Abrar Admin

Florida Orthopedic Associates

<div>JOB SUMMARY: 


Under direct supervision of the Clinic Manager, this position is responsible for assuring timely collection of accounts receivable and insurances, monitoring account activity and providing adequate follow up to ensure maximum reimbursement is received for physician billing. The ideal candidate would have a strong understanding of medical claims billing. This individual will also be responsible for researching and resolving claims denials, monitor that all denied claims are corrected or appealed, and provide appropriate feedback to management. This employee will enter charges and submit them electronically or via paper to an insurance company or patient. They complete the cycle by up on outstanding charges. 


RESPONSIBILITIES: 

<ul><li>Ensuring appropriate information is submitted to insurance companies to expedite payment</li></ul>
<ul><li>Preform collection activities, including status check up calls to ensure timely reimbursements, appeals, and account reviews</li></ul>
<ul><li>Take appropriate follow up actions on accounts to ensure claims are paid on the first follow-up call or appeal.</li></ul>
<ul><li>Following up on assigned cases from within the organization</li></ul>
<ul><li>Reviewing pre-bill claim holds to verify that the claim goes out clean the first time</li></ul>
<ul><li>Composing appeals to insurance carriers for denied claims, completing denials and rejection reports</li></ul>
<ul><li>Work insurance aging reports</li></ul>
<ul><li>Submit insurance and patient refunds as needed</li></ul>
<ul><li>Educate staff on contracted and non-contracted plans, and which we can accept</li></ul>
<ul><li>Post payments and charges</li></ul>
<ul><li>Ability to navigate insurance, hospital, and other websites to verify benefits or research outstanding payments</li></ul>
<ul><li>Handle incoming calls for information request from insurance companies within 24 hours</li></ul>
<ul><li>Assisting Financial Counselors when patients have questions regarding claims</li></ul>
<ul><li>Corrects accounts that are billed to incorrect insurance companies.</li></ul>
<ul><li>Ensures authorizations are attached to claims</li></ul>
<ul><li>Comply with quantity and quality expectations as provided by management</li></ul>
<ul><li>Communicating with the DeLand Office Manager to advise of trends, issues discovered</li></ul>
<ul><li>All other duties as assigned.</li></ul> 


EDUCATION AND EXPERIENCE: 

<ul><li>High School Diploma or general education degree (GED)</li></ul>
<ul><li>2 &ndash; 4 years of physician office billing and denial management experience required</li></ul>
<ul><li>Basic Understanding of ICD10, CPT HCPCS</li></ul>
<ul><li>Ability to read and interpret explanation of benefits (EOBs)</li></ul>
<ul><li>Knowledge of Medical Assistance, Medicare Part B and commercial insurance products</li></ul>
<ul><li>Familiar with CMS 1500</li></ul>
<ul><li>Basic understanding of medical terminology and anatomy.</li></ul>
<ul><li>Excellent communication skills both written and verbal</li></ul>
<ul><li>Must be a self-starter that is detail oriented and capable of multi-tasking</li></ul>
<ul><li>Requires comprehensive knowledge of computer skills including Microsoft Office Suite</li></ul>
<ul><li>Comfortable in a fast-paced working environment of a growing practice</li></ul> 


PREFFERRED QUALIFICATIONS &amp; SKILLS
<ul><li>Experience in a medical center, large health system, or multi-specialty group</li></ul>
<ul><li>Athena experience strongly preferred</li></ul> 


Orthopaedic Solutions Management is a Drug Free Workplace

We are committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, we operate as a drug-free workplace. All candidates will be required to undergo pre-employment drug screening and/or be subject to random drug testing in accordance with applicable laws and company policy.</div>

Revenue Cycle Specialist

<div></div><div><div>JOB SUMMARY
The Patient Access Representative I will be responsible for accurately and efficiently obtaining and documenting all referrals and authorizations for physician clinic visits by contacting physician&rsquo;s offices, insurance companies and/or patients. They are also responsible for scheduling patients for physicians according to patient need and physician protocol in a call center environment. Must obtain all information related to the appointment to include patient demographics, verifying, and documenting all new and existing insurance benefits to start the benefit and authorization process as well as method of referral. Answer the phone and handle each call appropriately, including making patient appointments. Friendly professionalism on the phone is crucial; you are the window into our practice, making the patient's first impression of our practice.

RESPONSIBILITIES:
<ul>
<li>Coordinate with appropriate primary care physicians and/or insurance companies to obtain referrals for office visits prior to the patient&rsquo;s scheduled appointment.</li>
<li>Ensure all authorizations are properly documented in the system.</li>
<li>Advise patients of any potential problems concerning obtaining authorization prior to the scheduled appointment.</li>
<li>Utilize insurance websites (Availity, Humana Military (Tricare), United Healthcare, etc.) to obtain referrals/authorizations.</li>
<li>Assure compliance with all company plans policies and procedures</li>
<li>Receive and appropriately manage all calls coming into the practice</li>
<li>Have a working knowledge of major insurance payors and accepted insurance plans</li>
<li>Monitor accounts for bad debt and accounting issues, referring callers to the Billing department</li>
<li>Efficiency in handling calls also extremely important, to handle a large volume of calls</li>
<li>All other duties as assigned.</li>
</ul>
EDUCATION &amp; EXPERIENCE
<ul>
<li>Candidate must be a high school graduate.</li>
<li>2 or more years of experience in a Healthcare environment with registration/scheduling benefit/authorization background preferred.</li>
<li>Must be detailed oriented.</li>
<li>Excellent customer service and communication skills.</li>
<li>Able to multi-task and handle high call volumes.</li>
<li>Must have a working knowledge of Windows based computer environment and typing skills.</li>
<li>Strong phone and customer service skills</li>
</ul>
PREFFERRED QUALIFICATIONS &amp; SKILLS
<ul><li>Possess knowledge and working understanding of scheduling system</li>
<li>Experience in a medical center, large health system, or multi‑specialty group</li>
</ul>
</div>Orthopaedic Solutions Management is a Drug Free Workplace

We are committed to maintaining a safe, healthy, and productive work environment. As part of this commitment, we operate as a drug-free workplace. All candidates will be required to undergo pre-employment drug screening and/or be subject to random drug testing in accordance with applicable laws and company policy.</div>

Patient Access Representative I

<div>Job Summary:

 A Medical Scribe specializes in medical data entry into an electronic record system, under the direct supervision of the provider. Scribes are vital in instituting an accurate and efficient workflow process.

Responsibilities:
<ul>
<li>Scribes should discretely carry out duties under the direction and control of the provider. A scribe is not a decision maker or interpreter of medical information.</li>
<li>Accompany physician into the patient examination room to assist in transcribing a history and medical exam, and accurately document the physician's encounter with the patient and any others present</li>
<li>List all proper diagnoses and symptoms, follow-up instructions and prescriptions as dictated by the physician</li>
<li>Transcribe patient order results including laboratory tests, radiology tests, etc.</li>
<li>Document any procedures performed by the physician</li>
<li>All other duties as assigned.</li>
</ul>
Education and Experience:
<ul>
<li>High School Diploma or general education degree (GED)</li>
<li>Recognition of medical exam process and ability to record exam details</li>
<li>Computer proficiency, especially in the EMR system, to appropriately and accurately document the patient's electronic chart</li>
<li>Ability to quickly learn new applications.</li>
<li>Ability to accurately record information</li>
<li>Organizational skills with focus on tracking patient care and improving patient flow</li>
<li>Professional demeanor and recognition of privacy considerations for patients and families</li>
<li>Excellent communication skills both written and verbal</li>
<li>Must be a self-starter that is detail oriented and capable of multi-tasking</li>
<li>Comfortable in a fast-paced working environment of a growing practice</li>
</ul>
Preferred Qualifications &amp; Skills
<ul>
<li>Experience in a medical center, large health system, or multispecialty group</li>
<li>Athena experience strongly preferred</li>
<li>College level coursework with a clinical emphasis preferred</li>
<li>Medical Terminology and Anatomy/Physiology is preferred</li>
<li>Must have reliable transportation to allow for inter-office I ravels, when necessary.</li>
<li>Must be able to stand for long periods of time</li></ul></div>

Scribe

Join Florida Orthopedic Associates and explore 3   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Florida Orthopedic Associates

About Company

Revenue Cycle Specialist

Patient Access Representative I

Scribe