job category: Norwood

SUMMARY:  

The Manager of Infection Control is responsible for the development, implementation, and management of infection prevention and control programs across our ambulatory addiction medicine clinic system. This role ensures compliance with the Joint Commission standards and other regulatory and state-specific licensure requirements to protect patients, staff, and visitors from healthcare-associated infections. The Manager of Infection Control collaborates with various departments, including Legal, Human Resources, and Corporate Compliance, to ensure comprehensive infection control measures are in place. This position does not have direct reports. 

RESPONSIBILITIES: 

• PROGRAM, POLICY, AND PROCEDURE DEVELOPMENT: 

• Create and execute comprehensive infection prevention and control programs across all clinic locations. 

• Establish, enforce, and continuously improve infection control policies and procedures in line with Joint Commission standards and state and federal regulations. 

• Review, update, and create infection control policies and procedures to reflect current best practices and regulatory requirements. 

• Ensure accessibility and understanding of policies by all relevant staff members. 

• Collaborate with multidisciplinary teams to integrate effective infection control practices into all patient care processes. 

• SURVEILLANCE AND DATA ANALYSIS: 

• Design and implement a robust surveillance system to monitor infection rates and trends within the clinic system. 

• Analyze infection control data and generate actionable reports to identify areas for improvement and present findings to leadership and stakeholders.

• EDUCATION AND TRAINING: 

• Develop and deliver comprehensive education and training programs for all staff on infection prevention and control practices. 

• Regularly assess and update staff competencies in infection control measures to ensure compliance and effectiveness. 

• COMPLIANCE AND RISK AUDITING: 

• Develop and conduct regular audits and inspections of clinic facilities to ensure adherence to infection control standards. 

• Lead proactive efforts to prepare for and achieve Joint Commission accreditation, ensuring continuous compliance. 

• Create and implement corrective action plans for any deficiencies identified during regulatory surveys. 

• Ensure timely and accurate reporting of infectious diseases to relevant public health authorities in compliance with local, state, and federal regulations. 

• Identify and mitigate infection control risks within the clinic environment. 

• Participate in risk assessment and quality improvement initiatives to enhance overall infection control measures. 

• Act as the primary liaison between the clinic system and external regulatory bodies regarding infection control matters. 

• OUTBREAK MANAGEMENT: 

• Lead and document investigations and responses to infection outbreaks within the clinic system. 

• Develop and implement corrective action plans to prevent recurrence of outbreaks. 

Why You’ll Love This Patient Access Specialist I Job
Want a job where you can help patients and their families? Do you want to work with a close-knit
the team that shares a passion for making a difference? Join the team in our Patient Access
Specialist I position and take the first step towards a career you can be proud of.

When you join BrightView Health, you become part of a collaborative culture where your
team members want to help you succeed. You are encouraged to share your ideas and
collaborate with your compassionate team members to build a brighter future for the
patients we serve. Plus, we invest in your future through great benefits, competitive
compensation, and career development opportunities to help you build a career you love.

Help make a difference in the lives of the patients and families we serve and apply to our
Patient Access Specialist I position today!

Patient Access Specialist I Job Responsibilities
• Initiate new and existing patient scheduling requests.
• Conduct new patient intake and scheduling procedures.
• Review all scheduling daily.
• Communicate scheduling issues with managers and providers.
• Manage provider calendars for all offices.
• Understand patient scheduling guidelines and the patient scheduling process in the
EMR.
• Provide excellent customer service in scheduling.
• Implement directives from the Lead Patient Access Specialist or Director.
• Participate in special projects and assignments as requested by the Lead Patient

Revenue Cycle Specialist – Prior Authorization

RESPONSIBILITIES:

The Revenue Cycle Specialist in the Authorization division is responsible for the day-to-day workflow, and process management of the prior authorization process. This includes facilitating prior authorization request submission, responses, and documentation to ensure payment. Coordination with department leadership will ensure standards are met by not only department or organization policies and procedures but also with payer submission guidelines.
 

KNOWLEDGE SKILLS, AND ABILITIES

• Identifies patients and services requiring prior authorization from the payer. Collaborate to establish and work to improve the efficiency of the process.
• Prepares and submits prior authorization requests to payers via appropriate methods of submission (fax, portal, phone, other).
• Monitors outstanding requests for a response from the payer and identifies and executes appropriate next steps.
• Actively follows up with payers on requests without response and identifies and executes appropriate next steps.
• Works with other departments within organization to resolve outstanding documentation or other process-related issues.
• Keeps updated on all authorization, billing and other payer regulatory or requirement changes.
• Assists billing team with authorization-related claims rejections/denials.
• Completes work within appropriate time to assure compliance with departmental standards.
• Demonstrates knowledge of, and supports, clinic mission, vision, value statements, standards, policies and procedures, operating instructions, confidentiality standards, and the code of ethical behavior.
• Performs other duties as required.
• Assure documentation complies with regulatory agency requirements and best clinical practices.
• Adhere to the organization’s policy, procedures and professional code of ethics
• Self-motivated and self-directed; able to work without supervision.
• Ability to prioritize and manage multiple tasks and competing priorities.
• Exceptional communication and interpersonal skills.
• Analytical and problem-solving skills with attention to detail.
• Proficient computer skills, Microsoft Office Suite (Word, PowerPoint, Outlook, and Excel); working knowledge of billing software a plus.

Position:Revenue Cycle Specialist, Insurance Verification

Supervisor:Revenue Cycle Manager

Subordinates: None

FLSA: Non-Exempt

POSITION SUMMARY: The insurance verification specialist performs clerical functions for patient billing, including verification of insurance information and resolution of problems to ensure a clean billing process. Follows up on accounts that require further evaluation. Works with others in a team environment.

ESSENTIAL JOB DUTIES:

Maintains patient demographic informationand data collection systems.

Verify insurance eligibility for medical insurance for past and upcoming appointments by utilizing online websites or by contacting the carriers directly.

Coordinate with leadership regarding payer entry errors.

Assist front end and call center staff in understanding carrier websites and verification of eligibility.

Participates in development of organization procedures and update of forms and manuals.

Performs miscellaneous job-related duties as assigned.

Participates in educational activities and attends monthly staff meetings.

Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

Assists in development and communication of SOP for key areas to improve accuracy and understanding of processes.

QUALIFICATIONS & SKILLS:

Strong knowledge of administrative and clerical procedures.

Experience with computers, MicrosoftOffice suite and relevant software applications.

Possession of strong problem-solving skills and sound judgment.

Ability to collaborate across departments and build effective relationships with internal and external customers to achieve goals.Ability to achieve team goals while demonstrating organizational values and utilizing resources responsibly.

Ability to be proactive and take initiative.

Ability to work independently with little to no direction from leadership.

Exhibit high level of quality through attention to detail and monitoring of work.

Possession of strong organizational skills.

Excellent verbal and written communication, as well as exceptional interpersonal communication skills.