Occ Med Finance Administrator

New England Baptist Hospital Boston , MA 02298

Posted 8 months ago

Occupational Medicine Finance Administrator

Marketing

Identify prospects, generate leads, manage sales cycle and successfully close employer sales. Call on potential clients in order to sell NEBH Occupational Health medical services to employers within the territory. Provide exceptional customer service by responding to customers' questions and concerns promptly

Billing

Review patient charts via Systoc Occupational Medicine system to verify completeness and accuracy Demographic, Claims data including the set-up and management of the customer / third-part billing dictionaries.

Coordinate the timely billing of claims to payers, resolving claims issues, appealing unpaid claims and denials, and reporting to the clinic, business office, and management issues thereof.

Collections

Prepare, process, and post payments in the Systoc billing system. Review the reconciliation of payments and follow up with customers on unpaid and aged claims.

Manage the collections of the Employer Pay and Worker's Compensation claims. This includes follow up on the claims via telephone, preparing Accounts Receivable aging statements, and communicating to the clinic, business office, and management issues thereof.


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Program Mgr Post Grad Med Edu

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VIEW JOBS 11/10/2019 12:00:00 AM 2020-02-08T00:00 GENERAL SUMMARY/ OVERVIEW STATEMENT: Reporting to the Neurosurgery Residency Program Director and Associate Director, Director of Neurosurgery Education, and the Administrative Manager, Neurosurgery Program Manager oversees the administrative operations for medical education programs for the Department of Neurosurgery. Provide support and administrative oversight of all aspects relating to the Neurosurgery Residency and HMS Neurosurgery Clerkship Program. PRINCIPAL DUTIES AND RESPONSIBILITIES: RESIDENCY PROGRAM (2/3 effort) Under the direction of the Program Director and Associate Program Director, provides administrative oversight/coordination for residency training program. Performs managerial tasks related to planning, directing, coordinating, and implementing activities related the general administration of the program. The Program Manager functions as a liaison between the Program Director/Associate Directors and residents, faculty, affiliated hospitals, other residency programs, and the Office of Graduate Medical Education (GME). In addition, the Program Manager is responsible for the administration and compliance of all activities of the ACGME, ABR, NRMP, and the institutional GME programs. The various tasks associated with this position include, but are not limited to, the following: administer and support the resident matching process; oversight of the arrival of new residents and faculty staff; event planning; and the day-to day operations of Neurosurgery Residency Program. A summary of some of the duties associated with each task follows: Residency Program Administration * Download resident candidate application materials from the Electronic Residency Application System (ERAS) daily from September 15th to mid November and maintain over 400 files. Update these files as they are reviewed by the Program Director, Associate Director and Department Chief. Administers the system for responding to applicants to the training program, coordinates the interviewing process for applicants, and ensures compliance with the requirements for the National Residency Matching Program * Responsible for managing the resident interview process scheduling approximately 32 candidates of providing faculty with relevant files, and ensuring compliance with the requirements for the National Residency Matching Program. Includes scheduling of interviews, arranging tours with senior residents, and planning receptions, lunches, and dinners. Also includes sending correspondence on behalf of the Department to candidates and maintaining all relevant files. * Submit match list to NRMP online and keep program director, associate director and review committee updated of any and all processes. Draft letters to those who MATCH for Program Directors' signature. * Coordinate the arrival of new residents. This includes scheduling hospital orientations and provider trainings, licensure, CRICO, pagers, IDs, new hire paperwork, contracts, HMS appointments, accreditation and credentialing at MGH hospitals, ordering business cards, lab coats, books and , and anything else pertinent to their arrival. * Set-up new residents in ACGME case log and web-ads systems and GME New Innovations Database. * Ensures that trainees receive and complete all contracts, credentialing materials, MGH staff appointments, Harvard Medical School faculty appointments, and licensing applications in a timely manner. * Responsible for the processing of the Massachusetts General Hospital resident appointments, as well as licensing requirements for the Board of Registration in Medicine for all residents. * Track, report, and ensure compliance with procedures regarding licensing, ACGME Duty Hour reporting, moonlighting, CRICO extensions, ACLS certification/recertification, annual contracts, and initial and re-credentialing of trainees * Familiar with the requirement for accreditation by the ACGME/Residency Review Committee (RRC) in Neurosurgery. Collects required data, anticipates, and prepares the necessary documents and reports for periodic review by the Committee. * Ensure timely semi-annual submission of documentation required by Neurosurgery RRC for Next Accreditation System (NAS). * Maintain resident database as a result of ACGME requirements in outcomes assessment, creating evaluation files for each resident/staff and monitors input to ensure evaluations will allow for required assessments. * Maintain records and distributes resident on-call schedules and duty assignments; coordinates call schedules with Neurology, Neuro-Oncology, Neuro-ICU and General Surgery. * Monitor and update, with the Program Director, training affiliation agreements with outside institutions; maintain and foster relationships with those institutions where our trainees rotate, and those institutions whose trainees rotate to the MGH as applicable. (Brigham &Women's Hospital as well as Boston Children's Hospital) * Maintain databases with resident and faculty data, including New Innovations. * Proctor the annual ABNS Primary In-Training Exam. * Respond to requests for letters of recommendations and training verifications for past residents and faculty. * Coordinate the GME Internal Review process, including review of program information, filling out requested data collection form and arranging the schedule of the day. * Reserve and maintain list of conference room bookings for resident courses, and morning conferences for the entire academic year. Order breakfast and special lunches/dinners for morning conference and meetings. * Maintain and oversee the GME residency management database - New Innovations. * Respond to all inquiries about the residency program. * Provide direct training and consultation to faculty in areas such as competency-based and Milestone-based curriculum development and outcomes assessment/evaluation. * Serve as a resource for the development of educational materials. * Oversee annual revision and preparation of curriculum manual. * Work with faculty, residents and students to ensure that learning objectives and plans for all rotations are developed. * Using applicable guidelines (HMS, ACGME) develop and manage the Neurosurgery core conference curriculum by identifying topics, selecting speakers, maintaining attendance records and conducting needs assessments to determine future topics. * Prepares for and participates in accreditation site visits, as well as internal reviews. * Update training program spreadsheet annually to match appropriate teams when switch occurs. * Maintain database within Massachusetts Medical Society of residency program information * Provide direction to residents in research years about grants and award prior to starting their research rotations. * Responsible for Alumni tracking, credentials for boards and updating contact information. Liaison and Program Compliance * Provide departmental representation at medical education annual conferences as needed, including, but not limited to ACGME, Society of Neurological Surgeons, and New Innovations. * Serve as Departmental liaison to American Board of Neurological Surgery, Society for Neurological Surgeons and the SNS Program Coordinator group, Congress of Neurological Surgeons, ACGME, Harvard Medical School and other reporting and accreditation bodies as requested regarding medical students and residents. * Acts as liaison between the GME Office and residents, ensuring residents are aware of various requirements and/or training or special events, and that they participate as requested. * Ensures Program compliance with ACGME and RRC requirements (e.g. 80-hour work week restrictions, etc.); contacts residents whose hours are not entered or exceed set parameters and brings any issues to the attention of the Program Director. * Assist Program Director in the administration of the American Board of Neurological Surgery in-service examination. * Familiar with the requirements for certification by the American Board of Neurological Surgery and assists residents in collecting data and submitting applications for certification. * Issue reports and assist in the analysis of data for reports to the ACGME, ABNS, AAMC, Hospital, and senior faculty * Familiar with institutional policy updates developed by the Executive Committee on Teaching and Education (ECOTE), communicates those changes to the trainees as appropriate, and ensures Program compliance (e.g. with Partners Guidelines for Industry Support of Educational Programs, Partners Moonlighting Policies, etc.) * Electronically distribute via New Innovations the required evaluations of residents by attending staff. Distributes resident evaluations for the Operating Room and neurosurgery inpatient units completed by nursing staff managers. * Develop bi-annual reports for the Program Director to review with faculty. * Manage and develop databases for electronic evaluations, procedure logs, etc. using the residency management system managed by the GME Office and ADS Case Log System, New Innovations. * Manage evaluation of program, faculty, residents, fellows, medical students and rotations, including data analysis. * Prepare performance reviews through maintenance of personnel files. Coordinate and participate in semi-annual review process and review meetings for residents. * Maintain all necessary electronic records relative to evaluation processes. Identify problems and advise Program Director and Education Committee as appropriate. * Provide comprehensive evaluation of Medical Student, Residency and Fellowship Programs by developing, implementing and administering systems for program evaluation, resident evaluation (Competency based and Milestone based assessment) and teaching evaluation. * Monitor Duty Hour compliance and evaluation completion rates through New Innovations to ensure compliance with ACGME guidelines. * Assume a lead administrative role in the accreditation and reaccreditation of all departmental education programs including completion of the ACGME annual program updates and GME internal reviews for the Neurosurgery residency. * Work with PD to review evaluation feedback, evaluate performance, make recommendations and implement changes to strengthen the educational program. * Assist in providing corrective action if necessary. * Ensures that all performance evaluations are performed in a timely manner and are in compliance with the ACGME. * Coordinates the Clinical Competency Committee (CCC) meeting; annually to discuss mid/end year progress of current trainees. * Responsible for organizing the monthly PEC and Resident meetings to review evaluations and training status of the residents. * Collaborate with department leadership in piecing together action-plans to make sure the residency program meets requirements pending any probations, citations or other disciplinary actions distributed by the ACGME. Other Duties * Forward any potential Fellowship & Job listings for graduating trainees * Update the Neurosurgery Twitter page daily with department and national events that may occur * MGH Residency website and brochure development and maintenance. Designed and worked with Program and Associate Program Director to develop the content. * Serve as the Neurosurgery On-Call Directory Master; update the monthly call schedules AM/PM (Vascular, Pediatric, Spine & Tumor Schedules) * Maintaining an up to date record of meal cards issued out to residents for refills * Grant Badge access to Medical Students/Residents to Neurosurgery areas * Updating Residency Program brochure with up to date information * Coordinate residency graduation celebrations and talks * Work closely with Chief Residents. Other Cerebrovascular/Neuro-Endovascular Fellowship Program * Coordinate interviews, arranging travel and organizing presentations made by the candidates to the department * Orient new fellows to program * Develop and monitor fellows' curriculum blocks * Distribute evaluations * Prepare fellowship reimbursements MEDICAL STUDENT/EDUCATION (1/3 effort) Under the direction of the Director of Neurosurgery Education, provides administrative oversight/coordination for Harvard Medical School clerkship program and Department Education Initiatives including Grand Rounds. Observership Process Observership Program applications per the department's Observership Program policy, which includes collecting a formal application packet, evaluating the nature of the request, organizing host(s) for observership, assigning a fee, and receiving all paperwork necessary for observership request. QUALIFICATIONS: * Bachelor's Degree required. * Minimum 3 to 5 years of relevant program coordination experience required. * Previous administration of graduate medical education programs required; academic setting preferred. SKILLS/ ABILITIES/ COMPETENCIES REQUIRED: * Exceptional computer skills required, including word processing, database, electronic mail, internet, and spreadsheets * Exceptional organizational skills and the flexibility to handle multiple tasks and deadline pressures. * Effective analytical skills. * Ability to make decisions quickly and independently. * Excellent interpersonal/communications skills. SUPERVISORY RESPONSIBILITY: Supervises a Credentialing Coordinator (1 FTE) who supports both credentialing and medical education functions for the department. Massachusetts General Hospital Boston MA

Occ Med Finance Administrator

New England Baptist Hospital