Physician Practice Operations Manager jobs in Colorado

About the Job

Polaris Wellness Group is a private practice holistic wellness center comprised of Licensed Professional Counselors, Licensed Clinical Social Workers, Licensed Massage Therapists, and Certified Yoga Instructors. PWG is seeking to employ an experienced, organized, and responsible Practice Manager to join our growing team. This individual will be responsible for scheduling outside referrals and new client inquires, verifying benefits with multiple insurances, confirming necessary client chart documents, entering payments, and helping maintain an overall healthy and inviting workplace environment.

Job Responsibilities

• Initiate and complete provider credentialing applications (new and re-credentialing) for a variety of providers.
• Maintain a detailed log of all pending and completed work.
• Respond to inquiries from other healthcare organizations, payer, and other facilities.
• Occasional marketing tasks, meetings, and gatherings.
• Maintenance of CAQH Database, payer portals, and other online credentialing databases.
• Enrollment in EFT for all payors; complete payer attestation and roster requests as needed.
• Involves extensive and professional phone, fax, and internet skills.
• Responsible for processing initial claim denials from payers to ensure prompt payment.
• Responsible for researching claim denials and preparing services for resubmission within timely filing deadlines.
• Data entry of notes for outstanding balances.
• Responsible for remaining current on all payer requirements.
• Ensure agency’s locations/addresses are current with all managed care organizations, health plans, government agencies and other entities.
• Maintained professional relationships with community referral agencies.

Qualifications

• Prior Enrollment or Credentialing experience is required (credentialing for LPC, LMFT, LCSW, PsyD, ect)
• Experience in the medical billing field and/or healthcare provider relations required.
• Ability to work independently as well as in a group practice environment.
• Detail-oriented individuals who are highly self-motivated.
• Ability to multitask and prioritize workload, with strong time management, communication, and organizational skills.
• Strong reporting expertise with ability to provide status report and escalation where necessary.
• Computer skills, including use of electronic health record, electronic payroll system, and MS Office products and the ability to learn new tools as needed.
• Possess a strong work ethic and a high level of professionalism with a commitment to client satisfaction.
• Functional knowledge of HIPAA rules and regulations and experience related to privacy laws, access and release of information.
• Completed High School (Diploma or GED) or higher education
• Must be accepting and supportive of LGBTQIA community
• Must have a passion for community involvement

Job Type: Part-time

Pay: $23.00 - $30.00 per hour

Expected hours: No less than 20 per week

Benefits:

• Flexible schedule

Healthcare setting:

• Clinic
• Medical office

Schedule:

• 4 hour shift
• Day shift
• Monday to Friday

Experience:

• provider enrollment or credentialing: 2 years (Required)

License/Certification:

• Certified credentialing specialist (Preferred)

Ability to Relocate:

• Colorado Springs, CO 80920: Relocate before starting work (Required)

Work Location: In person