The Insurance Benefits Verification Specialist plays a crucial role in the fertility practice by ensuring accurate insurance coverage for patients. This position requires strong attention to detail, excellent communication skills, and a deep understanding of insurance policies and procedures. Part of this role is patient facing. It will require money collection and financial conversations with the patients.
Essential Job Functions:
Rotate weekends and holidays as necessary
Booking appointments (eIVF)
Updating patient demographics/Insurance
Verify patient insurance eligibility and coverage for fertility treatments and procedures
Update patient records with insurance verification information
Collecting patient out-of-pocket costs and co-payments.
Communicate insurance information to patients in a clear and concise manner
Stay current on changes in insurance regulations and policies that affect fertility
city: Commack
Job Summary:
The Insurance Benefits Verification Specialist plays a crucial role in the fertility practice by ensuring accurate insurance coverage for patients. This position requires strong attention to detail, excellent communication skills, and a deep understanding of insurance policies and procedures. Part of this role is patient facing. It will require money collection and financial conversations with the patients.
Essential Job Functions:
Rotate weekends and holidays as necessary
Booking appointments (eIVF)
Updating patient demographics/Insurance
Verify patient insurance eligibility and coverage for fertility treatments and procedures
Update patient records with insurance verification information
Collecting patient out-of-pocket costs and co-payments.
Communicate insurance information to patients in a clear and concise manner
The Medical Biller is a key member of the revenue cycle team. The biller participates in the data entry of billing information to ensure accurate and timely billing submissions.
Review and compare provider office schedules to electronic charge batches.
Approve charges for claim release
Report missing charges/documentation to supervisor and/or provider
Manual charge posting as needed for hospital, SNF, etc.
Review and/or work edit work files and send to appropriate party for coding review, physician review or supervisor review in a timely manner.
Update patient demographic and insurance information when needed
Answer incoming patient, provider and insurance calls
Review automated eligibility files and run manual eligibility as needed to confirm insurance coverage
Update patient accounts with collection agency activity
Provide weekly updates to supervisors on all services and issues
Must be able to recognize and establish priorities and provide coverage of other areas as necessary
Must understand and uphold HIPAA regulations
Must communicate effectively and professionally through written correspondence and personal conversations
Responsible for all Cryo storage billing
city: Commack
Job Summary:
The Medical Biller is a key member of the revenue cycle team. The biller participates in the data entry of billing information to ensure accurate and timely billing submissions.
Review and compare provider office schedules to electronic charge batches.
Approve charges for claim release
Report missing charges/documentation to supervisor and/or provider
Manual charge posting as needed for hospital, SNF, etc.
Review and/or work edit work files and send to appropriate party for coding review, physician review or supervisor review in a timely manner.
Update patient demographic and insurance information when needed
Answer incoming patient, provider and insurance calls
Review automated eligibility files and run manual eligibility as needed to confirm insurance coverage
Update patient accounts with collection agency activity
Provide weekly updates to supervisors on all services and issues
Must be able to recognize and establish priorities and provide coverage of other areas as necessary
Must understand and uphold HIPAA regulations
Must communicate effectively and professionally through written correspondence and personal conversations
The Authorization/Referral specialist works in the Authorization Departmentas a liaison between the physician and the patient. The position interfaces with physicians, patients, and administrative personnel and answers phone calls, responds to fax and email communication and routes messages accordingly. The focus of the position is to obtain prior authorizations for medications and/or procedures.
JOB RESPONSIBILITES:
Obtains authorizations for ancillary tests and medical procedures.
Responsible for coordinating and processing of all patient referrals including specialty and ancillary services.
Utilizes a high degree of accuracy in obtaining and verifying that registration, demographic and insurance information is correct and up to date.
Acts as liaison between the MSO and other healthcare providers while exhibiting a high level of customer service skills.
Performs eligibility checks on members as necessary by telephone or electronically.
Follows procedures for proper authorization and processing of all referral services.
Supports physicians and patients in synchronizing appointments, authorizations and tests taking place in different practices.
Communicates with patient and practice to ensure follow through with referrals.
Ensures strict confidentiality of all health records, member information and follows HIPAA guidelines.
Completes all administrative functions related with referral activities in an efficient manner.
Enters all referral hospital, outpatient and other patient specialty health service authorizations into the EMR and practice management system.
Responsible for monitoring all referral reports not received and follow up in a timely manner.
Performs duties in honest and ethical manner.
Perform other duties as assigned.
city: Commack
JOB SUMMARY:
The Authorization/Referral specialist works in the Authorization Department?as a liaison between the physician and the patient. The position interfaces with physicians, patients, and administrative personnel and answers phone calls, responds to fax and email communication and routes messages accordingly. The focus of the position is to obtain prior authorizations for medications and/or procedures.
JOB RESPONSIBILITES:
Obtains authorizations for ancillary tests and medical procedures.
Responsible for coordinating and processing of all patient referrals including specialty and ancillary services.
Utilizes a high degree of accuracy in obtaining and verifying that registration, demographic and insurance information is correct and up to date.
Acts as liaison between the MSO and other healthcare providers while exhibiting a high level of customer service skills.
Performs eligibility checks on members as necessary by telephone or electronically.
Follows procedures for proper authorization and processing of all referral services.
Supports physicians and patients in synchronizing appointments, authorizations and tests taking place in different practices.
Communicates with patient and practice to ensure follow through with referrals.
Ensures strict confidentiality of all health records, member information and follows HIPAA guidelines.
Completes all administrative functions related with referral activities in an efficient manner.
Enters all referral hospital, outpatient and other patient specialty health service authorizations into the EMR and practice management system.
Responsible for monitoring all referral reports not received and follow up in a timely manner.
You are the first point of contact with the patients.
Essential Job Functions:
Perform all necessary receptionist duties including answering, screening and routing of phone calls. Take appropriate messages and ensure the proper delivery of those messages. Be polite and courteous at all times.
Be able to triage phone calls and determine if urgent, give call to physician or nurse immediately.
Greet and register each patient as they arrive.
Verify patient demographics and insurance information into the EMR.
Collect any necessary co-payments.
Notify the provider/staff of patients arrival.
Schedule patient appointments.
Schedule any services or procedures as needed.
Maintain/prepare patient charts and physician schedule.
Open and close office, if needed.
Ensure HIPAA guidelines are followed at all times.
city: Holbrook
You are the first point of contact with the patients.
Essential Job Functions:
Perform all necessary receptionist duties including answering, screening and routing of phone calls. Take appropriate messages and ensure the proper delivery of those messages. Be polite and courteous at all times.
Be able to triage phone calls and determine if urgent, give call to physician or nurse immediately.
Greet and register each patient as they arrive.
Verify patient demographics and insurance information into the EMR.
Collect any necessary co-payments.
Notify the provider/staff of patients? arrival.
Schedule patient appointments.
Schedule any services or procedures as needed.
Maintain/prepare patient charts and physician schedule.
Open and close office, if needed.
Ensure HIPAA guidelines are followed at all times.
Overview: We are seeking a detail-oriented Financial Analyst to join our team. This individual will play a key role in financial analysis and reporting. This position reports to the Accounting Supervisor as well as the Senior Financial Analyst and works closely with the controller
Essential Job Functions:
Analyze, evaluate and interpret monthly close schedules
Manage Fixed Assets
Prepare monthly Insurance bills
Reconcile Intercompany accounts
Assist with monthly, quarterly and year end closings
Knowledge of generally accepted accounting practices
Proficient in Microsoft Office, QuickBooks
city: Commack
Job Description: Financial Analyst
Overview: We are seeking a detail-oriented Financial Analyst to join our team. This individual will play a key role in financial analysis and reporting. This position reports to the Accounting Supervisor as well as the Senior Financial Analyst and works closely with the controller
Essential Job Functions:
Analyze, evaluate and interpret monthly close schedules
Manage Fixed Assets
Prepare monthly Insurance bills
Reconcile Intercompany accounts
Assist with monthly, quarterly and year end closings
Knowledge of generally accepted accounting practices
A CRNA’s primary responsibility is to contribute to the success of an anesthesiology team to ensure every patient who undergoes treatment in your facility receives exceptional care in line with established best practices
Responsibilities:
Administering general and regional anesthesia
Performing cardiopulmonary resuscitation (CPR) when a patient requires life-saving care
Gathering data from patients, medical charts and the medical care team
Monitoring a patients blood pressure, body temperature, heart rate and respiration rate before and during procedures
Managing the care a patient receives before and after receiving anesthesia
Coordinating with other members of the care team to provide ventilator support and pain management following procedures
Checking and maintaining
Updating patient records
city: Southampton
A CRNA’s primary responsibility is to contribute to the success of an anesthesiology team to ensure every patient who undergoes treatment in your facility receives exceptional care in line with established best practices
Responsibilities:
Administering general and regional anesthesia
Performing cardiopulmonary resuscitation (CPR) when a patient requires life-saving care
Gathering data from patients, medical charts and the medical care team
Monitoring a patient?s blood pressure, body temperature, heart rate and respiration rate before and during procedures
Managing the care a patient receives before and after receiving anesthesia
Coordinating with other members of the care team to provide ventilator support and pain management following procedures
Review physician orders and place patients in the examination rooms.
Use of high tech sonography equipment to produce images for ordered procedure.
Perform screening and measuring procedures according to protocol.
Communication with the patient and ensuring their comfort during the procedure.
Use good judgment when reviewing images to provide the best ultrasound for the Physician who will read the ultrasound.
Maintain, scan patient charts into EMR
Ensure patient results and correspondences are reviewed in a timely manner by the physician and appropriate follow up is performed according to the physician’s direction
Maintain an adequate supply of inventory in each of the exam rooms while ensuring the cleanliness of the examination room
city: Islip
Review physician orders and place patients in the examination rooms.
Use of high tech sonography equipment to produce images for ordered procedure.
Perform screening and measuring procedures according to protocol.
Communication with the patient and ensuring their comfort during the procedure.
Use good judgment when reviewing images to provide the best ultrasound for the Physician who will read the ultrasound.
Maintain, scan patient charts into EMR
Ensure patient results and correspondences are reviewed in a timely manner by the physician and appropriate follow up is performed according to the physician’s direction
Maintain an adequate supply of inventory in each of the exam rooms while ensuring the cleanliness of the examination room
The Medical Biller and Accounts Receivable Specialist is a key member of the revenue cycle team. They participate in the data entry of billing information to ensure accurate and timely billing submissions as well as reviewing unpaid, rejected or underpaid claims; identifying the errors and submitting formal appeals.
Responsibilities:
Knowledge of Medical Terminology, ICD-10 and CPT codes
Report missing charges/documentation to supervisor and/or provider
Enter charge data into Patient Keeper billing interface
Maintain Patient Keeper files for validity errors
Review and work TES Work Files
Work rejections from the Clearinghouse to correct errors for resubmissions
Generates and submits electronic claims
Work collaboratively with providers and administrative staff to resolve billing discrepancies
Respond to patient billing inquiries
Review and work department review work files
Investigate and resolve claim denials, rejections and payment variances
Submit corrected claims, appeals and supporting documentation as needed
Work aging reports and prioritize accounts based on timely filing limits
Review and adjust claims as needed
Process refunds
Perform other related duties as assigned by management
Complete special department projects
city: Bays
Position Summary:
The Medical Biller and Accounts Receivable Specialist is a key member of the revenue cycle team. They participate in the data entry of billing information to ensure accurate and timely billing submissions as well as reviewing unpaid, rejected or underpaid claims; identifying the errors and submitting formal appeals.
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Responsibilities:
? Knowledge of Medical Terminology, ICD-10 and CPT codes
? Report missing charges/documentation to supervisor and/or provider
? Enter charge data into Patient Keeper billing interface
? Maintain Patient Keeper files for validity errors
? Review and work TES Work Files
? Work rejections from the Clearinghouse to correct errors for resubmissions
? Generates and submits electronic claims
? Work collaboratively with providers and administrative staff to resolve billing discrepancies
? Respond to patient billing inquiries
? Review and work department review work files
? Investigate and resolve claim denials, rejections and payment variances
? Submit corrected claims, appeals and supporting documentation as needed
? Work aging reports and prioritize accounts based on timely filing limits
? Review and adjust claims as needed
? Process refunds
? Perform other related duties as assigned by management
