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 Nurse Practitioner/Physician Assistant to work collaboratively with pediatrician
Job Functions:
Under the direction and supervision of a licensed physician, providescare to patients.
Perform comprehensive inpatient/outpatient visits which include:
Outpatient:
Conduct comprehensive or episodic health history and physical assessment of patients with potential health problems.
Establish medical diagnoses. Write specific orders within the limits of the practice agreement/scope of practice.
Perform stress testing, provide appropriate direction to office staff regarding patient care issues (triage calls etc. Manages or independently performs evaluative and treatment necessary to provide an appropriate response to life threatening emergency situations until the arrival of emergency response teams.
Communicates effectively with referring and primary health care providers. Manage independent outpatient clinical practice and coverage for collaborating physicians, including rotating on call weekday/weekend night and weekend coverage.
Maintain clinical documentation according to group practice.
Educates patients and families on treatment and wellness care plans
Inpatient:
Conducts comprehensive health history and physical assessment of patients with acute health problems.
Performs admission history and physical, develops, manages and modifies treatment plans.
Participates in daily rounding and collaborates with attending or consulting team to adjust plans of care.
Manages or independently performs evaluative and treatment necessary to provide an appropriate response to life threatening emergency situations until the arrival of emergency response teams. Facilitates referrals to appropriate community health facilities, agencies and resources.
Discharges hospitalized patients at the direction of the attending physician.
Prepares and dictates discharge summaries of patients hospitalization and clinic care.
Assists with intraoperative processes and procedures, when needed, and as granted through privileging processes.
city: Wyandanch
The Nurse Practitioner/Physician Assistant to work collaboratively with pediatrician
Job Functions:
Under the direction and supervision of a licensed physician, provides care to patients.
Perform comprehensive inpatient/outpatient visits which include:
Outpatient:
Conduct comprehensive or episodic health history and physical assessment of patients with potential health problems.
Establish medical diagnoses. Write specific orders within the limits of the practice agreement/scope of practice.
Perform stress testing, provide appropriate direction to office staff regarding patient care issues (triage calls etc. Manages or independently performs evaluative and treatment necessary to provide an appropriate response to life threatening emergency situations until the arrival of emergency response teams.
Communicates effectively with referring and primary health care providers. Manage independent outpatient clinical practice and coverage for collaborating physicians, including rotating on call weekday/weekend night and weekend coverage.
Maintain clinical documentation according to group practice.
Educates patients and families on treatment and wellness care plans
Inpatient:
Conducts comprehensive health history and physical assessment of patients with acute health problems.
Performs admission history and physical, develops, manages and modifies treatment plans.
Participates in daily rounding and collaborates with attending or consulting team to adjust plans of care.
Manages or independently performs evaluative and treatment necessary to provide an appropriate response to life threatening emergency situations until the arrival of emergency response teams. Facilitates referrals to appropriate community health facilities, agencies and resources.
Discharges hospitalized patients at the direction of the attending physician.
Prepares and dictates discharge summaries of patients’ hospitalization and clinic care.
Assists with intraoperative processes and procedures, when needed, and as granted through privileging processes.
An exempt clerical position responsible for functions related to payroll, personnel information and employee documentation. Responsible for developing and implementing the full cycle of recruitment from the initial point of contact with qualified candidates through hiring.
Responsibilities:
Ensures new employees receive appropriate items including employee ID badge, insurance/benefit information, orientation materials. Adds data to employee census.
Ensures terminated employee data is removed from appropriate employee databases, including insurance/benefits, time/leave date, employee census and file is moved to inactive status.
Coordinate events relating to on-boarding, orientation/benefits.
Participates in annual open enrollment benefit period and processes benefit documents.
Works with department directors and managers to identify professional staff needs and to develop a strategic recruitment plan.
Responsible for reviewing applicants and screening potential candidates, including initial screening interviews.
Reviews and checks all candidate references.
Screen or interview candidates as needed.
Familiar with FMLA, Workman’s Comp and Disability policies and paperwork.
Processes Cobra, long-term disability and FMLA paperwork.
Processes employment verification forms.
Other duties as assigned.
city: Commack
An exempt clerical position responsible for functions related to payroll, personnel information and employee documentation. Responsible for developing and implementing the full cycle of recruitment from the initial point of contact with qualified candidates through hiring.
Responsibilities:
Ensures new employees receive appropriate items including employee ID badge, insurance/benefit information, orientation materials. Adds data to employee census.
Ensures terminated employee data is removed from appropriate employee databases, including insurance/benefits, time/leave date, employee census and file is moved to inactive status.
Coordinate events relating to on-boarding, orientation/benefits.
Participates in annual open enrollment benefit period and processes benefit documents.
Works with department directors and managers to identify professional staff needs and to develop a strategic recruitment plan.
Responsible for reviewing applicants and screening potential candidates, including initial screening interviews.
Reviews and checks all candidate references.
Screen or interview candidates as needed.
Familiar with FMLA, Workman’s Comp and Disability policies and paperwork.
Processes Cobra, long-term disability and FMLA paperwork.
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