Practice Administrator - OrthoCare

Cone Health; Reidsville (GA); On-site; USD 85,000 - 120,000; Full time

Job summary

Cone Health in Georgia is seeking a Practice Administrator I to oversee 1–4 practices with 8–25 providers in the same region. You will ensure site leadership is in place and that the practice executes key performance metrics and delivers quality patient care.

You will optimize staffing, manage provider contracts with knowledge of RBRVS, oversee revenue cycle, maintain compliance, and drive financial targets.

Qualifications

• Requires Associate's Degree or higher with healthcare operations leadership experience.
• Preferred: BS in Nursing or Healthcare Administration.
• 3 years in medical practice with 2 years in supervision; or 6 years healthcare operations with 4 in leadership/management.
• Completion of MGMA Principles Practice Management Certificate or Practice Management Institute CMOM certification within 90 days of hire; CMPE preferred.

Responsibilities

• Ensures maximum access and volumes by optimizing provider templates and reducing barriers to productivity.
• Maintains benchmark staffing levels, fosters team engagement, and collaborates with the Director to recruit providers and resolve issues.
• Manages provider contracts and understands RBRVS and its impact on reimbursement and compensation.
• Ensures compliance with internal policies, procedures, and regulatory requirements.
• Measures and improves TNM outcomes and finance metrics with site leaders; drives revenue cycle performance.
• Performs other duties as assigned.

Skills

Leadership

Staff management

Financial analysis

Provider contracts

Team building

Regulatory compliance

Education

Associate's Degree

BS in Nursing or Healthcare Administration

Job description

The Practice Administrator manages the overall health and functions of 1-4 practices or 8-25 overall providers in the same region and or specialty group (Primary Care or Specialty). The Practice Administrator I is responsible for ensuring site leadership is in place and that the Practice is executing at target or stretch performance for a majority of true north and financial metrics.

Essential Job Function:

• Ensures maximum access availability and volumes by optimizing provider templates, resolving barriers to provider productivity, and enhancing patient-facing time in order to improve patient satisfaction and practice revenue.
• Maintains benchmark staffing levels, fosters team engagement, and empowers teams to address daily issues and barriers, collaborating with the Director to recruit providers and promptly resolving provider-related issues when they arise.
• Engages with the Director and providers on provider contracts, demonstrating a deep understanding of Resource-Based Relative Value Scale (RBRVS) and its impact on reimbursement and compensation, ultimately enhancing provider relations and practice profitability.
• Enforces adherence to internal policies, procedures, and regulatory requirements within the business units, ensuring compliance to maintain a high standard of patient care and operational excellence.
• Manages TNM outcomes for each business unit, establishing process metrics in collaboration with site leaders to measure daily TNM progress, and proactively revises processes and procedures to take corrective actions when metrics lag behind, ensuring continuous improvement in patient care and operational efficiency.
• Drives the achievement of financial targets within the business units, regularly analyzing financial data, implementing corrective actions for variances, overseeing proper financial procedures, including cash handling, charging, coding, and revenue cycle, and taking accountability for revenue cycle outcomes, including actions to improve revenue/accounts receivable.
• Performs other duties as assigned.

Education:

• Required: Associate's Degree, preferably in business, finance or healthcare related field or High School Diploma with 6 years healthcare operational experience, 4 of which are in leadership and certification.
• Preferred: BS in Nursing or BS/BA in Healthcare Administration.

Experience:

• Required: 3 years in medical practice total with 2 years in a practice supervisory role. Without a degree, must have 6 years healthcare operational experience, 4 of which are in healthcare management or a healthcare leadership role and certification.

Licensure/Certification/Listing:

• Required: Completion of MGMA Principles Practice Management Certificate or Practice Management Institute CMOM certification within 90 days of hire. If No degree, must have CMPE or CMOM at time of hire.
• Preferred: CMPE.