Career Listings

This position will work under the supervision of the Revenue Cycle Manager.  The Billing Manager is responsible for planning, organizing, directing and monitoring overall operation of the Billing Department.  Billing Manager will interact with a multicultural population of diverse socioeconomic backgrounds, ages and levels of education.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

The Billing Manager is responsible for performing the following duties:

• Identify, recommend, implement and monitor billing workflows
• Immediately address and communicate any identified problems that may affect cash flow
• Secure technical and system resources, to ensure efficient processes for faster reimbursement of patient account receivables;
• Collaborate with other team members and managers on processes that improve and maintain an efficient billing operation and optimize cash flow.
• Prepare, review and analyze billing reports.
• Develop and update billing procedures to ensure compliance with all applicable federal, state, local regulations and with payer requirements.
• Maintain the master files and set up of the Practice Management System that directly affects billing operations.
• Attend and participate in committee meetings
• Conduct regular billing staff meetings
• Responsible for all personnel related duties to include, hiring and terminating as necessary.
• Maintain competent and productive team by training and mentoring staff members
• Prepare and conduct timely staff performance evaluations.
• Provide customer service to patients, staff and outside vendors.
• Perform other duties as assigned including participation in all safety programs which may include assignment to an emergency response team.

Under the general supervision of the Director of Managed Care and Network Operations, the Compliance Claims Auditor works in conjunction with the  Claims Manager to prepare all required documents and reports for Federal, State and Health Plan audits.  The Compliance Claims Auditor is responsible for all preparation, presentation, submission and response to Federal, State and Health Plans regarding all auditing requests.  The Compliance Claims Auditor will work with the Director of Managed Care and Network Operations to prepare and submit, monitor and respond to all Corrective Action Plans (CAP).  The Compliance Claims Auditor will also be responsible for generating Claims Department Monthly, Quarterly, and Annual reports for the Claims Department and for assuring the accuracy and timeliness of those reports.  In addition to these responsibilities, the Claims Compliance Auditor will assist the Claims Manager to assure the system has been updated regarding provider pricing, benefit management, etc. The Claims Compliance Auditor will be responsible for report generation from the IT system relative to all reports necessary for MSO reporting.  Interacts with a multi-cultural population of diverse socioeconomic backgrounds, levels of education and ages.

The Compliance Claims Auditor is responsible for performing the following duties:

• Responsible for generating all reports in claims system requested by management to fulfill data analysis.
• Responsible for generating all required reporting from health plans including ODAG and Monthly Timeliness Reports (MTR), and from State or Federal regulatory agencies.
• Works within claims system to define the Plan parameters for use in selecting electronic claims data within the audit criteria.
• Reviews Audit Reporting, selects and prepares valid audit samples following the standard departmental process.
• Works with Claims Manager to resolve exceptions, reviews supporting documentation and makes final claim error determinations.
• Ensures compliance with audit timelines and delivers high quality service to clients, governmental agencies and/or Health Plans.
• Works with the Director of Managed Care and Network Operations to prepare and submit, monitor and respond to all Corrective Action Plans (CAP).
• Prepares or assists in preparing audit reports that clearly articulate the audit methodology and content. Prepares work papers that support audit reports.Keeps audit history and documentation for all audits.
• Provides support-prepping reports such as, but not limited to, quality assurance on system reporting and audit reports, sample selection, etc.
• Prepares responses for all corrective actions as well as identifies areas for potential process improvement to the client and claims manager.
• Interacts in a professional manner and works collaboratively within the department as well as with internal and external customers.
• Participates in team meetings, conference calls, WebEx’s, etc. remotely / locally as necessary.
• Responsible for Claims Data Analysis and Quality Assurance as requested.
• Supports the department with all external audit management and contractual reporting.
• Remains current with all State, Federal and health plan regulatory and ICE requirements for auditing compliance for all payers.
• Perform other duties as assigned including participation in all safety programs that may include assignment to an emergency response team.

The Dental Assistant provides support and assistance to our Dentists in providing quality care to our patients. Utilizes knowledge of dental instruments, equipment, and materials. Mixes amalgam and prepares dental accessories for patient visits. Communicates effectively with patients of all ages; provides information and instructions, as well as ease and comfort during appointments. Documents patient visit information utilizing electronic dental records system.

The primary responsibilities of the Grant Writer include the preparation of proposals and grant applications and the performance of responsible professional and administrative work in researching, identifying, developing and responding to public and private grant opportunities in the areas of Business Development, Youth and Children, Civil Rights, Community Development, Construction, Disaster Relief, Enrollment, Facility Improvements, Health Education, Education-Teaching Health Centers, Employment/Jobs, Healthcare Services, Housing, Human Services, Medical/Research, Mental Health, Oral Health, Optometry, Outreach, Social Services, and Technology. The Grant Writer works independently under the general direction of the Chief Business Development Officer. The Grant Writer is responsible for performing the following duties: 

• Researches and identifies new government, corporate, foundations and private funding prospects.
• Responsible for conducting the full range of activities required to prepare, submit, and manage grants for local, state, federal, foundation and corporate sources including budget development.
• Generates revenues for programs and services through timely submission of well-researched, well written and well-documented grants/fund-raising proposals.
• Track statistics, conduct periodic needs assessments and provide written materials necessary for the development of funding requests or grant applications.
• If required supervise other consultants hired for specific grant writing purposes.
• Maintains and implements funding calendar activities, including cultivation activities.
• Work with finance and other departments to gather information necessary to report to funders on current grant programs and comply with all grant reporting as required by funders.
• Maintain current records in database and in paper files, including grant tracking and reporting.
• Work with Management to provide development input for all written institutional materials (including Annual Report, newsletters, etc).
• Acts as liaison with program staff, funding agencies or organizations.
• Engages with program officers at organizations to solicit invitations to submit proposals.
• Makes appointments for Chief Business Development Officer and/or other Executive staff with foundation officers and other prospects, arrange for onsite tours for supporters.
• Identifies funding opportunities and new program areas to match strategic priorities, using research tools.
• Understanding of institutional history and programs.
• Assist with other fundraising projects as requested.
• Special projects as needed.
• Perform other duties as assigned including participation in all safety programs which may include assignment to an emergency response team.

• Provide nursing care to clinic patients • Prepare patients physically and psychologically for treatment examinations, and scheduling diagnostic studies • Teach patients to care for their particular needs • Responsible for recognizing and interpreting symptoms and reporting condition of patients to the attending physician • Responsible for keeping inventory of stock medicines available and making drug and medical supply orders bimonthly or as needed • Administer treatments and medication under physician’ orders • Responsible for preparing in-house monthly reports as well as immunization report • Provide supervision of appropriate personnel, coordinate patient flow activities and assist with peer review of patient records in their quality of care system.

The Operations Manager reports to the Chief Operations Officer and will be responsible for overseeing the day-to-day management and operation of satellite clinic(s). The Operations Manager will implement the policies and procedures of the organization and work towards enhancing the development of clinic practices. Select, train, and supervise Health Center managers and employees. Assist in budget development and act as a liaison with local funding sources. Provide public relations representation at community functions and assist in the development and maintaining of corporate goals.

Under the supervision of the Chief Medical Officer, the Quality Improvement Manager will be responsible to oversee and direct a quality improvement program.  This will include analyzing data, fulfilling documentation and reporting requirements.  In addition, the QI Manager will develop educational and informational materials, promoting health issues and providing internal and external customer support.  The QI Manager will develop and maintain a system for outcomes measurement and reporting to determine whether the organization is achieving its quality goals.

ESSENTIAL FUNCTIONS AND RESPONSIBLITIES

The QI Manager will oversee and monitor the development and implementation of the quality improvement program, in collaboration with the Chief Medical Officer, Chief Operations Officer, Compliance Officer and other staff.  The QI Manager will:

• Establish performance improvement targets for quality, service, and efficiency.
• Implement systems to ensure that services conform to regulatory requirements, contractual obligations, and Clinicas policy.
• Design and conduct surveys to assess the achievements of Clinicas and provide feedback to the program.
• Work with Operations and Compliance to conduct quality control audits, ensuring that processes and documentation are compliant with required standards and, implement follow up actions.
• Investigate, monitor, document and report on quality of care and service.
• Recommend changes for quality improvement in clinical Policies and Procedures and Protocols based on updated findings and information.
• Assure that improvement activities are documented and reported within the organization to engage staff in continuous quality improvement.
• Assess quality improvement training needs; plans and implements training for support staff
• Performs other duties as assigned including participation in all safety programs which may include assignment to an emergency response team.

JOB OBJECTIVE

The Information Systems Administrator (ISA) reports directly to and is under the direct supervision of the IS Manager. The ISA will administer and support client workstation and server systems hardware, operating systems and applications software. The ISA will align with the IT objectives towards the delivery of effective IT solutions, systems security, reliability and performance. The ISA will adhere to and promote compliance with the organization’s information systems policies and procedures. The ISA will rely on instructions and established guidelines to perform the functions of the position.

ESSENTIAL FUNCTIONS AND RESPONSIBLITIES

Administer and support workstation and server hardware, operating system software, application and office productivity software and network resources; administer data backup; troubleshoot and recover PC workstation, server and network functionality; support patient processing, clinical tracking and reporting activities; ensure proper and timely communication and resolution of systems issues; train employees on systems use, proper access to corporate network and available resources, use of office software tools and use of business software; other systems administration and support tasks as assigned. Additional duties may also include participation in all safety programs which may include assignment to an emergency response team.