Tag: Corporate Jobs

Under general supervision, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete. Accurately codes office and hospital procedures for providers to ensure proper reimbursement. Provides education to the providers to ensure proper documentation and assignment of ICD-10-CDM, HCPCS and CPT codes. Reports to the Coding Operations Manager. Will support Meeting House Lane Medical Practice, PC and SB Administrative Services.

Responsibilities:

• • Audits records to ensure proper submission of services prior to billing on pre-determined selected charges.
  • Receives hospital information to properly bill provider services for hospital patients.
  • Supplies correct ICD-10-CM diagnosis codes on all diagnoses provided.
  • Supplies correct HCPCS code on all procedures and services performed.
  • Supplies correct CPT code on all procedures and services performed.
  • Contacts providers to train and update them with correct coding information.
  • Attends seminars and in-services as required to remain current on coding issues.
  • Audits medical records to ensure proper coding is completed and to ensure compliance with federal and state regulatory bodies.
  • Accurately follows coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies.
  • Maintains all mandatory in-services.
  • Maintains compliance standards in accordance with the Compliance policies. Reports compliance problems appropriately.
  • Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete.
  • Quantitative analysis – Performs a comprehensive review of the record to ensure the presence of all component parts, such as patient and record identification, signatures and dates where required, and all other necessary data in the presence of all reports that appear to be indicated by the nature of the treatment rendered.
• • Qualitative analysis – Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screening criteria.
  • Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code
  • Reviews department edits in billing software and make any corrections based on supported documentation and medical necessary.
  • Performs other related duties, which may be inclusive, but not listed in the job description.

Job Summary:

The role of Clinical Support staff is to ensure proper cleaning and stocking of exam rooms. They also assist in escorting patients to and from the parking lot, waiting rooms and/or suites as needed. They also will assist in transporting specimens to and from the laboratory.

Essential Job Functions:

• Clean exam rooms in between patients. This includes but is not limited to:Cleaning ultrasound probes utilizing Trophon machines
• Wiping down all surface areas
• Changing paper barrier on exam tables
• Ensuring proper stocking of supplies in each room
• Emptying garbage as need.
• Wiping down patient bathrooms
• Escorting patients from the waiting room to exam room
• Escorting patients via wheelchair from Recovery to the parking lot after procedures
• Delivering blood racks to the on-site laboratory for processing.
• Unpacking and stocking supplies for office, clinical and OR staff

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• 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

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.

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

Job Summary:

Act as a central point of communication among providers, patients and other team members of our team. Incumbent schedules patients for provider appointments and diagnostic testing utilizing knowledge of medical terminology and practice policies and protocols. Troubleshoots patient concerns and routes calls to the appropriate staff member when needed.

Essential Job Functions:

• Answer large volume of calls promptly.
• Screen all calls for urgency and handle all calls with confidence, compassion and efficiency.
• Schedules patient appointments and diagnostic testing for all providers.
• Collect and verify patient demographic information as well as verify insurance when appropriate.
• Accurately records patient messages and routes them to the provider or appropriate team member.
• Reviews and maintains provider’s schedules according to practice guidelines to ensure patients are scheduled appropriately.

Position Summary

Stony Brook Community Medical, PC is seeking a dedicated and board-certified/board-eligible Physician to provide comprehensive care in both Internal Medicine and Sleep Medicine. This hybrid role offers a balanced clinical practice, with approximately 50% focus on primary care/internal medicine and 50% on the evaluation and management of sleep disorders.

Key Responsibilities

• Provide high-quality primary care services, including preventive care, chronic disease management, and acute care in an outpatient setting
• Diagnose and manage a wide range of sleep disorders, including sleep apnea, insomnia, narcolepsy, and related conditions
• Interpret sleep studies (polysomnography, home sleep testing) and develop treatment plans
• Collaborate with multidisciplinary teams, including respiratory therapists, specialists, and primary care providers
• Educate patients on sleep health, lifestyle modifications, and treatment adherence
• Maintain accurate and timely documentation in the electronic medical record (EMR) system
• Participate in quality improvement initiatives and uphold organizational standards of care

The role of the Ambulatory Training Specialist is to develop, deliver and evaluate robust training and reference materials for practice staff and clinical support staff. The Training Specialist will lead on-site, classroom and virtual training and refresher courses. As a training specialist, you will work with our physicians, nurse practitioners, physician assistants and other staff to ensure that our EMR enhances physician productivity and the delivery of patient care.

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Essential Job Functions:

• Be able to interact with practice personnel to facilitate training on the EMR.
• Keen understanding of clinical workflows and how software can aid in patient care. Develop, prepare, and lead training sessions in group and one-on-one settings.
• Create and maintain learning curriculum for new and existing staff.
• Work with management to provide communications on system updates.
• Create e-learning tips and training materials.
• Document, provide feedback, answer questions, and provide enhancement requests.
• Travel to sites to provide on-site support.
• Identify opportunities for process and quality improvement for patient flow.
• Identify ongoing training needs.
• Determine appropriate interventions and coordinates with practice leadership and other key stakeholders to monitor trends and improvement initiatives.
• This role will also assist in supporting operational strategies, initiatives through the ambulatory network with a key focus on patient access, specifical clinical and front-end workflows and patient experience.
• Provide excellent customer service.

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Salary Range:?$60,000-$65,000 annually

SUMMARY: The medical receptionist/medical assistant will assist the department with coordination of the daily operations of the front desk, and other duties to ensure efficient work flow and patient care.

Job Duties & Essential Functions:

• Utilize Electronic Medical Record (EMR) and/or other systems for check-in/check-out processes including verifying patient demographics, insurance information, obtaining patient signatures on applicable patient forms, and have the patient complete any paperwork associated with the visit.
• Enter/scan patient data into the EMR.
• Collect any necessary payments and process accordingly.
• Facilitate patient flow by notifying the provider of patients? arrival, delays or backlogs and communicate with other staff and/or patients as necessary.
• Schedule patient appointments and remind the patients of any necessary documentation that may be required for their appointment.
• Schedule any services or procedures as needed.
• Obtain/retrieve referrals/authorizations/eligibility verification that may be required.
• Keep office supplies adequately stocked by anticipating inventory needs and placing orders or advising office manager of items needed.
• Place patients in the examination rooms and document using the electronic medical record, medications, vitals and main reason for visit.
• Perform screening and measuring procedures, which include but are not limited to, height, weight, blood pressure, pulse, temperature, EKG.
• Obtain previous test results from outside labs, radiology, physicians? offices, etc.
• Prepare rooms after each patient and for specific procedures as needed.
• Ensure the cleanliness and adequate supply of medical inventory in each exam room.
• Ensure HIPAA and OSHA guidelines are followed at all times.
• Perform all other duties as assigned by management.

Salary Range

• $20-$24.98 per hour

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.

Job Summary:

The Office Manager is the onsite manager responsible for the day-to-day operations of the practice. The Office Manager reports to the Director of Operations.

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Job Responsibilities:

• Oversees daily office operations and delegates authority to assigned staff.
• Assist in developing and implements short and long-term work plans and objectives for clerical functions.
• Assist staff in understanding/implementing clinical policies and procedures
• Develops guidelines for prioritizing work activities, evaluating effectiveness and modifying activities as necessary. Ensures that office is staffed appropriately.
• Assist in the recruiting, hiring, orientation, development and evaluation of clerical staff.
• Establishes and maintains an efficient and responsive patient flow system.
• Oversees and approves office supply inventory, ensures that mail is opened and processed and offices are opened and closed according to procedures.
• Supports and upholds established policies, procedures, objectives, quality improvement, safety, environmental, infection control, codes, and requirement of accreditation and regulatory agencies.
• Oversees and approves office invoices and submits in timely fashion to accounting for processing.
• Provides schedules input into Cerner and manages providers? schedules and makes necessary changes.
• Address patient concerns and handles patient correspondence. Communicates with billing supervisor to correct billing errors in all offices.
• Manages and approves employees? biweekly payroll.