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We are hiring! Take a look at the current opportunities we have listed below.

Contact Human Resources at [email protected] if interested

Medicare Insurance Follow Up Specialist

Description

We are currently hiring for an Accounts Receivable Specialists - Insurance Collections position for Medicare follow up.

We offer a great work environment with benefits and competitive pay. Our employees work independently, but goal oriented. The position is Monday - Friday from 8 am - 5 pm, with the possibility of occasional overtime. The position will be responsible for handing all insurance follow-up, corrections and appeals. Prior DME experience a plus.

Responsible to work accounts as assigned by management
Demonstrate efficient methods for determining if claim has been received by the insurance company, if the claim has paid according to contract and if any contractual adjustments are required
File appropriate requests for medical records and follow-up with insurance company to ensure records have been received and are on record
Ensure account balances are correct and monies are assigned to the appropriate insurance balance (bucket)
Ensure all payer issues are brought to the supervisor's attention in a timely manner to reduce continued reimbursement issues
Review and interpret contractual terms for Managed Care, Commercial, Medicare, Medicaid and Workers' Compensation when
Responsible to work daily Reminders and Denials in Empower
Identify appropriate adjudication via Contractual and/or Administrative Write-Offs
Review EOBs, HCPCS & ICD codes, HCFAs, and authorizations/referrals for identifying issues to obtain account resolution
Obtain account information through insurance company websites and customer service calls
Document accounts thoroughly and appropriately with all information concerning how information was obtained to work the account and explain why actions taken are appropriate
Attend and actively participates in staff meetings to keep current of latest trends, procedures and changes in processes
Promote patient/ guest/physician satisfaction through professional interactions
Perform other work duties as assigned

Prior insurance follow up experience is required with a minimum of 3 years, including appeals and reviewing policies.

OPS Insurance Follow Up Specialist

Description

We are currently hiring for an Accounts Receivable Specialists - Insurance Collections position for OPS client set up.

Responsible to work accounts as assigned by management
Demonstrate efficient methods for determining if claim has been received by the insurance company, if the claim has paid according to contract and if any contractual adjustments are required
File appropriate requests for medical records and follow-up with insurance company to ensure records have been received and are on record
Ensure account balances are correct and monies are assigned to the appropriate insurance balance (bucket)
Ensure all payer issues are brought to the supervisor's attention in a timely manner to reduce continued reimbursement issues
Review and interpret contractual terms for Managed Care, Commercial, Medicare, Medicaid and Workers' Compensation when applicable
Responsible to work daily Reminders and Denials in Empower
Identify appropriate adjudication via Contractual and/or Administrative Write-Offs
Review EOBs, HCPCS & ICD codes, HCFAs, and authorizations/referrals for identifying issues to obtain account resolution
Obtain account information through insurance company websites and customer service calls
Document accounts thoroughly and appropriately with all information concerning how information was obtained to work the account and explain why actions taken are appropriate
Attend and actively participates in staff meetings to keep current of latest trends, procedures and changes in processes
Promote patient/ guest/physician satisfaction through professional interactions
Perform other work duties as assigned

Prior insurance follow up experience is required with a minimum of 3 years, including appeals and reviewing policies.

Commercial Insurance Follow Up Specialist

Description

We are currently hiring for an Accounts Receivable Specialists - Insurance Collections position for commercial insurance follow up.

Responsible to work accounts as assigned by management
Demonstrate efficient methods for determining if claim has been received by the insurance company, if the claim has paid according to contract and if any contractual adjustments are required
File appropriate requests for medical records and follow-up with insurance company to ensure records have been received and are on record
Ensure account balances are correct and monies are assigned to the appropriate insurance balance (bucket)
Ensure all payer issues are brought to the supervisor's attention in a timely manner to reduce continued reimbursement issues
Review and interpret contractual terms for Managed Care, Commercial, Medicare, Medicaid and Workers' Compensation when applicable
Responsible to work daily Reminders and Denials in Empower
Identify appropriate adjudication via Contractual and/or Administrative Write-Offs
Review EOBs, HCPCS & ICD codes, HCFAs, and authorizations/referrals for identifying issues to obtain account resolution
Obtain account information through insurance company websites and customer service calls
Document accounts thoroughly and appropriately with all information concerning how information was obtained to work the account and explain why actions taken are appropriate
Attend and actively participates in staff meetings to keep current of latest trends, procedures and changes in processes
Promote patient/ guest/physician satisfaction through professional interactions
Perform other work duties as assigned

Corporate Trainer

Description

We are looking for a Staff Trainer to join our team. The purpose of this position is to provide training and educational support to the PFS team, conduct QA, track QA and productivity for departments leaders, develop ongoing training and educational material and conduct staff training and education either one-on-one or in a group setting.

Responsibilities and Duties

Assess staff's current knowledge base

Ongoing development of training/education curriculum

Create training/education material/documentation as needed

Performs monthly QA; reports finding to management

Track monthly QA scores and productivity

Design education sessions based on staff needs

Create an education schedule to roll out training sessions

Participate in an on boarding program for new employees

Compile training "go to" material on shared drive for staff to access as needed

Hands on staff training; both at the account level and system level

Hold on-going staff educations sessions

Qualifications and Skills

Prior DME and/or Medicare experience preferred. The ideal candidate must be able to pass a Criminal Background Check and Drug Test for employment.

Benefits

We offer benefits, including Medical, Dental, Vision, Life, Disability, and 401K.

Front Desk Administrative Assistant

Description

We are currently hiring for an Front Desk Admin.

We offer a great work environment with benefits and competitive pay. Our employees work independently, but goal oriented. The position is Monday - Friday from 8 am - 5 pm.

Greeting patients and customers, checking patients in, checking eligibility and benefits, helping patients with any medical equipment they may be renting or purchasing.
Answering all incoming phone calls and route them to the appropriate department.
Call patients for updated insurance info as well as enter patient demographics accurately and timely within the patient accounting system to ensure accurate and timely billing within the Intake department.
Handle Medical record requests.
Help the Intake team when needed.
Other front desk duties as assigned.

The candidate should be great at multi-tasking, detail oriented, communicate clearly and pleasantly and have a strong work ethic.

Intake Specialist

Description

We are currently hiring for Medical Claims Data Entry.

We offer a great work environment with benefits and competitive pay. Our employees work independently, but goal oriented. The position is Monday - Friday from 8 am - 5 pm with some overtime. The position will be responsible for data entry into our billing system.

Obtain demographic and insurance information from the appropriate source:
Scanned into email
Paper Drop off
Email/Phone call/Fax
Walk-In
Enter all data accurately into the patient accounting system (Empower) within 48 hours from being received; obtaining any missed information as needed;( a delay in data entry may occur within the month end process)
Determine pricing based on product and insurance coverage determination
Enter charge into the system (Empower)
Run all new encounters through the eligibility system within Empower
Update and correct all incorrect demographic or eligibility data into Empower; which may include contacting the doctor office, account rep or patient
Utilize Web to obtain correct billing address, if applicable
Obtain authorizations, if applicable
Review for all pertinent documentation: ABN, correct modifier on item, signed and dated RX, proof of delivery, CMNs, etc.
Print, count, sort and reply (to appropriate person) EClaims daily
Document all relevant information into Empower
Scan all documents into Empower
Update claims status to Submitted status to move claim to billing system

Prior billing experience preferred, but willing to train the right candidate with prior medical experience.

OPS Intake Specialist

Description

We are currently hiring for an Intake Specialist for OPS client set up.

Obtain demographic and insurance information from the appropriate source:
Scanned into email
Paper Drop off
Email/Phone call/Fax
Walk-In
Enter all data accurately into the patient accounting system (Empower) within 48 hours from being received; obtaining any missed information as needed;( a delay in data entry may occur within the month end process)
Determine pricing based on product and insurance coverage determination
Enter charge into the system (Empower)
Run all new encounters through the eligibility system within Empower
Update and correct all incorrect demographic or eligibility data into Empower; which may include contacting the doctor office, account rep or patient
Utilize Web to obtain correct billing address, if applicable
Obtain authorizations, if applicable
Review for all pertinent documentation: ABN, correct modifier on item, signed and dated RX, proof of delivery, CMNs, etc.
Print, count, sort and reply (to appropriate person) EClaims daily
Document all relevant information into Empower
Scan all documents into Empower
Update claims status to Submitted status to move claim to billing system

Prior billing experience is required.