Clinic Operations Director (Hosp. Op.) jobs in Tampa, FL

Clinic Operations Director (Hosp. Op.) directs and administers day-to-day operations of a hospital's outpatient or specialty clinic. Ensures economical and efficient performance under guidance of hospital's goals, objectives, and clinical operating budget. Being a Clinic Operations Director (Hosp. Op.) coordinates with management, medical teams and community to create policies and procedures that provide high quality health care services. Typically requires a bachelor's degree. Additionally, Clinic Operations Director (Hosp. Op.) typically reports to COO. The Clinic Operations Director (Hosp. Op.) typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. To be a Clinic Operations Director (Hosp. Op.) typically requires 3+ years of managerial experience. (Copyright 2024 Salary.com)

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Patient Access Insurance Specialist - Hosp Based Clinic Reg
  • Lakeland Regional Health
  • Lakeland, FL FULL_TIME
  • Position Information

    Work Type: Active - Benefit Eligible and Accrues Time Off
    Exempt: No
    Work Schedule: Monday - Friday
    Work Hours per Biweekly Pay Period: 80 hours
    Shift Time:
    Location: Grasslands Campus, Grasslands Campus:Lakeland:FL

    Position Summary

    Summary:
    This position is responsible for verifying and interpreting insurance benefits or scheduling patients for procedures through the centralized scheduling unit. Secures referrals and authorizations as appropriate for all scheduled and unscheduled patients, utilizes appropriate reports as required to determine authorization requirements for procedure/test being performed and validating accompanying diagnosis, admission location, pre-admit/admit Physician order, and correct account booking. Calculates, quotes, and secures patient uninsured amount, forwards information and collaborates with the Hospital Eligibility Vendor and/or the Financial Counseling team to provide assistance to unfunded patients. Adhering to LRH's Behavioral Standards, pre-registers patients and gathers required information by phone or direct interview, communicates to the patient or designated healthcare surrogate clinical pre-procedure instructions with appointment time and which hospital location to report.

    Position Details

    Detailed responsibilities:
    • People At The Heart Of All We Do
    • Fosters an inclusive and engaged environment through teamwork and collaboration.
    • Ensures patients and families have the best possible experiences across the continuum of care.
    • Communicates appropriately with patients, families, team members, and our community in a manner that treasures all people as uniquely created.
    • Safety And Performance Improvement
    • Behaves in a mindful manner focused on self, patient, visitor, and team safety.
    • Demonstrates accountability and commitment to quality work.
    • Participates actively in process improvement and adoption of standard work.
    • Stewardship
    • Demonstrates responsible use of LRH's resources including people, finances, equipment and facilities.
    • Knows and adheres to organizational and department policies and procedures.
    • Standard Work Duties: Patient Access Insurance Specialist
    • Responsible for performing all automated functions for registration, insurance verification, pre-certification, authorization/referral, scheduling and other patient access processes as needed prior to the patient presenting for services.
    • Works daily assignment to completion as follows: Pre-admission: All procedural schedules for next day's admissions/registrations schedule day assigned in advance of patient's procedures. Follow-up: Daily reports. Scheduling: Processes all incoming physician orders for scheduling purposes.
    • Uses expert knowledge of insurance rules and regulations to verify, interpret and communicate insurance eligibility and benefits to patients, physician's office staff, hospital staff and others. Ensure that the appropriate insurance payer order is established in the patient record.
    • Calculates patient uninsured amount using all available tools and communicates insurance benefits and patient financial responsibility to the patient or guarantor as appropriate while also verifying registration information. Collaborate with the Hospital Eligibility vendor and/or the Financial Counseling team as appropriate for assistance with uninsured/under-insured patients.
    • Obtains pre-certification, referral and/or authorization, including the necessary information for pre-certification as required for scheduled procedures, ER admissions, and direct admissions by utilizing electronic and other methods, contacting the insurance company, or physician's office to secure approval for payment for the organization. Collaborates with physicians and/or their office staff to secure pre-authorization/referral for pre-scheduled/scheduled services. Also, collaborates with the UR and Social Work departments as needed to ensure clinical documentation is submitted when required.
    • Execute reports from Cerner/SMS and other scheduling systems to establish patient schedule for next day admissions using Excel and other electronic formats.
    • Executes reports daily to ensure pre-admission admit orders are placed for all scheduled patients with correct admission type based on Physician order and pre-admits all scheduled procedures within 24hours of receipt of request.
    • Follows hospital Pre-Scheduling policy for pre-scheduled patient procedures.


    Qualifications & Experience

    Education:
    Essential:
    • High School or Equivalent
    Nonessential:
    • Associate Degree

    Education equivalent experience:
    Nonessential:
    • Business or Healthcare Finance



    Other information:
    - External candidates - Three or more years of experience in a hospital or physician office setting, with emphasis in scheduling patients for services, verifying insurance eligibility and benefit interpretation, obtaining authorization/referral and/or precertification for service, and calculation and collection of patient uninsured amount.

    - Internal Candidates - One to two years of experience in a Patient Access, Client Services Rep or Patient Financial Services position.

    • Ability to work with diverse groups including physicians, physician office staff, clinicians, patients, family members and other community members.

    Experience Preferred:
    - External candidates - Five or more years of experience in a hospital or a physician office setting, with an emphasis in scheduling patients for services, verifying insurance eligibility and benefit interpretation, obtaining authorization/referral and/or precertification for service, and calculation and collection of patient uninsured amount.

    • Internal candidates – Two or more years of experience in a Patient Access, Client Services Rep or Patient Financial Services position.

    Certifications Preferred:
    • Certification of medical terminology. CHAA

  • 11 Days Ago

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Hosp/Homebound
  • Hillsborough County Public Schools
  • Tampa, FL FULL_TIME
  • JobID: 58141 Position Type: Instructional/Hosp/Homebound Date Posted: 1/10/2022 Location: HOSPITAL & HOMEBOUND Closing Date: 2/4/2022 Instructional Position for 21-22 school year at Hospital Homebound...
  • 22 Days Ago

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MGR CLINIC OPERATIONS
  • Moffitt Cancer Center Careers
  • Tampa, FL FULL_TIME
  • At Moffitt Cancer Center, we strive to be the leader in understanding the complexity of cancer and applying these insights to contribute to the prevention and cure of cancer. Our diverse team of over ...
  • 1 Month Ago

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Associate Director of Physician Offices
  • Florida Medical Clinic
  • Land O' Lakes, FL FULL_TIME
  • Our Vision is to be the best choice for healthcare in our community Florida Medical Clinic is seeking an experienced candidate for our Associate Director of Physician Offices opportunity. The Associat...
  • 15 Days Ago

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Associate Director of Physician Offices
  • Florida Medical Clinic
  • Land O' Lakes, FL FULL_TIME
  • Our Vision is to be the best choice for healthcare in our community Florida Medical Clinic is seeking an experienced candidate for our Associate Director of Physician Offices opportunity. The Associat...
  • 15 Days Ago

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Director of Physician Offices
  • Florida Medical Clinic
  • Land O' Lakes, FL FULL_TIME
  • Our Vision is to be the best choice for healthcare in our community Job Title: Director of Physician Offices Dept.: Administration Reports to: Chief Operating Officer Job Summary: Responsible for over...
  • 15 Days Ago

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0 Clinic Operations Director (Hosp. Op.) jobs found in Tampa, FL area

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Director of Operations
  • AVID Sportswear
  • Tampa, FL
  • Design Driven, Performance Proven AVID Sportswear (“AVID”) is a sporting lifestyle brand that transcends the traditional...
  • 4/24/2024 12:00:00 AM

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Director of Operations
  • Hutchinson Consulting
  • Sarasota, FL
  • Seeking a director of operations to be part of a well-funded, innovative new company made up of a group of unique concie...
  • 4/24/2024 12:00:00 AM

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Field Operations Director
  • Better Talent By Laveer & Co.
  • Sarasota, FL
  • COMPANY OVERVIEW:Welcome to Well & Good, where we're revolutionizing the short-term rental space with our unique win/win...
  • 4/24/2024 12:00:00 AM

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Director, Fixed Operations
  • Lazydays
  • Tampa, FL
  • Do you want to do what you love every day and come to work knowing you make a difference? Are you looking for career gro...
  • 4/23/2024 12:00:00 AM

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Director of Operations (CFA)
  • Riptide Search
  • Tampa, FL
  • Job Title: Director of Operations (CFA) Company Overview: We are a dynamic and innovative Financial company dedicated to...
  • 4/23/2024 12:00:00 AM

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Director, People & Operations
  • Philanthropy Northwest
  • Saint Petersburg, FL
  • JOB OVERVIEW Philanthropy Northwest seeks a dynamic and experienced professional to join our team as a Director of Peopl...
  • 4/23/2024 12:00:00 AM

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Director of Operations
  • Search Connections
  • Tampa, FL
  • Job Description Job Description VICE PRESIDENT OF OPERATIONS Job Details Company Overview Summary: The Vice President of...
  • 4/22/2024 12:00:00 AM

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Director of Operations
  • Fil Staffing
  • Sarasota, FL
  • Director of Operations Fil Staffing is looking for a Director of Operations to join a concierge medicine provider and wo...
  • 4/21/2024 12:00:00 AM

Tampa is a major city in, and the county seat of, Hillsborough County, Florida, United States. It is on the west coast of Florida on Tampa Bay, near the Gulf of Mexico, and is the largest city in the Tampa Bay Area. The bay's port is the largest in the state, near downtown's Channel District. Bayshore Boulevard runs along the bay, and is east of the historic Hyde Park neighborhood. Today, Tampa is part of the metropolitan area most commonly referred to as the "Tampa Bay Area". For U.S. Census purposes, Tampa is part of the Tampa-St. Petersburg-Clearwater, Florida Metropolitan Statistical Area....
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Clinic Operations Director (Hosp. Op.) jobs
$132,585 to $193,061
Tampa, Florida area prices
were up 1.1% from a year ago

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