Department: Revenue Cycle
Reports to: Revenue Cycle Manager
Type of Position: Hourly, Full-time, 40 hours/week, Non-Exempt
The Accounts Receivable Representative position holds accountability for timely and accurate completion of all accounts receivable processing. The A/R Representative will coordinate, with a concentration in collections, all third-party claims, under the supervision of the Revenue Cycle Manager. Also, this position will review third-party aged trial balances and follow-up on all unpaid claims either, by phone, mail or online in accordance with departmental procedures and insurance guidelines.
- Ensure the timely filing and collections of the designated region according to insurance billing and collection guidelines
- Follow up on denials for payment processing and process appeals as necessary
- Process refund requests according to company policy and procedure
- Attend and participate in monthly meetings to review and discuss streamlining workload, collection issues, and status of individual goals
- Meet daily goals as outlined by Revenue Cycle Manager
- Dress and interact professionally in an office environment
- Follow all company policies
- A minimum of a High School Diploma or GED required
- A minimum of one to three years experience in all facets of Medical A/R and Collections
- Computer skills using Microsoft Outlook, Word, Excel and Access
- Experience analyzing and resolving AR issues
- An analytical approach to reviewing an AR report
- Ability to multi-task, prioritize, and manage time effectively
- Strong written and verbal communication skills
- Familiar with CPT, ICD-10, and general medical terminology
- Ability to perform with high degree of independent judgment, discretion, and confidentiality; and make complex decisions within short amount of time.
Reports to: Chief Radiologic Technologist
Type of Position: Per Diem, Non-Exempt
Preform diagnostic imaging for the physicians.
- Demonstrate successful communication between the Doctor and patient to conduct the appropriate exam.
- Prepare equipment and exam room as needed.
- Position and monitor patients during the exam.
- Document and report pertinent information to the physician.
- Minimize radiation to the patient and staff by practicing radiation protection techniques such as ALARA.
- Responsible for a working knowledge using all digital and PACS systems.
- Maintain all required state and federal certifications as required.
- Complete multiple department requests for duplicate imaging records.
- Assist with reconciling patient exams for billing.
- Assist OCPN MRI by sending compatible imaging to Steward Hospital.
- Must have good communication skills and attention to detail. Must work well with others and possess the ability to take direction.
Reports to: Clinical Manager
Type of Position: Full-time
Hours: 40 hours/week, Non-Exempt
Under the direction of a physician or licensed provider, the medical assistant performs assigned patient care and administrative duties. Responsible for performing routine and more complex medical assistant clinical duties to include, but not limited to, greeting patients, taking vital signs, performing simple diagnostic tests, collecting specimens, drawing blood, sterilizing and cleaning equipment, casting and bracing, and maintaining examination rooms in an outpatient care setting. May also be responsible for some administrative duties in support of patient and practice operations. Able to work as a member of a team to ensure the physicians see patients as efficiently and effectively as possible while still delivering a favorable patient experience. This will be accomplished by improving workflow and communication with the front desk. Responsible for overseeing and managing patient flow for the assigned doctor.
- Greets patients and assists them with transfers into a wheelchair and to x ray room if necessary.
- Previous experience with suture removal, DME/brace fitting, and cast application is preferred.
- All prior test results should be ordered for review prior to the patient exam.
- Review last office notes to prepare for the patient visit.
- Verify medical history forms are complete and then scanned into the electronic health record.
- All prior evaluations, history forms, and office notes should be entered into the EMR prior to this patient exam.
- Ensure that required x rays are ordered prior to patients arrival.
- All prior testing results should be presented to MD/PA prior to this patient exam.
- Prepare room for casting, procedures, etc./restock and clean when completed.
- Responsible for maintaining a professional environment by demonstrating patient privacy and respect for patients and staff.
- Follow Universal protocol in maintaining a safe and clean environment for patients.
- Required to perform any and all additional job responsibilities specified, including surgery scheduling, prior authorizations and other administrative duties.
- Regular and predictable attendance is an essential function for this position.
Certified Professional Orthopedic Coder
Type of Position: Full-time
Hours: 40 hours/week, Non-Exempt
Seeking a certified coder with a strong orthopedic background as well as a working knowledge of medical billing to join our growing orthopedic practice. The position is responsible for charge entry, reviewing the accuracy of physician E&M and surgical CPT codes, as well as related ICD-10 codes; handle claim issues to include denials, edits and rejections along with the ability to perform daily audits and random medical record audits. In addition to the review of findings with managers/providers and work with the billing team on payer related issues.
Required Experience 2-4 yrs. Preferred 3-5+ yrs. Experience
Duties and Qualifications:
- Assign ICD-10 and CPT codes accurately for Physician services.
- Reviews physician documentation to ensure accurate coding of all office and surgical procedures, assign the appropriate procedure and diagnosis codes based on current coding guidelines, The coder will verify and ensure the accuracy, completeness, specificity and appropriateness of diagnosis codes based on services rendered and assigns appropriate modifiers.
- Demonstrates knowledge and remains current in regard to ICD’s current version, CPT codes.
- Abide by the Standards of Ethical Coding and adhere to official coding guidelines.
- Complete appropriate paperwork/documentation/system entry regarding claim/encounter information.
- Provide support, education and training related to, quality of documentation, level of service and diagnosis coding consistent with established coding guidelines and standards.
- Knowledge of Local Coverage Determinations and National Coverage Determinations (LCD/NCD) medical necessity requirements.
- Monitor Coding changes to ensure that most current information is available.
- Working knowledge of payer specific guidelines and/or ability to seek resolve with billing department.
- Experience with surgery coding and E&M coding.
- Post charges accurately and submit electronic claims.
- Resolve any claim rejections, including CCI edits
- Research inadequate documentation and rejected or denial claims.
- Query attending physicians for documentation and diagnostic clarification.
- Works with manager and physicians, providing coding guidance.
- Enters charges timely and accurately.
- Runs and works daily reports.
- Plan, organizes, and integrates priorities and deadlines.