Job Description

Job DetailsJob Location: CVN - Mission Valley - San Diego, CA 92108Position Type: Full TimeEducation Level: 4 Year DegreeSalary Range: $80,000.00 - $95,000.00 Salary/yearJob Shift: DayTitle: Operations Manager
Department: Cohen Veterans Clinic
Reports to: Clinic Director
FLSA Status: Full-time, Exempt
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Job Summary:
The Operations Manager is a key member of the Cohen Clinic. He/she will report to the Senior Operations Manager.
Essential Duties and Responsibilities:
Ensures that the Clinic follows VVSD’s policies and procedures regarding fiscal operations
Works as the liaison between the Clinic and the Chief Financial Officer
Manages the Clinic’s fiscal operations (i.e., budgeting, accounts receivables and payables, reconciliations, financial reporting, etc.)
Works with the Intake Coordinator and Clinic Director to coordinate the managed care billing process, managing local relationships with 3rd party insurance and ensuring that the Clinic is in compliance with contractual and reimbursement policies
Works with the Clinic Director to coordinate the credentialing of each clinician (CAQH) for 3rd party insurance
Maintains and monitors all financial records to ensure accuracy, completeness of data and compliance with state and federal rules and regulations
Assists clients with billing-related matters; assisting clients and/or staff in resolving insurance-related problems
Establishes policies and procedures regarding risk management and business continuity
Collaborates with clinic staff and the Cohen Veterans Network around financial data collection, trend analysis, research, reporting, etc.
QualificationsQualifications:
Bachelor’s degree or demonstrated progress toward a bachelor’s from accredited college or university with at least 5 years of relevant experience
At least 5 years of experience working with 3rd-party payers, coding, billing, posting, and adjudication of claims
At least 3 years of experience collecting, analyzing and reporting financial data
Demonstrated knowledge about the appropriate and effective use of protected health information, the Health Insurance Portability and Accountability Act of 1996 and the Health Information Technology for Economic and Clinical Health Act.
Excellent customer service
Must been able to work independently or as part of a team, anticipate problems and generate solutions and demonstrate flexibility and sensitivity when engaging with staff and clients
Excellent written and oral communication skills; ability to digest and distill complex subjects into clear messages
Demonstrated success establishing relationships with customers, members of the community, the Board, and team members at all levels of an organization.
Demonstrated ability to leverage the strengths of diverse teams (both internal and external), coach, mentor, and hold team accountable to achieve results.
Proven capacity to listen actively and synthesize multiple pieces of disparate information into a coherent vision that aligns with the organization’s strategy and move it to successful operationalization.
Ability to juggle multiple opportunities to drive results on several important projects simultaneously.
Physical Requirements:
Ability to bend and lift light objects
Ability to sit for extended periods of time while viewing a computer monitor
Dexterity of hands and fingers to operate a computer keyboard
Capable of hearing and speaking to exchange information
Seeing to read reports and data
Ability to speak English
Ability to work in a noisy, busy environment