Practice Manager – Pain Management

Description:

The Practice Manager is the head of the Billings & Authorizations department and has responsibility for the complete revenue collection process of the clinic and other medical services. This includes authorizations, coding, billing, and collections.

The Practice Manager is a full-time, non-exempt salaried position with full benefits. This position is located in Berkeley, CA. The client will pay relocation fees.

Practice Manager Responsibilities include:

Authorizations

  • Responsible for expert knowledge of the Authorizations process such that the B&A department can deliver timely pre-authorizations for all services which require them.
  • Responsible for keeping the clinical and scheduling staff periodically updated about changes to the authorization process that would affect scheduling or medical decision making, as well as keeping the staff well informed about the expected timeline of the authorization process.

Coding

  • Responsible for expert knowledge in acceptable coding methods for a pain medicine clinic, including ICD/CPT agreement, variations in accepted codes based on payer, bundling rules, and changes in Local Coverage Determinations.
  • The B&A department will review all pending fee tickets for adherence to coding rules and flag any discrepancies for physician review.
  • Periodically produce reports regarding common errors or latest changes for the medical staff.
  • Report immediately to the medical staff as soon as non-paying code/diagnosis/payer combinations are discovered.

Billing

  • Responsible for timely and accurate submittal of bills to all payers, including patients.
  • Responsible for timely reaction to any denial in payments or requests for records in order to expedite payments.
  • Periodically report on causes of denied or delayed payments, along with recommendations on any changes that could improve the process.

Collections

  • Responsible for timely collections from all payers, including patients as defined using company guidelines for Acceptable Days in AR.
  • Responsible for accurate accounting for all receivables and their application to the appropriate patient account.
  • Periodically report on non-payments and slow payments. Provide recommendations of payers and patients with which to close relationships due to non-payment.
  • Oversight and management of the Dispensary’s collections.
  • Provide recommendations on auxiliary or third-party services that could augment the collection process, such as lien financing companies.
  • Provide regular reports on accounts receivable matters, including aged AR, daily deposit log, Top CPT Report, and collection splits based on doctor, location, payer, and business line.

B&A Department Management

  • Provide recommendations for new hires and terminations of B&A department staff.
  • Ensure accuracy and accountability of staff.
  • Provide periodic reviews of department staff job performance, as well as recommendations for department staff bonuses
  • Maintain operation of the B&A department within the department’s budget.

To apply for this position, please submit your resume using our secure online form.

Medical Coding Specialist

Our client is currently seeking a Medical Coding Specialist.  This is a full-time, permanent position located in Albany.

Responsibilities include:

  • Coding diagnostic and operative information from records using ICD-9-CM and CPT4 classification systems.
  • Using computerized encoding system to facilitate accurate coding.
  • Sequencing diagnoses and procedures by following the ICD-9-CM and other fiscal intermediary guidelines.
  • Optimizing hospital payment legitimately and ethically.
  • Submitting registry data to the required reporting agencies within NYS Department of Health.
  • Reviewing medical record documentation to ensure chart organization and uniformity.

Qualifications include:

  • Accredited Health Information Technician (RHIT) with Associate Degree in Health Information Technology
    -or-
  • Registered Health Information Administrator (RHIA) with bachelors degree in Health Information Management.
  • At least 2 years of coding experience in ICD-9-CM, including 1 year CPT4 coding experience.
  • CCS, RHIA, RHIT, CPC or eligible

To apply for this position, please submit your resume using our secure online form.

Patient Services Representative

Our client is currently seeking a Patient Services Representative. This is a full-time, temporary position located in Clifton Park. Hours are 8:00am to 4:30pm, M-F.

Responsibilities include greeting and obtaining required information from guests, handling payments and scheduling appointments.

Qualifications include 1-2 years of experience in customer service and accounts receivable (medical setting preferred.)

To apply for this position, please submit your resume using our secure online form.

Senior Medical Coder

Our client is currently seeking a Senior Medical Coder.  This is a full-time, permanent position located in Albany.

Responsibilities include:

  • Using a computerized encoding system to facilitate and investigate coded data
  • Monitoring sequencing of diagnoses and procedures
  • Monitoring and assisting coding staff with patient type registration
  • Assisting management with investigating unbilled cases
  • Initiating dispute/coding resolutions by researching and corresponding to appropriate authorities on coding guidelines.

Qualifications include:

  • Associates Degree (Bachelor’s Degree preferred) in health information management or related field, plus 3-5 years of coding experience
  • Registered Health Information Administrator (RHIA)
  • Registered Health Information Technician (RHIT)
  • Certified Coding Specialist (CCS) required.  Coding experience in ICD-9-CM, CPT4 and DRG methodology

To apply for this position, please submit your resume using our secure online form.

Medical Receptionist

Our client is currently seeking a Medical Receptionist with at least 2 years of experience.  This is a full-time, temporary position located in Albany.  The assignment will begin in February 2014 and last through May 2014.

Responsibilities include:

  • drafting various documentation, creating spreadsheets, and answering phones
  • providing customer service/answering customer questions
  • coordinating and participating in meetings by taking notes
  • maintaining confidential filing system
  • working additional hours as needed
  • participating in required training courses

Qualifications:

  • Must be able to type at least 45 WPM
  • Must have expertise in Macess and Facets
  • In-depth medical terminology
  • superior phone skills
  • High level of proficiency in Microsoft Word, Excel, and Outlook
  • Demonstrated ability to produce well-written business correspondence

Qualified for this position? To apply, submit your resume using our quick online form.

Assistant Director of Nursing (Glens Falls)

Our client is currently seeking an Assistant Director of Nursing. This is a full-time, permanent position located in Glens Falls.

Responsibilities include:

  • timely submission of MDS and completion of accurate MDS completion calendar
  • completion of all required Quality Improvement reports
  • Providing guidance in development of comprehensive interdiscliplinary care plan
  • Assurance of timely and organized physician rounds
  • Development, Implementation and monitoring of facility Infection Control Plan
  • close monitoring of employees working with the MDS

Qualifications:

  • Nursing Degree (BSN) or Master’s Degree
  • Five years nursing experience, with at least two in healthcare/nursing administration
  • Working knowledge of federal and state OSHA standards

To apply for this position, submit your resume using our secure online form. 

Medical Billing Specialist

Our client is currently seeking a Medical Billing Specialist. This is a full-time, permanent position located in Schenectady.

Responsibilities include updating all new patient information and maintaining accuracy of insurance and demographics, following up on required billing documentation, verifying insurance, filing claims on a timely basis,and supporting clinicians.

The Billing Specialist must have an Associates Degree. He or she must  have at least 2 years of billing experience, have knowledge of Medicare and Medicaid insurances, should pay strong attention to detail and must also have excellent written and oral communication skills. The ability to multi-task is a must.

To apply for this position, please submit your resume using our secure online form.

Medical Billing Manager / Practice Manager (California)

Our client, located in sunny California, is seeking a Medical Billing Manager / Practice Manager.  This is a full-time, direct hire – exempt position. The employer will pay relocation costs. Hours are Monday through Friday, 8am to 5pm.

The Medical Billing / Practice Manager will be responsible for the complete revenue collection process, included but not limited to pre-authorizations, coding, billing and collections.

Qualifications include the following:

  • must currently hold, or have held, a Medical Billing Manager or Practice Manager position for 3+ years
  • 3+ years of experience managing a staff of eight or more
  • expertise in acceptable coding methods for a pain medicine clinic, including ICD/CPT agreement experience
  • Bachelor’s degree in Business Management or Finance

To apply for this position, please submit your resume using our secure online form.

 

Call Center Representative

Our client is currently seeking a Call Center Representative.  This is a full-time, long-term contract position located in Albany.

The ideal candidate should have the following skills/qualifications:

  • Associates Degree
  • 2+ years of call center/customer service experience
  • 1-2 years of experience in the medical industry
  • Exceptional oral communication skills
  • Demonstrated proficiency in Microsoft Office Suite products
  • Bi-lingual (preferred)

To apply for this position, please submit your resume using our online form.

Assistant Coding Manager

Our client is currently seeking an Assistant Coding Manager.  This is a full-time, permanent position located in Albany, New York.

Responsibilities include the hiring and overall management of 20+ full-time employees, as well as coordinating all coding tasks and functioning with patient billing services, finance, and other departments.

Qualifications:

  • Bachelor’s Degree in  Health Information Management, plus 5-7 years of experience using ICD9CM and CPT4
  • 5 to 7 years of experience in a management and/or leadership role
  • RHIT, RHIA and any coding credential (such as CCS, CPC)

 

To apply for this position, please submit your resume by using our secure online form.