AMSURG

Business Operations

• Create and monitor standard policies and procedures for billing and collections
• Ensure HIPAA privacy compliance for assigned entities
• Act as a subject matter expert on billing and collections
• Support, update, and advise internal and external customers on billing issues
• Recommend and implement improvements to billing processes
• Keep abreast of rules, regulations, and laws affecting billing and collection
• Develop and implement policies for billing and collections
• Train ASCs on business office policies
• Assist in management of HIPAA, compliance, and audits
• Monitor claims to ensure compliance with Medicare rules and regulations
• Evaluate billing systems of potential acquisitions

Manager, Business Operations

Implementation Specialist

• Lead beginning to end implementation of the NextGen PM system and ancillary systems for assigned sites
• Balance multiple projects and responsibilities simultaneously while maintaining the high standards of the Insight program
• Collaborate with RCM teams and Business Operations Managers to effectively implement NextGen to fit the assigned project needs
• Work as part of the Insight team to facilitate and/or complete effective implementations with the following goals: Rapidly deployable, repeatable processes; Successful revenue cycle management with demonstrable revenue stream from ERA processes within 20 days of go-live date; Cost-effective follow-up and phased training approach for implementing post- or complimentary EPM go-live features
• Conduct Practice Management training sessions for internal AMSURG constituencies
• Review, update, maintain and utilize NextGen training materials for internal and external use
• Assist Service Desk or User Satisfaction personnel with Tier 2 center, practice, and Central Billing Office NextGen-related support issues
• Assess current configuration and develop customized modifications to meet specific needs of centers, the Central Billing Office or anesthesia entities
• Troubleshoot NextGen configuration and specification issues with associated vendors and payers
• Participate in implementation project related integrations as a subject matter expert; perform system testing and troubleshoot interface issues with associated vendors as needed
• Assist EDI Specialists with payer or claim related issues
• Assess complex workflows within the ASC affiliated environments to ensure the optimal configuration of the NextGen system and other vendor products
• Facilitate meetings, demonstrations and training with center staff on the NextGen application
• Conduct training sessions in small and large groups in various settings (both onsite and remote)
• Conduct performance reviews for existing centers and practices to assist Operations teams in finding opportunities to enhance efficiency
• Collaborate with various vendors for issue resolution
• Evaluate existing centers’ configurations and revise to meet upgrades and new regulatory requirements as needed

Senior Implementation Specialist – Contractor

Director

• Negotiate initial or renewal contractual terms and reimbursement with designated market payers
• Manage multiple concurrent negotiation activities while leveraging strong project management skills to drive progress on specific market strategies to optimize reimbursement
• Create and maintain relationships between AmSurg providers and payers related to contracting
• Facilitate updating and maintenance of consolidated contract management system for accurate tracking of reimbursement terms and conditions
• Establish regular communication and strong inter-Company relationships, while monitoring payer issues as they relate to provider participation, contract loading, payment issues in conjunction with Revenue Cycle team
• Assist in the development of departmental goals, executing projects to achieve these goals, and working closely with others within the HPR Department to continuously monitor Department performance
• Onboard acquisitions and new entities / locations to payer contracts as requested
• Develop reports and presentations by collecting, analyzing and summarizing information and trends
• In collaboration with Vice President, analyze contract performance data, conduct onsite visits with payers, clients and centers that require market specific strategies.
• Ability to work in a matrix environment where multiple and competing customer demands are likely
• Facilitate internal training or educational tools as they related to health plan contracting

Director, Contracting

Technical Project Manager

• Responsible for the initiation, coordination, and completion of multiple, parallel projects within the Information Technology department.
• Builds and maintains strong relationships with team members, vendors, and other departments involved in the projects.
• Owns stakeholder management; responsible for setting customer expectations and leading efforts to sustain customer satisfaction.
• Oversees and assumes accountabilities for all aspects of software development including user requirements, development, and testing timelines.
• Defines project scope, goals and deliverables that support business goals in collaboration with senior management and stakeholders.
• Develops and presents full-scale project plans and associated communications documents.
• Estimates resources and participants needed to achieve project goals.
• Assigns responsibilities, monitors, and summarizes progress of project.
• Drafts and submits budget proposals.
• Recommends subsequent budget changes where necessary.
• Identifies and resolves issues and conflicts within the project team.
• Identifies and manages project dependencies and critical path.
• Develops and delivers progress reports, proposals, requirements documentation, and presentations.
• Proactively manages changes in project scope, identifies potential crises, devises, and leads execution of contingency plans.
• Conducts project postmortems and drives continuous improvement efforts.

IT Project Manager II – Temporary

Customer Support

• Handle incoming calls from patients, attorneys, insurance companies, etc. to resolve problems and answer questions
• Be able to effectively listen and communicate revenue cycle outcomes or processes with caller
• Be familiar with and understand payor and state rules and regulations and client information
• Adhere to all company policies and procedures
• Other duties as assigned

Customer Services Representative – Verification of Benefits

QA Automation Engineer

• Lead Automation Engineer responsible for supporting business unit(s) with the development and maintenance of automated solutions
• Reports to the Manager/Director of Software Development and serves as technical lead to a team of Automation Engineers
• Responsible for understanding the needs of the business and providing solutions to improve efficiency
• Serves as a liaison between business operations and automated solutions with an emphasis on workflow architecture
• Mentors less experienced engineers
• Participates in agile team processes
• Research and specify the optimal solution for workflow-based process automation
• Design and develop the identified optimal workflow-based automated processes
• Test and certify the implemented optimal workflow-based automated processes
• Troubleshoot and resolve all defects and incidents in a timely manner

Lead Automation Engineer

Business Analyst

• Demonstrates a solid understanding of work initiatives, leads work effort, may direct others to elicit and understand business processes and requirements
• Demonstrate advanced skills required to effectively facilitate requirement gathering meetings, obtains and documents Business, User, Functional, and Non-Functional Requirements
• Partnering with business users and act as a liaison between business and technical teams
• Drives delivery of requirements within an Agile/Scrum framework
• Work with the business and technical teams to understand complex workflows and business needs
• Understands the business drivers behind the applications and any new requirements; uses that understanding to create effective solutions for the business
• Creates, manages, and owns a feature backlog
• Works with the Development team to groom stories and refine the backlog
• Translates business needs into technical solutions and corresponding business requirements in the form of User Stories; Confirms delivery of User Stories meet the business need
• Creates User Stories based on the INVEST model along with Acceptance Criteria, supporting documents, flows and wireframes
• Creates and updates documentation of system data flows and functionality
• Querying data sources and performing analysis in support of requirements and problem resolution
• Supports QA and UAT processes: reviews test conditions to ensure proper coverage, participates in QA and UAT defect review and resolution
• Works with the project team to ensure requirements are accurate, clear, and understood
• Meets with business and technical teams to discuss functional design concepts
• Produces professional quality work products such as process flows, use cases, screen mockups, business requirements and functional specifications
• Demonstrates the ability to learn new techniques and adapts to using the tools aligned with the organization, i.e., Kaizen Tools
• Helps define acceptance test objectives. Assists in system and integration testing
• Assists in evaluating software change requests, determine business need or conduct root cause analysis
• Acts as Project Manager for small and medium sized projects:
• Defines scope, creates and manages delivery plan, manages issues, provides project communications and manages sponsors’ expectations
• Builds and maintains strong relationships with team members, vendors, and other departments involved in the projects. Owns stakeholder management; responsible for setting customer expectations and leading efforts to sustain customer satisfaction.
• Facilitates the definition of project scope, objectives, and success metrics in collaboration with senior management, involving all relevant stakeholders.
• Develops and presents full-scale project plans and associated communications documents; manages, monitors, and tracks progress throughout the project.
• Facilitates the estimation and allocation of resources and participants needed to achieve project goals.
• Identifies and resolves issues and conflicts within the project team; escalates issues to the appropriate level in order to achieve resolution when required.

Senior Business Analyst

Operations

• The Vice President of Operations (“VPO”) is responsible for building physician partnerships, setting the Division’s growth strategy, and managing the clinical, financial, and operational performance of their Division.
• Overseeing an approximately $300M operational portfolio, the VPO is responsible for building a strong shared vision for their Division and ensuring they have the supporting people and operational processes in place to drive performance.
• Helps foster a people-centric, success-oriented, accountable company culture.
• Attracts, recruits, retains, motivates, and leads the operations team.
• Ensures healthy board governance throughout the Division, participating and supporting board meetings and governance as needed including reporting regulatory issues, ASC industry updates, lobbying efforts, and pertinent health system, physician practice management, and private equity relationship updates.
• Informs people development, professional growth, and management approach for Division.
• Responsible for managing Directors of Operations (“DOO’s”) and provides strategic direction to drive operational excellence across the portfolio.
• Works with the Senior Vice President (“SVP”) to implement initiatives to improve major regional partner relationships and center management across the Division.
• Coaches and guides DOOs and Center leaders in building successful relationships between AMSURG and its providers.
• Articulates corporate initiatives to Division and develops enactment plan with DOOs.
• Responsible for high level oversight and continuous improvement of the following areas with assistance of AMSURG resources: Quality Oversight, Operational Efficiency, Cost Management, Risk Management, Regulatory Compliance, Teammate Engagement and Retention, Provider Engagement.
• Responsible for development and execution of Division portfolio strategy.
• Fosters and maintains deep relationships with key heath system joint ventures, physician partnerships, physician practice management MSOs.
• Develops Division business planning and growth strategy in partnership with the SVP and business development leadership.
• Works with SVP in supporting and fostering best-in-class Patient-centered-Care.
• Responsible for identification of new regional opportunities within communities and across payers.
• Owns relationships with physicians and their growth needs.
• Provides strategic direction and oversight to maintain strong relationships with existing health system joint ventures, physician/physician practices.
• Supports organic growth and strategic initiatives, driving alignment within Division.
• Identifies and introduces appropriate new initiatives to expand and grow same store and Division volume and revenue.
• Supports acquisition due diligence efforts for new center opportunities.
• Leads DOOs and center leaders to support business development in due diligence efforts to investigate and execute on new opportunities.
• Represents the organization with key stakeholders.
• Fosters and maintains strong physician partnerships.
• Drives a strong clinician value proposition and Patient-Centered-Care. Owns regional physician Division, health system partnerships, physician practice management operations. Sells and influences adoption of new strategic initiatives.
• Provides AMSURG advocacy updates to provider partners. Active member of Partnership Board of Directors. Accountable for Division portfolio financial performance. Responsible for managing DOOs and providing strategic direction to support optimizing financial performance of the region.

Vice President, Operations

• Directly manage governance of Ambulatory Surgery Centers (ASCs) and optimize operations for growth.
• Build strong partnerships with physician leaders and monitor financial performance.
• Develop and execute strategies for growing case volume, reducing expenses, and improving patient experience.
• Oversee ASC governance, operational initiatives, and day-to-day management.
• Mentor Center Administrators and coordinate with clinical and financial teams to drive performance.
• Collaborate with corporate functions and act as an escalation point for ASC needs.