Job Summary AR Specialist
Location: Orlando, Mount Dora

The Accounts Receivable Specialist provides good judgement in evaluating patient accounts and taking appropriate action pertaining to compliant billing and collections as necessary to assure timely payments or other disposition of patient accounts.

Physical Qualifications

Requires prolonged sitting, some bending, stooping and stretching and standing, hand-eye coordination and manual dexterity to operate keyboard, photocopies, telephone, office equipment. Requires normal range of eye sight, hearing and aptitude to record, prepare, and communicate appropriate information and reports.

Performance Expectations

• Perform consistent, assertive, efficient and timely follow-up on accounts as determined by Management, which means maintaining minimum A/R performance according to MGMA Standards of higher.
• Assist in the increase of cash collection and the decrease of Accounts Receivables (AR) aging for designated plan(s) using effective and efficient collection techniques, including, but not limited to, the use of individual plan(s) escalation and/or appeal processes, patient and/or physician contact.
• Able to understand and effectively interpret payer contracts, Remittance Advices (RA) and Explanation of Benefits (EOB) statements.
• Medicare, Medicaid, and/or Third Party Payer experience in dealing with healthcare insurance companies through phone follow-up and letter correspondence during the appeals or denial resolution process.
• Demonstrates a working knowledge of the medical health insurance benefits provided by assigned payers and able to consistently and accurately explain these to patients.
• Corrects billing errors, edits, overlaps, etc., and submit clean claims electronically or on paper to be mailed on a daily basis as required, using the practice’s third party claim editor systems. (Practice Plus and Trizetto).
• Demonstrates knowledge of insurance and billing forms and the ability to investigate and resolve debit and credit account balances.
• Document relevant activity in account notes in a clear and succinct manner in order to present clear and concise claim work reports to Management.
• Review payment variances and remittances for resolution in an efficient and timely manner for processing of patient and/or insurance refunds. · Respond in a timely manner to a High Dollar Account Specialist, Patient Collector Analyst or Management regarding high dollar or complex accounts.
• Identify payer issues or trends and update Manager in a timely manner, providing concrete examples for Management to review.
• Utilizes patient chart on an as needed basis, accessing only information related to treatment, payment, and health operations.
• Maintains and adheres to the company’s HIPAA, Compliance, and OSHA regulations.
• Other duties as assigned.

Certificate/License

Certification in Medical Coding a plus.

Certified Patient Service Specialist (CPSS), obtained within 6 months of hire date.

Job Qualifications

1. High School Diploma
2. Previous experience in a medical group practice environment preferred.
3. Experience in medical accounts receivable, claims appeal, and coding prefer.

Company provides a comprehensive benefits a package including Medical, Dental, Vision, Life, Long-Term Disability and Supplemental policies, Paid Time Off, 401k plan with company matching and uniform allowance.

Job Type: Full-time

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Job Summary Front Desk Specialist
Location: Lake Mary, Orlando, Jacksonville

The Front Desk Specialist is responsible for the overall success of the front office functions of a busy ophthalmology office(s).

This individual provides good judgement in the coordination of all practice activities that contribute to the successful performance of this role.

ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO

• Provides excellent customer service.
• Greets patients and visitors to the medical practice.
• Check In and Check Out patients.
• Schedules patient appointments.
• Working knowledge of electronic health records, Nextech EHR and Practice Plus.
• Verify insurance for patient appointments.
• Registers patients in the practice management system which may mean entering information given verbally or on registration forms.
• Collects identification and insurance cards and copies or scans them for the medical record, may photograph the patient for the record.
• Collects co-pays and outstanding patient balances.
• Prints encounter form with updated information or updates information on the encounter form to ensure accuracy.
• Has patient sign financial agreement, receipt of privacy policy, benefits assignment, etc.
• Answer phone calls, take messages and make appointments.
• Lifting up to 50 lbs.

Additional Responsibilities

Requires daily travel between offices as needed either to perform the duties for which you were hired or to backfill when needed. No overnight travel required.

Qualifications

High School Diploma, Minimum 1 year experience in a medical practice or hospital setting is preferred and experience in an ophthalmology practice preferred. Nextech EHR system experience preferred, Multi-tasking, Flexibility, Telephone Skills, Customer Service, Time Management, Organization, Attention to Detail, Scheduling, Professionalism, Quality Focus, Team driven attitude, and ability to work in a fast-paced environment.

Bilingual Preferred.

Company provides a comprehensive benefits a package including Medical, Dental, Vision, Life, Long-Term Disability and Supplemental policies, Paid Time Off, 401k plan with company matching and uniform allowance.

Job Type: Full-time

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Job Summary Medical Authorization Specialist
Location: Orlando

The Medical Record Authorization Clerk is responsible for the overall success of the chart preparation and authorization procurement function.

This individual provides good judgement in the coordination of all practice activities that contribute to assuring that the charts are prepared and that all authorizations for treatment have been received prior to the patient appointment.

Physical Qualifications

Requires prolonged sitting, standing, some bending, stooping, stretching, hand-eye coordination and manual dexterity to operate keyboard, photocopies, telephone, and other office equipment. Requires normal range of eye sight, hearing and aptitude to record, prepare, and communicate appropriate chart and authorization information.

Job Qualifications

1. High School Diploma
2. Previous experience in a medical group practice environment preferred.
3. Experience in medical records a plus.

Certificate/License

Certified Patient Service Specialist (CPSS), obtained within 6 months of hire date.

Performance Expectations

• Begin accurately working on pulled patient appointment charts 3 days in advance, if possible, to complete the following task in a timely manner:
  - For patients who have only EMR charts: Print off last EMR note and place in folder.
  - For patients who are in the EMR system and also have a paper chart: Print off last EMR note and include in paper chart.
  - For patients who only have paper charts and are not yet in the EMR system: Include the paper chart and print out the Financial Demand Inquiry from the old MYSIS/Allscripts system.
• Assure that the Verification List is obtained at least 3 days in advance from the Verification Specialist and assure that all visits and procedures have been verified prior to the patient visit.
• Begin authorization process at least 3 days in advance prior to patient visit, when possible.
• Accurately obtain visit and procedure authorizations through patient primary care physicians or patient insurance payers.
• Assure that authorization numbers are documented, and that primary care physician fax sheets are scanned into the EMR, as well as documented in Practice Plus and on the encounter form.
• For authorizations obtained through the patient’s insurance carrier, assure that the authorization numbers are documented and attached to the appointment in Practice Plus, as well as documented on the encounter form.
• Assure that the number of visits or treatments authorized are clearly documented in Allscripts and on the encounter form. Indicate the number of approved visits or treatments that are left from the original authorization is also documented.
• Assure that injection authorizations are obtained and up-to-date, as well as documented in Practice Plus and on the encounter form.
• Assure that the file cases are packed and completed each day and ready to go to the practices.
• Accurately processes authorizations for add on patients from all offices.
• Highlights balances and assures that accurate co-pays and deductibles due are indicated on encounter forms.
• Double checks to ensure all demographic information on the encounter is accurate (i.e. name spelling, referring doctor, etc.)
• Utilizes patient chart on an as needed basis, accessing only information related to treatment, payment, and health operations.
• Maintains and adheres to the company’s HIPAA, Compliance, and OSHA regulations.
• Other duties as assigned.

Job Type: Full-time

This is not a remote position.

Company provides a comprehensive benefits a package including Medical, Dental, Vision, Life, Long-Term Disability and Supplemental policies, Paid Time Off, 401k plan with company matching and uniform allowance.

Job Type: Full-time

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Job Summary Medical Insurance Verification Specialist
Location: Daytona Beach

The Medical Insurance Verification Specialist works to ensure that patients’ health care benefits cover required visits and procedures performed at the clinic.

The specialist contacts a patient’s insurance company to verify coverage levels and works with patients to educate them on their benefits information and helping them to financially to get the medical procedures they need.

Physical Qualifications

Requires prolonged sitting bending, stooping and stretching, hand-eye coordination and manual dexterity to operate keyboard, photocopies, telephone, and other office equipment. Requires normal range of eye sight, hearing and aptitude to record, prepare, and communicate appropriate information and documenting in the clinic patient software. Must physically be able to spend much time on the phone and/or utilizing insurance website.

Job Qualifications

1. High School Diploma
2. Previous experience in a medical group practice environment preferred.
3. Medical Insurance verification experience and knowledge of Medicare, Medicaid and third party insurance payers preferred.

Certificate/License

Certified Patient Service Specialist (CPSS), obtained within 6 months of hire date.

Performance Expectations

• Accurately carries out the responsibility for verifying patient insurance coverage, and ensures that necessary visits and procedures are covered by an individual’s provider.
• Responsible for entering data in an accurate manner, updating patient benefit information in the clinic’s insurance system and verifying that existing information is accurate.
• Demonstrates proficiency in working with insurance companies, and has extensive knowledge of different types of coverage and policies.
• Demonstrates excellent multitasking skills, with the ability to work on many projects at once. Is very detail-oriented and organized, and maintains accurate patient insurance records.
• Possesses the ability to focus and work quickly. Patient insurance paperwork is processed in a timely manner.
• Serves as a trusted resource to patients, providing them with pertinent information regarding their coverage. Clearly explains to patients the coverage amounts provided by their insurance policy, so they can understand why some procedures may be covered, while others are not.
• Is proficient in the use of Availity and insurance-specific portals to accurately verify insurance coverage and patient responsibility.
• Uses judgement in forwarding patients to a Patient Accounts Specialist for arrangements payment plans for services that are not covered by insurance and there is a need to discuss different financing options to fit their budgets.
• Utilizes problem-solving skills in verifying inaccurate information recorded in the clinic financial system. Knows when it is appropriate to use Availity, the insurance portal, or call the patient.
• Uses good judgement in contacting the patient for discovered unforeseen issues (i.e. anticipated procedure not covered, large co-pay or co-insurance, patient’s insurance premium was not paid).
• Consistently forwards patients who have outstanding balances to a Patient Accounts Specialist.
• Provides immediate verification of benefits as needed for same or next day added-on patient appointments.
• Provides completed patient verification list to the Medical Records Authorization Clerk 3 days in advance, so that authorizations and chart prep may be completed in a timely manner.
• Utilizes patient chart on an as needed basis, accessing only information related to treatment, payment, and health operations.
• Maintains and adheres to the company’s OSHA, HIPAA, and Compliance regulations.
• Other duties as assigned.

This is not a remote position.

Company provides a comprehensive benefits a package including Medical, Dental, Vision, Life, Long-Term Disability and Supplemental policies, Paid Time Off, 401k plan with company matching and uniform allowance.

Job Type: Full-time

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Job Summary Ophthalmic Technician
Location: Lake Mary, Orlando, Jacksonville locations

The Ophthalmic Technician is responsible for proper documentation, caring patient interaction and the overall success of the clinic flow.

This individual provides good judgement in the coordination of all practice activities that contribute to the successful performance of this role.

Physical Qualifications

Requires periods of sitting, prolonged standing, some bending, stooping lifting and stretching, hand-eye coordination and dexterity to operate a keyboard, mouse, touchscreen computers, manual controls of ancillary testing equipment, and surgical/procedural instruments. Requires normal range of eye sight, hearing and aptitude to record, prepare, and communicate appropriate information.

Performance Requirements

Knowledge of basic policies and procedures or functions of a multi-physician practice. Knowledge of HIPAA, Compliance, and OSHA regulations related to an outpatient practice. Knowledge of EMR, and ancillary testing equipment computer programs and applications. Skill in exercising a high degree of initiative, judgement, discretion, and decision-making to optimally achieve the goals of the position.

Skill in establishing and maintaining effective working relationships with co-workers, physicians, leadership staff, patients, and the public. Ability to organize and prioritize work effectively to meet the set goals, deadlines and objectives of the position. This includes maximizing patient flow, charting/documenting and coding appropriately, and being able to perform tests and assist with in-office procedures.

Ability to communicate clearly and effectively both in writing and verbally. Organizational skills required to maintain clean, orderly and stocked exam and procedure rooms, and transport and track injectable drugs.

Job Qualifications

High School diploma or Bachelor’s Degree
Certified Ophthalmic Assistant (COA), Certified Medical Scribe (COS), or Certified Ophthalmic Technician (COT) strongly preferred
Previous experience in a medical group practice environment preferred
Experience in clinical ophthalmology preferred
Understanding of medical terminology is required
Travel Required
Must have flexible hours (early mornings/late evenings)

Certificate/License

Encouraged to have a current certification as a COA. COS or COT or, must obtain at least COA certification within 12 months of hire date.

For all positions must possess: Certified Patient Service Specialist (CPSS), obtained within 6 months of hire date.

Must perform online OSHA and HIPAA training and obtain certification every 12 months from hire date.

• Verifies patient information by interviewing patient, recording medical history, and confirming purpose of visit.
• Able to demonstrate skill, knowledge and accuracy using clinical instruments. Display ability to perform patient work up based on chief complaint and patient history. Knowledge and ability to perform proper EMR clinical chart documentation.
• Secures patient information and maintains patient confidence by completing and safeguarding medical records; completing diagnostic coding and procedure coding; keeping patient information confidential.
• Counsels patients by transmitting Physician's orders, use of drops, drugs and questions about surgery.
• Assist with in office procedures such as laser surgeries and ocular injections.
• Keeps equipment operating by following operating instructions; troubleshooting breakdowns; maintaining supplies; performing preventive maintenance; asking for repairs if necessary.
• Prepares patients for ophthalmology examination by dilating their pupils; reporting patient history summary, recording changes in visual acuity, checking pressure via applanation tonometry and checking blood pressure.
• Keeps pace with co-workers, considered by the physicians, managers and teammates to be “pulling his/her own weight”.
• Adeptly checks condition of patient's eyes by observing pupils, muscle, visual acuity, extraocular movements.
• Adeptly conducts confrontational visual fields, fluorescein angiography, and OCT testing.
• Shows initiative, demonstrates dependability and accepts direction from qualified sources.
• Displays commitment and involvement and interacts well with co-workers.
• Utilizes patient chart on an as needed basis, accessing only information related to treatment, payment, and health operations.
• Adheres to the company’s HIPAA, OSHA, and Compliance regulations.

Company provides a comprehensive benefits a package including Medical, Dental, Vision, Life, Long-Term Disability and Supplemental policies, Paid Time Off, 401k plan with company matching and uniform allowance.

Job Type: Full-time

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Job Summary Patient Accounts Specialist
Location: Orlando

The Patient Accounts Specialist works from the self-pay collections que by contacting patients through phone or mail. If unsuccessful they try to track down those people whose contact information is invalid.

The specialist uses the web, post office, or other means to find correct the information. Once contacted, patients are reminded of their overdue bills and the specialist will negotiate a maximum payment. Assures tracking of debtors to make sure they are paying on time.

Job Qualifications

High School Diploma
Previous experience in a medical group practice environment preferred
Experience in medical collections preferred
Bilingual Required

Performance Expectations

• Maintains collections performance according to MGMA Standards or higher.
• When speaking to a debtor, actively listens to why they are in debt to help to determine a solution.
• Uses good negotiation skills to work with debtors to start some sort of payment plan, or outright repayment of a debt.
• Spend most of their time on the phone talking with debtors. Communicates clearly and courteously to arrange a successful payment option.
• Monitors patient payments, and is able to keep credit card information confidential, and post money to correct accounts.
• Works reasonably to locate some debtors who do not want to be found, or may not be responsive when called by the Patient Account Specialist. Takes a “do not take no for an answer” attitude.
• Able to work effectively as a team member with management, staff, and physicians. Appropriately interacts with in-office patients, and families with overdue balances. Able to flexibly respond to changing demands. Able to read an insurance claim and explain balances to patients.
• Works well with collection agency representatives and monitors their effectiveness. Reports regularly reports successfulness to leadership.
• Identifies hardship patients and completes paperwork for write-offs or other patient financial assistance.
• Utilizes patient chart on an as needed basis, accessing only information related to treatment, payment, and health operations.
• Adheres to company’s HIPAA, OSHA, and Compliance policies.
• Other duties as assigned.

Physical Qualifications

Requires prolonged sitting, some bending, stooping and stretching, hand-eye coordination and manual dexterity to operate keyboard, photocopies, telephone, and other office equipment. Requires normal range of eye sight, hearing and aptitude to record, prepare, and communicate appropriate information and reports.

Company provides a comprehensive benefits a package including Medical, Dental, Vision, Life, Long-Term Disability and Supplemental policies, Paid Time Off, 401k plan with company matching and uniform allowance.

Job Type: Full-time

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Job Summary Patient Liaison
Location: Orlando

The Patient Liaison works with making patient appointments and obtaining other referral or authorization information needed in a timely manner. Receives and coordinates inbound referral and patient calls and appointments for specified/preferred clinic locations.

Accurately enters pertinent patient data into the clinic data bases. Works with referral sources in obtaining medical records. This includes patient demographics, insurance information and marketing and referral source information.

Requires prolonged sitting, some bending, stooping and stretching, hand-eye coordination and manual dexterity to operate keyboard, photocopies, telephone, and other office equipment. Requires normal range of eye sight, hearing and aptitude to record, prepare, and communicate appropriate information and reports.

Job Qualifications

High School Diploma
Must have previous experience in a medical group practice or hospital environment
Must have customer service phone experience in a high call volume setting
Public Relations and/or marketing a plus
Medical insurance experience a plus
Bilingual preferred

Requirements

• Ability to prioritize responsibilities.
• Ability to multi-task efficiently and effectively.
• Must be able to act calmly and effectively in a busy or stressful situation.
• Knowledge of contracted insurance plans and procedures.
• Requires adherence to all policies and procedures, including standards for safety, attendance, punctuality and personal appearance.
• Must be able to establish and maintain effective working relationships with managers and peers.

Additional Responsibilities

Work as a team member within the patient services department and all other departments.

Establish and maintain effective working relationships with physicians, staff and management.

Document work processes as required.

Demonstrate courtesy and helpfulness toward patients and their families.

Perform other duties as assigned.

MUST HAVE EXPERIENCE TO APPLY. BILINGUAL REQUIRED.

Company provides a comprehensive benefits a package including Medical, Dental, Vision, Life, Long-Term Disability and Supplemental policies, Paid Time Off, 401k plan with company matching and uniform allowance.

Job Type: Full-time

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Job Summary Practice Relations Specialist
Location: Central Florida

The Practice Relations Specialist is responsible for the overall success of practice relations and marketing for the Central Florida territory.

This individual provides good judgement in the coordination of all practice activities that contribute to the successful performance of this role.

Job Responsibilities

• Gather information on referring physician practices and their referral patterns.
• Visit referring physician offices on a consistent basis.
• Gain knowledge on competitors to formulate new marketing strategies.
• Run and analyze monthly reports to demonstrate referral numbers in territory.
• Provides weekly status report of all activities to Marketing Director.
• Reviews patient customer survey results and distributes to appropriate parties.
• Contributes to keep online content such as website and social media platforms including Facebook, Google, Instagram and Twitter up-to-date.
• Acts as liaison between practice and referring physicians.
• Manages, maintains and builds relationships with referring physicians and their staff.
• Travels to and provides referring offices with news, up-to-date-information, and handles requests.
• Works with Office Managers to handle any referring physician issues or requests.
• Coordinates and fully executes all internal/external events, as assigned by Marketing Director.
• Orders practice marketing materials related to referring physician practices.
• Researches and negotiates contracts and agreements with vendors for marketing initiatives.
• Adheres to marketing budget.

Company provides a comprehensive benefits a package including Medical, Dental, Vision, Life, Long-Term Disability and Supplemental policies, Paid Time Off, 401k plan with company matching.

Job Type: Full-time

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