Somnia is actively seeking an experienced Practice Administrator IV with five plus years of experience in either a hospital or large facility setting to work with St. Joseph Medical Center in Stockton, CA and San Joaquin General Hospital in French Camp, CA. This role is a member of our leadership team and works directly with the Director of Operations. The Practice Administrator IV will partner with Somnia’s executive management team as well as local hospital leadership. Strong interpersonal, organizational and time management skills are a must.
DEPARTMENT STANDARD: PERFORM DEPARTMENT DUTIES IN A TIMELY AND EFFICIENT MANNER
Follow standard chart batching and scanning process according to Somnia’s billing partner’s policies and procedures
Work with hospital, Somnia and billing company to scan directly to pertinent imaging system
Submit 100% of charts within 3 business days
Complete or appropriately train support staff to thoroughly scrub charts for all the pertinent pieces of information including but not limited to:
Lead discussions to establish interfaces between the hospital and billing partner to include:
Assist to ensure enrollment of new clinicians with payers prior to start date including but not limited to:
Review billing IR log daily. Keep IR list to less than 7% of monthly case volume.
Address pending items within 48 business hours.
Work with billing partner and VP of Patient Revenue to determine a site-specific process for following up on self-pay accounts.
Billing coding /compliance
Establish and maintain quarterly audit review meeting with billing partner and VP of Patient Revenue and Corporate Compliance Office
Complete HIPAA Compliance Officer training
Implement new role after education received from Corporate Compliance Officer
Distribute annual and/or updated compliance and HIPAA materials to providers
Obtain and track acknowledgement forms
Send completed forms to point of contact at Somnia (Stephanie R/Inna B)
100% adherence to the compliance program is expected. Rates monitored and calculated by compliance and will be shared with sites monthly.
Maintain up to date, complete and accurate monthly reporting - Hospital Account Review Report
Maintain all required information on the Intranet
Maintain all work on network drive
Migrate any locally saved work to intranet or network folder
Sign in to SIMS daily
Ensure education, utilization and audit of Somnia standard forms (work with EMR development where applicable)
If standard forms cannot be implemented or incorporated into EMR system responsible for alerting VP of Operations and VP of Patient Revenue
Will follow formal process to review hospital mandated forms including
Clinician Support Tasks
Implement TLO for time keeping system
Submit payroll data on Friday of payroll week ensuring 100% accuracy
Capture and report actual hrs worked
Include locum hours when reporting total work hours for account review
Fully integrate QGenda scheduling system
Ensure all clinicians utilize it to full functionality
Ensure QGenda data is updated if changes are made after publishing schedule (ie: swapping shifts, vacation time, unpaid days off, sick calls, etc)
Create and follow standard process for when a clinician leaves your group
Collect keys, badges, etc.
Send e-mail to the last day notification group indicating the last day the clinician provided services.
Follow MSO guidelines for termination of privileges.
Credentialing and Enrollment Support
Be point person for collecting and distributing provider information for initial and re-credentialing process
Review lists of expiring or expired credentialing items, obtain outstanding information and send to Somnia credentialing and hospital medical staff office (when appropriate)
Support Joint Commission process and standards for all PD staff
On Boarding – lead on boarding process for assigned clinicians
Utilize, reference and refer people to on boarding spreadsheet for accurate and up to date clinician information
Send START DATE NOTIFICATION email as described above
Actively participate in all facility related recruitment calls including weekly recruitment call
Ensure completion of CEs within 72 business hours
Help with local recruitment efforts and follow up with local candidates when/if necessary
Engage with facility marketing and recruitment team to expand recruitment efforts locally
Complete modules as assigned
Participate in the development of content when requested
Monitor and follow up with clinicians to ensure they complete their assigned training
Policies & Procedures
Hospital QA Department relationship: Provide support to ensure a positive and supportive working relationship with the hospital quality department to include periodic visits and emails to ensure that we are meeting the goals and expectations of the hospital.
Clinical Audits: Facilitate and support improvements in conducting periodic clinical practice audits and maintaining accurate records/reporting.
Ensure completion of at least 1 cost savings project annually
Formally Document on-going PI projects (not just on HAR spreadsheet)
Ensure TIMELY completion of F/OPPEs
Review hospital SCIP data with chief and staff, if applicable
Report HOSPITAL calculated results monthly on HAR
Enter all results in numerator/denominator fashion so sample size is easily identifiable.
If hospital is not tracking and reporting SCIP data complete annual audit of SCIP measures and include in HAR
Ensure OB epidural tracking times are reported and either captured locally or sent to billing partner
Patient Satisfaction: Facilitate and support improvements, especially with OB patient satisfaction, ie: patient education, tablet e-survey roll-out, etc.
Conduct annual surgeon satisfaction survey to obtain feedback from > 30% of surgeons (or more frequently if required by contract)
Support annual nursing satisfaction survey, if applicable
Develop, implement and audit action items based on patient, surgeon and nursing satisfaction survey results
Respond timely to requests for information / data collection for creation of quarterly, annual, and ad-hoc client reports
Implement, maintain and make available an up to date policy and procedure manual with:
Outcomes Forms – ensure an Outcomes Form is completed in full for each case.
Incident Reporting: Facilitate and support improvements in reporting rates
QM database: Maintain complete, accurate, and timely database entries
Peri-op/OR data: If the site doesn’t already have readily available and accurate Periop/OR data on the traditional KPI metrics, facilitate and support a process to either implement a new electronic tracking process or one by hardcopy form
Staff Awareness/Education: Support and facilitate the regular presentation and discussion of compliance and quality related data and issues during staff meetings, etc.
About Somnia Anesthesia
Since 1996, Somnia (www.somniainc.com) has had singular focus on anesthesia--investing in clinician professional development—so patients can get the best are possible. We welcome and encourage applicants of all races, colors, genders, religions, sexual orientations, national origins and disabilities, as well those who have served.