY Downstate Health Sciences University Is seeking a full-time OPD Clinic Manager / TH Senior Staff Assistant, Suite R. The successful candidate will:

• Be responsible for the daily management and supervision of the Registrars.


• Provide adequate staffing complement to ensure that there are no delays with patient care/flow.


• Monitor reports to ensure all corrections are updated in Eagle/AIIScript within the 7-day window billing period.


• Ensure continuous training of staff on registration protocol and billing updates.


• Review accounts for appropriate referrals/authorizations to ensure maximum reimbursement to the hospital.


• Monitor daily reconciliation of encounter forms/visit detail listing report.


• Determine staffing needs in clinics/suites/satellite areas to facilitate patient flow.


• Monitor and act as focus of communication OPD lo ensure efficient coordination of the department's activities.


• Communicate all pertinent information to staff and educate staff on policy and procedure.


• Ensure data quality: monitor fail bill report and daily visit error report lo ensure data Is corrected in Eagle/AllScript and ensure staff is educated on errors to reduce the hospital’s accounts receivable.


• Review charts/accounts to ensure Registrars are closing visits at time of service or within 48 hours of visit with the appropriate diagnosis/procedure code.


• Monitor, train and educate staff on all regulatory insurance and health care changes related to their functions and ensure policy and procedure are followed.


• Ensure that patients receive information pertaining to their rights to ensure compliance with state and federal regulations such as HIPAA compliance, NOP, Bill of Rights, Advance Directives.


• Provide support to and consult with the Director on all outstanding issues and activities that have impact on departmental operations.


• Conduct scheduled monthly staff meetings.


• Provide Data collection for statistical purposes and to coordinate work flow.


• Coordinate with Nursing, Physicians and Director, the activities of the clinics/suites.


• Complete projects and assignments in timeframe allotted and provide feedback to the Director.

Job Description

• Be responsible for the daily management and supervision of the Registrars.


• Provide adequate staffing complement to ensure that there are no delays with patient care/flow.


• Monitor reports to ensure all corrections are updated in Eagle/AIIScript within the 7-day window billing period.


• Ensure continuous training of staff on registration protocol and billing updates.


• Review accounts for appropriate referrals/authorizations to ensure maximum reimbursement to the hospital.


• Monitor daily reconciliation of encounter forms/visit detail listing report.


• Determine staffing needs in clinics/suites/satellite areas to facilitate patient flow.


• Monitor and act as focus of communication OPD lo ensure efficient coordination of the department's activities.


• Communicate all pertinent information to staff and educate staff on policy and procedure.


• Ensure data quality: monitor fail bill report and daily visit error report lo ensure data Is corrected in Eagle/AllScript and ensure staff is educated on errors to reduce the hospital’s accounts receivable.


• Review charts/accounts to ensure Registrars are closing visits at time of service or within 48 hours of visit with the appropriate diagnosis/procedure code.


• Monitor, train and educate staff on all regulatory insurance and health care changes related to their functions and ensure policy and procedure are followed.


• Ensure that patients receive information pertaining to their rights to ensure compliance with state and federal regulations such as HIPAA compliance, NOP, Bill of Rights, Advance Directives.


• Provide support to and consult with the Director on all outstanding issues and activities that have impact on departmental operations.


• Conduct scheduled monthly staff meetings.


• Provide Data collection for statistical purposes and to coordinate work flow.


• Coordinate with Nursing, Physicians and Director, the activities of the clinics/suites.


• Complete projects and assignments in timeframe allotted and provide feedback to the Director.

Qualifications

• Associate's Degree.


• 3 to 5 years of supervisory experience in a healthcare setting.


• Prior experience with healthcare/hospital medical billing.


• Knowledge of third-party insurance.


• Or, a satisfactory equivalent combination of experience, education and training.

Preferred Qualifications

• Bachelor's Degree preferred.