Clinical Front Office Operations Manager – Centers For Advanced Orthopaedics Llc – Bethesda, MD

The Centers for Advanced Orthopaedics LLC (CAO) is one of the nations largest Orthopaedics practices, owned and operated by physicians, with over 60 locations across Maryland, Northern Virginia, and the District of Columbia. With approximately 2,000 employees, working in 28 Divisions, CAO is a growing business with revenues of approximately $250 Million. CAO is committed to be the Orthopaedics provider of choice for our patients; partner of choice for payors and health systems; and employer of choice by attracting and retaining a talented workforce.

Primary Responsibilities:

The Clinical Front Office Operations Manager may be asked to perform job-related tasks other than those specifically stated in this job description. The duties and responsibilities of the position are to be carried out in a manner that is consistent with the Mission, Core Values, and Operating Principles of CAO.

• Provide ongoing training/education on PM (Modernizing Medicine) front-desk workflow.
• Act as liaison between clinic(s) and CBO billing office including, but not limited to assisting with appeals.
• Provide quality customer service to all patients, vendors, and all other people who walk into or call the clinic.
• Ensure adequate front desk staff are scheduled during all site operating hours.
• Lead and oversee assigned billing staff and billing/claims processes
• Audit team performance and results, adjusting for improvement as indicated
• Identify and propose opportunities to maximize revenue
• Carry out talent management processes, including training, development, and evaluation of staff
• Complete and provide timely reporting to billing leadership, including standard weekly reports
• Perform all medical billing responsibilities in support of the team, including:
  • Handle insurance billing/claims
  • Submit claims to insurance
  • Communicate accurate patient and billing/claims information to insurance carriers
• Address scheduling and billing patient issues and complaints when necessary.
• Train Front Desk Coordinator(s) in front desk duties.
• Assist Site Lead/Manager in monitoring and supervising Front Desk Coordinator(s) to ensure compliance with CAO policies and procedures.
• Verify patient insurance eligibility and benefits and/or obtain pre-authorization prior to the patient visit and as needed throughout the patient’s length of care.
• Check-in patients and collect copayment, co-insurance, deductible, self-pay rate immediately upon arrival, and payments for DME and supplies prior to patient’s departure.
• Issue appropriate new patient registration paperwork to new patients and assist them with completion when necessary. Ensure all new patient registration paperwork is fully completed with all necessary signatures.
• Complete the daily opening and closing procedures as specified by the division/billing office.
• Run daily, weekly, and monthly ModMed reports as required by the Site Lead/Manager.
• Completes annual compliance training according to the compliance training schedule.
• Continuously seek ways to improve overall front desk operations and patient and staff satisfaction.
• Communicate with Site Lead/Manager and Director whenever necessary to keep him/her informed of any developments, problems, concerns, etc. which occur at the front desk.

Requirements, Education, and Experience:

• A minimum of a High School Diploma.
• 3+ years of related manager-level experience, with experience in an orthopaedic setting preferred
• Experience and proficiency working with computers and electronic medical records.
• Experience with Modernizing Medicine (ModMed)
• Comfortable traveling to different clinics

Competencies / Required Skills and Abilities:

• Strong Interpersonal Skills – Ability to develop relationships and collaborate in a decentralized organization
• Demonstrated ability to organize, prioritize, and manage multiple tasks in a dynamic environment with a proven track record of results
• Strong oral and written communication skills with excellent self-discipline and patience
• Proficiency in Windows based office technologies (e.g., Word, Excel)
• Thorough knowledge of CPT & ICD-10 coding procedures.
• Thorough knowledge of Medicare and third-party billing.
• Thorough knowledge of Workers Compensation insurance its unique features and requirements.
• Able to work independently.
• Exudes professionalism in presentation
• Must be able to read, write, speak, understand, and communicate in the English language.

Benefits Include:

• Health, Dental, & Vision Insurance, Life & Disability Benefits, Voluntary Benefits, FSA, 401k & PTO!