| Job Description: |
Staffing & Operational Support:
- Train and supervise OMDS administrative staff, to provide optimal support of faculty members, residents, students and other staff members.
- Supervise and direct the workflow of the work study student assigned to pathology.
- Administer Human Resources (HR) policies, staff and faculty training and development, payroll rules and guidelines compliance, staff scheduling, and performance development for Faculty.
- Assist clinic staff and faculty in front desk activities as directed.
- Manage the efficiency of the faculty and OMDS clinics on a regular basis.
- Recommend and implement operating policies and procedures to OMDS chair.
Financial Management:
- Use UF’s financial and accounting systems (including UFGo and myUF Marketplace) to monitor, approve purchasing and travel, and ensure that all fiscal staff are properly trained and meet UF’s purchasing guidelines.
- Responsible for the departments Asset Management and Space reporting.
- Ensure that departmental accounts are reconciled using the Department Financial Transaction Review Dashboard.
- Assist the college Budget Director with collecting tuition from residents in ODS self-funded programs and ensure payments are made in a timely manner.
- Implement a budget supply worksheet for proper ordering of inventory and develop a system for inventory control.
Safety, Compliance & Records:
- Ensure all practices are up to Occupational Safety & Health Administration (OSHA) and Health Insurance Portability & Accountability Act (HIPAA) standards.
- Build and maintain relationships with all doctors.
- Ensure all referrals, forms, lab slips and letters are obtained when necessary and attached to patient record in AxiUm.
- Ensure all electronic documents are signed.
- Review and instruct correction of all incorrect patient demographics.
Clinical & Business Operations:
- Manage clinical and business operations and ensure that they are within budgetary guidelines.
- Monitor weekly, monthly, quarterly, and annual metrics; adjust operations and processes to meet targets.
- Complete transfer forms for patients and make necessary adjustment to patient account.
- Ensure the accurate billing of radiology procedures for FORS/OMFS and Implant Center clinics. Reconciliation of radiology requests with missing charges reports and daily sign-in sheets.
- Daily maintenance of radiology accounting databases.
- Maintain an organized system for tracking the insurance claims for patients who are treated in the radiology and oral medicine programs.
- Keep all documentation relating to insurance and financial responsibility until all balances are charged and paid in full in accordance with state, federal and agency guidelines.
- Inform and update all parties involved of changes in state agency requirements (specifically Medicaid, Medicare and Worker's CompVerify account information in our computer system to ensure accuracy and update accounts as necessary.
- Determine deductible, co-payment, and extent of insurance coverage. Notify patients of any deductible due and/or any co-payment not covered by their policy.
- Communicate with various insurance companies which require per-determination of benefits for comprehensive treatment or when required by a specific insurance carrier.
- Maintain and track back charges to the Ortho, OMFS, PROS, ENDO, PERIO and Implant clinics and provide timely monthly reports to the Dean's Office for reconciliation.
- Combine and review charges for the Straumann BLT Study. Compile invoice statements with the approved amounts for payment. Reconcile statements with payment in AxiUm.
- Organize file and track Advance Beneficiary Notices (ABN) for Medicaid dental patients for Argus, UHC, Liberty, MCNA, DHW.
- Reconcile ABN's with EOB's daily.
- Perform monthly and ad-hoc financial reporting which summarize findings and/or provide recommendations to chair and the division head for radiology, particularly in relation to departmental production, comparison between commercial and government payers, utilization of code sets and updates on national fee schedules.
- Determine patients who are covered by HMO, PPO, or Worker's Compensation.
- Ensure that each HMO, PPO, or Worker's Comp visit is per-certified.
- Run reports to determine that all pathology, radiology and oral medicine charges are posted to the correct location and ensure that payment for all transactions are collected and accurately disbursed weekly.
- Run provider reports monthly to correct incorrect financial locations, listing of no recalls, planned treatments, planned treatments with no appointment, and cancelled appointments.
- Work with other financial counselors to ensure all charges are posted properly in compliance with radiology policies and procedures.
- Monitor the clinic’s accounts receivable (AR) monthly, complete the AR report by the 15th of each month for the previous month to ensure currency and maintain a 98% collection percentage.
Credentialing & Billing:
- Assist in the credentialing of OMDS providers.
- Ensure accuracy of all appropriate reimbursement coding (e.g., ICD-10 codes and CPT codes for procedures).
- Create and maintain master database for PECOS (providers denied as not ordering and referring providers by Medicare).
- Collate report for denied providers weekly report.
- Follow up with providers' office on status of credentialing via emails and phone calls.
- Track status of credentialing providers in CMS.data.gov after receiving submission confirmation.
- Rebill claims from credentialed providers within the timely filing limit and with the provider's effective dates.
- Review accounts receivable for the OMDS department and perform follow up on delinquent accounts, according to established policies and procedures, including but not limited to addressing outstanding receivables, review accuracy of payers, send payment notices and collections letters to patients over 120 days, assist patients with payment options and send collections list to business office.Research, manage and resolve all patients financial related issues and complaints.
Projects & Marketing:
- Manage the strategic plan and day-to-day implementation of marketing and community outreach to ensure the proper patient visits and mix to meet financial and clinic utilization goals.
- Design and/or complete special projects.
Other duties as assigned.
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| Expected Salary: |
$65,000 - $74,246 annually; commensurate with education and experience
Benefits:
The University of Florida offers low-cost State Health plans, a number of Dental plans to fit you and your family’s needs, and Vision. Domestic partner coverage through GatorCare is also available. Optional plans such as life, disability, legal and accident insurance are also available.
Build your retirement roadmap with competitive pension plans, investment accounts and a host of voluntary add-ons, such as 457 deferred compensation and 403(b) plans.
UF provides a variety of leave programs including vacation, sick leave, 11 paid holidays, personal leave days, and family medical leave. TEAMS employees accrue approximately 22 vacation days annually, 13 sick days annually, and 4 personal leave days, typically used during the holiday closing period (accruals based on full-time employment). UF also provides you the flexibility to deal with life’s challenges by offering paid family leave, eight full weeks of leave over a 24-month period.
UF Employees are also eligible for the GatorPerks discount program, which provides big savings at various businesses and retailers!
Explore UF’s plethora of benefit options here: TEAMS Benefits
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| Preferred: |
- Excellent organizational skills
- Excellent customer service skills
- Exceptional interpersonal skills
- Proficiency with Microsoft Word and Microsoft Excel skills (to process letters, spreadsheets, labels, and other documents)
- Strong written and verbal communication skills
- Ability to multi-task
- Ability to initiate, follow-through, and complete projects
- Ability to prioritize, plan, and organize work activities
- Ability to establish and maintain effective working relationships
- Ability to work effectively as a collaborative team member with a high a level of accountability and responsibility
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