Reports to: Billing Manager

Summary:

The Medical Billing Specialist is responsible for accurately billing patients and insurance companies, ensuring timely payments, and maintaining accurate records.

Essential Duties:

• Review claims for coding accuracy
• Prepare and submit claims to various insurance companies
• Follow up on unplaid claims within standard billing cycle timeframe
• Utilize medical collection techniques to keep accounts receiveable levels low
• Maintain confidentiality of all patient information
• Other duties as assigned

Knowledge, Skills, Abilities, and Experience:

• Proficiency in medical coding such as ICD-10 and CPT coding systems
• Strong knowledge of medical terminology, medical records, and medical offices procedures
• Experience with Medicare LCD’s
• Extensive knowledge of commercial and government insurance requirements and reimbursements
• Excellent attention to detail and accuracy in data entry
• Ability to work independently and as part of a team

This job description is not intended to be all-inclusive, and the employee will also perform other related tasks as assigned by the Billing Manager.

Job Type: Full-time

Reports to: Billing Manager

Summary:

We are seeking two Insurance Payment Specialists to join our billing team. In this role, you will be responsible for accurately managing and processing payments, both electronically and manually, while maintaining precise medical billing records. Your key duties will include documenting revenue from patient and insurance payments, managing Accounts Receivable (A/R) for assigned insurance carriers, handling billing-related phone calls, submitting accurate claims, and addressing denials and rejections.

Key Responsibilities:

• Accept and post payments electronically and manually
• Maintain accurate medical billing records and document revenue
• Manage and maintain A/R for assigned insurance companies
• Handle billing inquiries and provide timely responses
• Ensure accurate claims submission and resolution of denials and rejections
• Other duties as assigned

Qualifications:

• Strong attention to detail and excellent organizational skills
• Knowledge of CPC (Certified Professional Coder) is required
• Minimum of 2 years of experience in a medical billing office
• Ability to work in a fast-paced environment
• Punctuality and reliable attendance are essential

This job description is not intended to be all-inclusive, and the employee will also perform other related tasks as assigned by the Billing Manager.

Job Type: Full-time

Reports to: Billing Manager

Summary:

We are seeking a dedicated Patient Accounts and Collections Specialist with a strong background in medical collections and a positive attitude. The ideal candidate will have experience in insurance processes and be skilled in managing patient accounts, collections, and payment postings.

Responsibilities:

• Manage all collection accounts, including contacting patients, mailing statements, and sending collection letters.
• Collaborate with collection agencies to facilitate payment recovery.
• Post patient payments accurately; strong math skills required.
• Handle pre-collection of surgery charges and notify patients of outstanding balances.
• Respond to billing inquiries and assist patients with account-related concerns.
• Run collection reports and monitor outstanding accounts.
• Maintain a high level of accuracy and efficiency in a fast-paced medical practice.

Qualifications:

• Minimum two years of medical office experience required.
• Strong knowledge of medical collections and insurance processes preferred.
• Excellent communication and customer service skills.
• Detail-oriented with strong organizational and problem-solving abilities.
• Reliable, hard-working, and committed to excellent attendance.

This job description is not intended to be all-inclusive, and the employee may also perform other related tasks as assigned by the Billing Manager.

Job Type: Full-time

Reports to: Front Office Manager

Summary:

This individual is responsible for answering all incoming calls via the office ACD system, scheduling all patient appointments in a professional and courteous manner and assisting with managing the provider templates as necessary to maximize efficiency.

Education & Experience:

1. High school diploma or equivalent

2. One year minimum experience in a call center or medical setting involving inbound calls, scheduling, and patient care.

3. One year minimum experience in a fast-paced customer service setting.

4. Knowledge of medical terminology.

Essential Skills & Abilities:

1. Excellent customer service skills.

2. Strong phone and verbal communication skills along with active listening skills

3. Ability to effectively triage calls from patients to ensure appropriate scheduling

4. Ability to work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions.

5. Empathetic personality, giving attention to patients’ needs and concerns.

6. Strong organizational skills with attention to detail.

7. Respectful treatment of patients and co-workers

8. Ability to maintain confidentiality and thorough knowledge of HIPAA policies and procedures.

9. Basic knowledge of computer applications, such as Microsoft Office Suite, EHR and related information systems.

Responsibilities:

1. Answers all incoming calls in a professional and timely manner, using the standard JCEC greeting.

2. Manages phone calls and triages/manages calls from patients/doctors’ offices/pharmacies/insurance companies/ and other entities.

3. Schedules all appointments with the appropriate provider to ensure top quality care to all patients.

4. Addresses appointment cancellations/reschedules/confirmations/no shows (via telephone, email, portal, electronic fax, and patient communication system.)

5. Takes ownership of and monitors provider’s schedules to ensure maximum efficiency.

6. Aides in the patient flow process by acting as a liaison between referring physician offices and JCEC and patients.

7. Uses pre-defined scheduling protocols and takes the proper steps to ensure appointments are scheduled within the requested timeframe and with appropriate provider.

8. Collaborates closely with clinical staff to assess the urgency of appointments and facilitates communication through task management within the practice management system.

9. Enters key demographic and insurance information into patient’s chart with completeness and accuracy.

10. Maintains patient confidentiality; complies with HIPAA and compliance guidelines established by the practice.

11. Maintains detailed knowledge of practice management and other computer software as it relates to job functions.

12. Assists other front office staff as needed.

13. Performs all other duties as assigned.

This job description is not intended to be all-inclusive, and the employee will also perform other related tasks as assigned by the Office Manager.

Job Type: Full-time

Reports to: Front Office Manager

Summary:

This individual will provide direct assistance to the Office Manager for administrative processes and operational support and will be adept on all Front Office processes.  This position is also responsible for the direct supervision of the Front Office staff and for maintaining high quality, efficient office flow.

Education & Experience:

1. High school diploma or equivalent required.

2. Associate degree or higher preferred.

3. Minimum of three years’ experience in medical practice.

4. Previous experience in a supervisory role is required.

Essential Skills & Abilities:

1. Excellent customer service and communication skills.

2. Knowledge of insurance guidelines, ICD-9 codes and HIPAA compliance rules and regulations.

3. Knowledge and understanding of medical front office processes.

4. Knowledge of medical terminology.

5. Ability to establish and maintain effective working relationships with patients, staff and physicians.

6. Excellent interpersonal skills.

7. Excellent written and verbal communication skills.

8. Extreme attention to detail, organizational skills and accurate processing of information.

9. Team-oriented work ethic.

10. Ability to prioritize work and multi-task in a fast-paced office setting with many interruptions.

11. Demonstrates good decision-making skills.  

12. Empathetic personality giving attention to patient’s needs and concerns.

13. Knowledge of computer applications, such as Microsoft Office Suite, EHR and related information systems.

Responsibilities:

1. Provides leadership and assists the Office Manager in overseeing the day-to-day operations of the front office staff, evaluating workflow effectiveness, delegating tasks and supporting program goals.

2. Effectively works with Office Manager and providers to establish, implement and maintain practice policies, procedures and efficient systems that support daily operations.

3. Successfully performs all essential front office duties, including appointment scheduling, check-in/check-out, insurance verification, medical record management, and surgery scheduling.

4. Manages front office productivity reports to track weekly and monthly progress, fostering a collaborative environment focused on achieving shared goals.

5. Supports staff in resolving challenging patient situations by addressing inquiries and effectively managing concerns or frustrations.

6. Ensures that staff have the resources, tools and training needed to perform their job duties.

7. Assists with prioritizing assignments and workflow within the front office.

8. Reports issues and inconsistencies in individual staff performance to the Front Office Trainer and management.

9. Serves as a communication liaison between front office staff and Office Manager, ensuring the timely dissemination of staff feedback and forwarding relevant information to the manager.

10. Assists the Office Manager in identifying opportunities for process improvement and developing and implementing initiatives to enhance operational efficiency.

11. Oversees the practice management system and other related software used in the front office, ensuring optimal utilization to enhance clinic operations and service delivery.

12. Reports computer malfunctions, software issues, and telephone discrepancies to the appropriate technical support staff.

13. Engages proactively and appropriately with clinical leads and management to enhance overall office efficiency.

14. Maintains front office staff schedule to ensure adequate coverage is available.

15. Manages the timekeeping system to ensure staff adherence to attendance policies and accurate payroll processing.

16. Oversees staff performance, including conducting evaluations, administering disciplinary actions, and managing terminations.

17. Conducts interviews for front office position vacancies.

18. Manages and maintains physician on-call schedule.

19. Assists Office Manager with maintaining and managing providers’ scheduling templates.

20. Assists staff with coordinating appointments to ensure seamless patient flow and optimize operational efficiencies.

21. Maintains cleanliness and professional appearance of the front office area.

22. Orders office supplies and monitors office expenditures.

23. Performs all other duties as assigned.

This job description is not intended to be all-inclusive, and the employee will also perform other related tasks as assigned by the Office Manager.

Job Type: Full-time

Job Summary: Fast paced surgery center looking for an individual who is responsible for scanning medical records, scheduling surgery appointments, creating charts, arranging schedules, welcoming patients to the practice, checking patients in and ensuring their paperwork and information is complete, collecting prepay amounts, and answering the telephone. Additional front office job responsibilities may include assisting the insurance department with the following: insurance verification, statements, posting payments, working collection accounts, and informing patients of financial obligation.

Education and Experience:

• High school diploma or equivalent
• Two years minimum experience in medical practice

Essential Skills and Abilities:

• Excellent customer service and communication skills.
• Ability to work as a team member.
• Manage multiple tasks simultaneously.
• Highly motivated and organized.
• Empathetic with patients’ needs and concerns.
• Good problem-solving skills.
• Well organized with attention to detail.

Responsibilities:

1. Answer telephone calls politely and route to appropriate staff member.
2. Schedule appointments, creates charts, and manage surgical schedules.
3. Greet patients and family members at check in.
4. Request patient payments and give receipts.
5. File papers and charts as needed.
6. Verify insurance coverage and patient benefits. Inform patient of financial obligation.
7. Enter patient and insurance payments daily.
8. Scan charts and file them electronically.
9. Preparing patient statements.
10. Working collections accounts.
11. Medical records requests.
12. Arrange daily surgery schedules.
13. Other duties as assigned.

ASC looking for a part-time pre-admission nurse. Primary responsibilities include:

*Pre-admission phone calls to obtain patient’s health history and pre-op education.

*Obtaining medical clearances.

*Work in other areas as needed, Preparing patients for surgery, post surgery care, and discharge education.

*Candidates must have excellent communication skills and enjoy talking on the phone.

Qualifications:

TN LPN license

CPR required

Willing to obtain ACLS and PALS

Team player

Job Type: Part-time: 3x 10-hour shifts per week.

JOB SUMMARY: This individual is responsible for scheduling all surgical procedures, obtaining referrals/pre-authorizations and medical clearances, and computer task management. A strong communication skill set is required for communications between staff, management and patients served.

EDUCATION AND EXPERIENCE:

1. High school diploma or equivalent; some college preferred.

2. At least two years’ experience in a surgical specialty practice, ophthalmology preferred.

3. ICD-10 and CPT knowledge required.

4. Comprehensive understanding of insurance authorizations required.

ESSENTIAL SKILLS AND ABILITIES:

1. Excellent communication and interpersonal skills.

2. Proficient in computers and relevant software applications and practice management technology.

3. Strong organization with attention to detail.

4. Analytical problem-solving skills.

5. Demonstrated ability to meet deadlines.

6. Ability to work independently and as a team member.

7. Ability to handle a high volume of work with speed and accuracy.

RESPONSIBILITIES:

1. Coordinates and schedules surgeries and follow-up appointments as designated by physicians.

2. Acts as an effective liaison between the patient, surgeon, referring physician, and the surgical facility in all aspects of surgery scheduling.

3. Coordinates processes and tasks as required to meet physician and facility requirements.

4. Obtains pre-authorization and medical clearances for all procedures being provided prior to patient surgery.

5. Reviews and resolves all reported authorization issues timely and effectively.

6. Communicates authorization with patients and physicians timely and professionally.

7. Documents work processes as required.

8. Answers telephone inquiries from patients, their families, or referring physicians concerning surgery and/or related concerns.

9. Performs other tasks as assigned.

Ambulatory Surgery Center (ASC) Sterile Processing Technician

JOB SUMMARY: This individual is responsible for decontamination and sterile processing of OR instruments and trays according to policies and procedures. Ensures sterility of instruments and trays prior to procedures.

Responsibilities:

a. Assists in preparing operating room for planned procedure.

b. Handles surgical instruments per facility policy.

c. Keeps all working areas clean, neat and stocked.

d. Assists with preparation of operating room for surgical cases.

e. Observes strict aseptic technique throughout the entire sterile processing.

f. Isolates “dirty” or contaminated instruments and supplies to minimize the spread of infection.

g. Helps clean the room following a procedure by caring for instruments, supplies and equipment used in the sterile field.

h. Understands and follows manufacturer’s instructions for cleaning and decontaminating reusable surgical instrumentation and equipment.

i. Wraps and packages instruments and trays in sub-sterile area.

j. Understands and uses appropriately: cidex, biological indicators, integrating indicators, bowie dick test pack and challenge packs.

k. Properly documents cycles and reviews all autoclave printouts.

l. Other duties as assigned

EDUCATION AND EXPERIENCE:

1. High school graduate.

2. One or more years of related work experience in sterile processing department preferred.

3. Certified or willing to obtain cerfitication within 1 year.