Whether the title is manager, medical institution manager, physician institution manager, administrator, institution administrator, administrative director, office manager, Ceo, Coo, director, division manager, division manager, or any combination thereof, with some exceptions, people who carry on physician practices do some combination of the responsibilities listed here or carry on people who do.
Human Resources: Hire, fire, counsel, discipline, evaluate, train, orient, coach, mentor and schedule staff. Shop, negotiate and administer benefits. Develop, enunciate and administer personnel policies, wellness programs, pay scales, and job descriptions. Decide conflicts. enunciate personnel files. Document Worker's recompense injuries. Address unemployment inquiries. Reply joyful events and sorrowful events in the institution and the lives of employees. Stay late to listen to someone who needs to talk.
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Facilities and Machines: Shop for, negotiate, recommend, and enunciate structure or suites, telephones, hand-held dictation devices, copiers, computers, pagers, furniture, scanners, postage machines, specimen refrigerators, injection refrigerators, inpatient refreshment refrigerators, staff lunch refrigerators, medical equipment, printers, coffee machines, alarm systems, signage and cell phones.
Ordering and charge Management: Shop for, negotiate and propose suppliers for medical consumables, office supplies, kitchen supplies, magazines, printed forms, enterprise insurance, and malpractice insurance as well as services such as transcription, x-ray reads/over-reads, consultants, Cpas, lawyers, lawn and snow service, advantage administrators, answering service, water service, courier service, plant service, housekeeping, aquarium service, linen service, bio-hazardous waste removal, shredding service, off-site warehouse and caterers.
Legal: Comply with all local, state and federal laws and guidelines including Osha, Ada, Eoe, Fmla, Clia, Cola, Jcaho, Facta, Hipaa, Stark I, Ii & Iii, fire safety, crash carts and defibrillators, disaster communication, sexual harassment, universal precautions, Msds hazards, confidentiality, protection and privacy, and supply staff with documentation and training in same. Make sure all clinical staff are current on licenses and Cpr. Have downtime procedures for loss of computer accessibility. Make sure risk management policies are being followed. Alert malpractice carrier to any possible liability issues immediately. Make sure medical records are being stored and released appropriately.
Accounting: Pay bills, yield payroll, get ready recompense schedules for physicians, get ready and pay taxes, get ready allocation and monthly variance reports, make deposits, reconcile bank statements, reconcile merchant accounts, get ready profit & Loss statements, get ready refunds to payers and patients, and file lots and lots of paperwork.
Billing, Claims and Accounts Receivable: achieve eligibility searches on all scheduled patients. Ensure that all dictation is complete and all encounters (office, hospital, nursing home, Asc, satellite office, home visits and legal work (depositions, etc.) are charged and all payments, denials and adjustments are posted within pre-determined estimate of time. Transmit electronic claims daily. Send inpatient statements daily or weekly. Negotiate payer contracts and ensure payers are complying with covenant terms. Request for retrial denials. Have staff secure deductibles, co-pays and co-insurance and have financial counselors meet with patients scheduling surgery, those with an outstanding balance, or those patients with high deductibles or healthcare savings plans. Make sure scheduling staff know which payers the institution does not covenant with. Liaison with billing aid if billing is outsourced. Credential care providers with all payers. achieve internal yielding audits. Load new Rbrvs values, new Cpts and new Icd-9s annually. Run monthly reports for physician production, aged accounts receivable, net variety ration and cost and collections per Rvu. Attach approved codes to claims for e-prescribing and Pqri. Have plan in place for receipt of recovery Audit undertaker of a package deal (Rac) letters. Make friends and meet commonly with the provider reps for your largest payers.
Marketing: Introduce new physicians, new locations and new services to the community. propose sponsorship of approved charities, sports and events in the community. propose sponsorship of inpatient support groups and keep physicians giving talks and appearing at events. Thank patients for referring other patients. Track referral sources. propose use of Yellow Pages, billboards, radio, television, newspaper, magazine, direct mail, newsletters, email, website, blog, and other communal media. get ready press releases on institution events and physicians awards and activities. propose institution physicians for television condition spots.
Strategic Planning: get ready Rois (Return on Investment) and pro formas for new physicians, new services, and new locations. Forecast possible consequent of Medicare cuts, contracts in negotiation or over-dependence on one payer. Discuss 5-year plans for capital expenditures such as Emr, ancillary services, physician recruitment, and transfer equipment. explore outsourcing office functions or having staff telecommute. All the time look for technology that can make the institution more effective or productive.
Day-to-day Operations: Make the rounds of the institution at least twice a day to explore and be available for questions. Arrange for temporary staff or rearrange staff schedules for shortages, meet or speak with patients with complaints, and meet with vendors, physicians and staff. Open mail and recycle most of it. Unplug toilet(s).
Stay Current in Healthcare: Attend continuing schooling sessions via face-to-face conferences, webinars, podcasts and online classes. enunciate membership in expert organizations. Pursue certification in medical institution management. Network with society and same specialty colleagues. Partake in listservs, LinkedIn and Twitter.
What did I leave out? Take a lunch?
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