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Medical Practice Administrator

Directs the overall operation and provides executive leadership in a medical group/physician practice.: Responsible for the overall direction of the medical group to include patient care, physician employment, strategic planning, marketing, and financial performance. Establishes strategic plans and guides implementation. Confers with executive management to plan operational objectives, to develop policies and procedures, to coordinate functions and operations between divisions, departments and satellite locations, and to establish responsibilities and procedures for attaining objectives. Reviews activity reports and financial statements to determine progress and status in attaining objectives and revises objectives and plans in accordance with current conditions. Directs and coordinates formulation of financial programs to provide funding for new or continuing operations and guides changes needed to reach financial goals. Represents the organization to major external authorities and constituencies. Plans and develops policies designed to improve the organization's image and relations with patients, providers, employees, and the general public. Selects and evaluates performance of executive staff for compliance with established policies and objectives and contributions in attaining objectives. An advanced degree in a field of health or business is typically required for this position.

Administrator College

Oversees and coordinates all administrative affairs of a college, as the senior administrative officer. Administers fiscal operations such as budget planning, personnel, purchasing, and physical plant. Directs hiring and training of personnel. : Negotiates for improvement of and additions to school buildings and equipment. Directs and coordinates activities of administrative staffs and services. Uses expertise and judgment for planning and accomplishing goals. May develop, devise, and execute policies and procedures for various school activities.

College Administrator

Nursing Home Assistant Administrator

Supports the Administrator in the management of daily functions of the nursing home. Determines the effectiveness of operations and ensures compliance with laws, regulations, policies, and procedures. Prepares staffing schedules to ensure that adequate numbers of appropriately trained professional and auxiliary personnel are on duty at all times to meet the needs of residents. This position typically requires a college degree in a related field and four years of industry experience.: Supports the Administrator in the management of daily functions of the nursing home. Determines the effectiveness of operations and ensures compliance with laws, regulations, policies, and procedures. Prepares staffing schedules to ensure that adequate numbers of appropriately trained professional and auxiliary personnel are on duty at all times to meet the needs of residents. Coordinates the purchase of equipment and supplies. Resolves problems encountered by nursing home staff, medical staff, visitors, or residents. Assists in hiring, developing, and motivating a qualified support staff for the facility. Maintains and communicates policies and procedures that govern the operation of the facility. This position typically requires a college degree in a related field and four years of industry experience. May directly oversee and manage business office administration for the facility.

MRI Administrator

Supervises and coordinates a medical center unit that provides MRI services to patients.: Hires, develops and motivates a qualified staff to ensure effective medical unit operation. Coordinates the logistical needs of the MRI unit to provide for proper levels of supply inventory, equipment maintenance and work environment. Performs marketing and referral development with referring practitioners. Prepares patient volume, referral tracking and other reporting necessary for management of the facility. Analyzes unit budget to identify budget needs or changes. A Bachelor's degree is typically required with experience in medical business management or medical magnetic imaging.

Administrator Payroll

Processes organization's payroll and compiles payroll data to maintain accurate payroll records. Processes employee status changes, processes and analyzes payroll and employee expenses, reconciles general ledger accounts, creates on-going month-end, quarterly, and year-end organization reports, and performs other rated duties as assigned. Audits payroll information for accuracy. Reconciles payroll deposits, tax withholdings, wage garnishments, and voluntary deductions. Participates in problem solving and special projects within the Payroll Department. Assigns exempt and non-exempt worker status to employees.: Prepares responses to notices from government agencies regarding employee tax filings. Ensures that payroll-related transactions are processed in compliance with external and internal policies. Performs actions necessary to track and determine regular and overtime pay, and factors commission-based income or bonuses into an employee's salary. Calculates and processes Federal and State tax and social security withholdings, union dues, and other deductions, insurance, benefits, pension/retirement, 401(k) contributions and company match, and profit sharing. Screens time-worked inputs for calculating, coding, or other errors. Monitors computer reports alerting Payroll Clerks to problems or errors. Reconciles errors and maintains payroll records. Reviews and processes payroll adjustments, including vacation, sick, and other time off. Generates accrual entries, as required. Fields and responds to payroll inquiries and resolves discrepancies as required. Maintains knowledge of rules and laws which govern the payroll administration practices. Assists with training of Payroll Clerks. May prepare Accounts Payable check requests as necessary.

Credentialing Administrator

Credentials and recredentials participating providers and facilities in the health plan. Analyzes and resolves complex provider issues relative to credentialing, enrollment, billing, and payers. Coordinates and performs enrollment of assigned providers and physicians in appropriate health plans to ensure satisfaction of the health plan requirement for acceptance. Typically requires a bachelor's degree in a health care field or be a Registered Health Information Administrator (RHIA). Typically requires experience sufficient to provide a working knowledge of NCQA and JCAHO.: Reviews and processes provider applications and determines eligibility by applying NCQA, JCAHO, and URAC standards as related to the network. Performs primary source verification for initial and recredentialing of assigned providers utilizing NCQA and other federal and state regulatory requirements. Communicates with providers regarding credentialing status and information. Creates and maintains participating provider or practitioner credentialing files. Reviews and analyzes provider file changes. Creates practitioner profiles for recredentialed practitioners. Prepares and sends application packets to participating providers and facility applicants, requesting the return of basic credentialing information. Reviews applications for completeness and assists the applicant in completing the application. Prepares routine credentialing reports. Reviews and monitors provider complaint and grievance files.

Assisted Living Administrator

Organizes, directs and administers operations within a facility that provides assisted living services.: Oversees the overall management and the day-to-day operations of an assisted living facility while maintaining compliance with all applicable laws and regulations. Plans, installs, directs, coordinates, and evaluates an administrative management organization within the facility to integrate functions such as fiscal planning and controls, staffing, procurement and storekeeping, grounds and building maintenance, transportation, communication, housekeeping, dietary, and safety programs. Ensures continuity and consistency in delivery and quality of services. Develops and implements an annual business plan that achieves financial goals while meeting reasonable customer expectations. Directs and supervises the work of staff in providing for the care and needs of the residents. Develops, maintains and implements policies and procedures. This position typically has subordinate managers or supervisors reporting to it. Confers and cooperates with management personnel in formulating administrative and operational policies and procedures. Reviews and analyzes expenditure, financial, and operations reports to determine requirements for assisted living operations. Approves requisitions for equipment, materials, and supplies. Implements programs and changes to enhance resident satisfaction and provide for new or prospective resident needs. Implements approaches and services to maintain or enhance resident independence. Prepares and manages the operational budget. This position typically requires a Bachelor’s degree in a related field and five or more years of management experience in assisted living operations.

Claims Administrator

Supervises and coordinates activities of workers engaged in examining insurance claims for payment in claims division of insurance company. Ensures all claims eligible or ineligible for payment conform to quality, production standards and specifications. A bachelor's degree with four years of claims examining/auditing experience may be required to fulfill the requirements of this position.: Ensures evaluation of all claims through determination of types and amounts of benefit payable. Ensures/oversees documenting of provider claims/billing forms to support payment/decisions. Ensures claims processing is consistent with applicable policies, procedures, and department guidelines. Supervises maintenance of claims records. Reviews appeals and complaints that Examiners are unable to resolve. Analyzes and approves insurance claims. Conducts personal interviews with claimants to explain procedure for filing claims. Submits statement of claim liabilities to actuarial department for review. Informs departmental supervisors on claims status. Interprets company policy to employees and enforces company policy and practices. Reviews and analyzes processes, procedures, and workflows to identify opportunities for process improvement and efficiency. Prepares regular periodic reports, and reviews/monitors system reports to ensure adherence to corporate and regulatory standards within established guidelines. May participate in the specialized training and handling of complex claim situations and projects requiring advanced claim knowledge and experience, as delegated by Claims Manager and/or Director. May recruit, hire, train staff, evaluate employee performance, and recommend or initiate promotions, transfers, and disciplinary action.

Compensation and Benefits Administrator

Develops, implements, and administers organization's compensation and benefit programs. Coordinates and administers functions of the Human Resources Department in providing equitable compensation for all employees and the best benefits possible within the parameters of the company's resources.: Communicates with employees regarding compensation and employee benefit related issues. Administers employee benefit programs, possibly including group medical, dental, vision, prescription, disability, group life, AD&D, EAP, 401(k), and flexible spending account programs. Researches and advises on benefit program enhancements. Participates in contract negotiations and renewals. Serves as primary contact for plan vendors and third party administrators. Assures compliance with State and Federal regulatory agencies. Processes enrollments, COBRA, terminations, changes, beneficiaries, disability, accident and death claims, rollovers, QDRO's, QMCSO's, distributions, hardships, and compliance testing. Manages open enrollment and program implementation processes. Oversees reconciliation and preparation of all billings related to benefit plans. Implements and monitors adherence to compensation and employee benefit policies, procedures, and practices. Coordinates job evaluation activities with the Compensation Committee. Administers the organization's executive incentive program.

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