Certified Billing and Coding Specialist, Ophthalmology

Job Description: We are a thriving, multi-site Ophthalmology practice located northwest of Boston, seeking a full-time or part-time Certified Ophthalmic Billing and Coding Specialist.

The Certified Biller/Coder will be responsible for medical billing, coding, obtaining authorizations, and patient account management which includes answering patient and clinic staff inquiries and resolving billing issues.

Detailed responsibilities are as follows;

Essential Functions

• Entering patient demographics and insurance coverage, verifying eligibility and benefits.

• Review and scrub charge entry of clinic and surgery charges, including monitoring and reviewing chart documentation, and assigning and appropriately linking CPT/ICD codes for claim accuracy, and monitoring posting reports for accuracy.

• Patient Account Management to include in clinic or phone inquiries and counsel patients on out-of-pocket estimates, self-pay balances, and payment plans.

• Daily and monthly reconciliation and balancing; performs internal audits of medical record documentation on a routine basis; communicates and educates doctors and staff as appropriate.

• Obtaining preauthorization for procedures and medications

• Chart auditing

• Stay up to date on coding changes

• Stay up to date of insurance requirements for billing and appeals

• Oversee billing service/company

• Prepare and run reports as needed

• Assist billing service/company with aging claims

• Patient and Insurance A/R follow-up

• Fielding billing-related questions

• Send patient invoices, notices

• Understanding and updating of insurance contracts

• Update fee schedules

• Maintain list of insurances accepted by provider

• Protects patient confidentiality, making sure protected health information is secured by not leaving PHI in plain sight

• PM software: Modernizing Medicine (EMA)

• Establishes standards for an excellent customer service environment in which all patients and staff are treated with dignity and respect

• Strong communication

• Participates in a teamwork culture

• Performs other duties as assigned

Qualifications

• High school diploma. College degree preferred

• The ideal candidate will possess CPT and ICD coding knowledge in medical practice and has a thorough understanding of medical terminology. Certification is strongly encouraged: Certified Professional Coder, CPC or Ophthalmic Coding Specialist, OCS.

• Minimum 3 years of medical billing experience in a physician office setting with knowledge of various medical payer practices and insurance laws/guidelines (Medicare, Medicaid, Work Comp, VA, and other third-party payers). 2 years of computer experience with more than two practice management A/R and Electronic Medical Record Systems.

• Experience in the Ophthalmology specialty

• Comfortable with Microsoft Outlook, Excel, and Word

• Prior use of electronic medical record system(s)

• Excellent written and oral communication skills

• Experience with customer service; ability to communicate with patients and vendors in a pleasant and effective manner

• Organized and detail-oriented

Interested candidates should submit a resume for consideration. The position is full-time, with competitive pay and benefits commensurate with experience.

Posted 12-19-22

Administrative Director, Ophthalmology

Job Description: We are a thriving, multi-site Ophthalmology practice located northwest of Boston, seeking a full-time Ophthalmic Administrative Director.  The Director provides administrative oversight and business management, ensuring optimal patient experience.  He or she works under the physician owner, supervising administrative staff.  The manager serves as the liaison to the medical billing company, performing in-office functions to facilitate timely and accurate patient billing and analysis of monthly reporting.  The manager performs administrative functions including supply orders, vendor management, mailing, and more.  He/she establishes and maintains office procedures, provides leadership, and maintains an environment of excellent customer service. 

Detailed responsibilities are as follows;

Essential Functions

·       Meets with physician leader to develop and implement business plans for the practice
·       Ensures the staff are performing duties and responding to customer and provider needs, including call volume management
·       Provides oversight of patient registration, insurance eligibility, co-pay collection, and ensures all requirements for third party billing are met
·       Manages practice schedules for staff and providers, monitors and reallocates staff workload
·       Supervises charge entry and coding
·       Develops and maintains a good working relationship with the billing vendor
·       Monitors inventory and expenses, signing off on invoices, and finds opportunities for increased cost-effectiveness
·       Runs management reporting to measure productivity, charges, payments, and collections
·       Participates in monthly financial meetings
·       Amends policies and procedures as needed
·       Maintains patient confidentiality and is compliant with industry regulations, keeping a pulse on healthcare trends
·       Identifies training gaps and develops training plans
·       Oversees payroll and time off requests
·       Establishes standards for an excellent customer service environment in which all patients and staff are treated with dignity and respect
·       Instills a culture of teamwork and optimizes staff performance
·       Performs other duties as assigned
 
Qualifications

·       College degree, preferably in a business discipline.  Master’s degree a plus
·       Minimum seven years’ experience, with at least two years of supervisory experience
·       Experience in the Ophthalmology specialty
·       Strong preference for Certified Ophthalmic Executive (COE), or in-progress
·       Work requires the knowledge and skills necessary to solve complex problems in the areas of clinical operations, business planning, financial management, marketing, personnel, and information systems management
·       Comfortable with Microsoft Outlook, Excel, and Word
·       Prior use of electronic medical record system(s)
·       Excellent written and oral communication skills
·       Experience with customer service; ability to communicate with patients and vendors in a pleasant and effective manner
·       Organized and detail-oriented
 
Interested candidates should submit a resume for consideration.  The position is full-time, with competitive pay and benefits commensurate with experience

Posted 12-19-22Healthcare Administrative Assistant 

Growing allergy and asthma group serving northeastern and central MA communities is looking for an administrative person with experience in healthcare business operations and accounting. This position is for 28 to 34 hours and may be perfect for a skilled practice manager looking to decrease hours. Excellent benefits offered. 

Education: Five years-experience in a related healthcare administrative position; Business Associate degree or greater level of education preferred. 

Required Qualities 

• Excellent written and verbal communication skills; MS Office proficiency 
• Accounting and Excel experience, QuickBooks knowledge preferred 
• Knowledge of EHR software for reporting (eClinicalWorks) a plus 
• Good organizational skills and attention to detail necessary 

Responsibilities 

• Reconcile bank and credit card statements; liaison to CPA 
• Manage accounts payable processes; maintain QuickBooks accounts, process checks 
• Work as needed with payroll company, billing department and administrator 
• Assist with human resource functions: new hire protocols, employee benefit updates 
• Maintain contact with various vendors: provide updates, review pricing 

Reply with CV/Resume and letter of interest to: HRConsult.resource@gmail.com 

Posted 8-22-22

Medical Front Office Receptionist

Description:

If you are a goal-oriented go getter looking to work for a company where you feel like you belong, and has a great culture, then welcome to Beltone New England!

We are looking for a Medical Front Office Receptionist to work part-time and wants to be a part of this this amazing company.

The hours will be under 30 a week and we can discuss which days.

Essential Functions:

• Responsible for managing the front area.
• Customer service.
• Making outbound calls from our customer database to schedule appointments.
• Retail sales
• Generating business using leads from Marketing and meeting daily goals in respect to this.
• Learning our technology and being comfortable doing so.
• Office cleaning, including vacuuming, light dusting, and sanitizing.
• Insurance verifications.
• We have a training program if your experience is lacking in an area or two.

Benefits:

• Health, Dental and Vision Insurance.
• PTO
• Holidays
• Birthday Off w/pay
• FSA
• Aflac
• 401(K) with a 4% match
• Office bonuses
• The hours are Monday through Friday, 8:30a-4:30p.
• The pay rate is $17.50 per hour.

Requirements:

• Previous sales experience.
• Strong computer skills.
• Knowledge using a scheduling program.

We are Veteran-Friendly company! To those who have served our country, we highly encourage you to apply!

Apply Here

Posted 8/18/22

Practice Manager

Established, well-respected pediatric practice serving Needham and the surrounding communities is seeking a Practice Manager. The Practice Manager will lead administrative and non-clinical practice operations, oversee staff, and manage organization-wide initiatives. The successful candidate will have leadership skills and experience managing a successful medical practice. We are looking for a manager who can work independently, is calm under pressure, leads with grace, and can manage a high performing team.

Responsibilities Include:

• Develop and implement practice policies and procedures.
• Supervise, train and evaluate administrative staff.
• Manage operational budget, track revenue trends, and address opportunities and any areas of concern
• Liaise with doctors and nurses to identify and address practice issues.
• Responsible for oversight of office space including all necessary maintenance services
• Ensure compliance with current healthcare regulations, medical laws and high ethical standards.
• Serve as the main point of contact and representative for all 3rd party outsourced relationships for the practice including compliance, office service, accounting, and equipment vendors
• Recruit, hire, train and review all administrative staff and support hiring and onboarding process for clinical staff.
• Collaborate with the practice management team from the Pediatric Physicians Organization at Children's (PPOC)

Qualifications:

• Bachelor's Degree required; degree in health care administration preferred
• 7+ years relevant work experience
• 2-3 years of experience managing a team of 5+ people
• Excellent computer skills, EPIC experience is a plus
• Collaborative work style with exceptional interpersonal and communication skills
• Strong people management skills with a proven ability to lead a team
• Ability to manage projects and people directly while ensuring execution in carrying out assignments

Competitive salary

Please forward resume to mgrossman@pmrconsulting.net

Posted 6-2-22