• Responsibilities will be interactively working with staff and providers.
• Minimum 1 year experience, Degree in medicine.
• Possess excellent written and verbal communication skills.
• Interacts with clients.
• Belief in the role of physician as both clinician and patient advocate.
• Able to work independently and be flexible.
• Handle frequent interruptions and adapt to changes in workload and work schedule.
• Set priorities, make critical decisions, and respond quickly to emergent requests.
• Familiar with coding and medical necessity for requesting Prior authorizations.
• Knowledgeable on the insurance plan types etc. PPO, HMO, and government payers.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

• Responsibilities will be interactively working with staff and providers
• Education BS in Pharmacy, Liecensed or Eligible License.
• Minimum 6 Month Experience.
• Interacts with clients
• Monitor Patient Madication Therapies
• Provide Drug Information
• Participates in the Quality Improvement Activities
• Ability to work Independently with Minimal direct supervision
• Handle Frequent Interruptions and adapt to Changes in Workload and work schedule
• Set Priorities, make Critical decisions, and Respond Quickly to Emergent Requests
• Familiar with Coding and Medical Necessity for Requesting Prior Authorizations
• Knowledgeable on the Insurance Plan types etc. PPO, HMO, and Government Payers
• Maintains Strictest Confidentiality; Adheres to all HIPAA Guidelines/Regulations

• Responsibilities will be interactively working with staff and providers.
• Minimum 1 year experience, Degree in medicine.
• Possess excellent written and verbal communication skills.
• Possess excellent written and verbal communication skills.
• Interacts with clients.
• Belief in the role of physician as both clinician and patient advocate.
• Able to work independently and be flexible.
• Handle frequent interruptions and adapt to changes in workload and work schedule.
• Set priorities, make critical decisions, and respond quickly to emergent requests.
• Familiar with coding and medical necessity for requesting Prior authorizations.
• Knowledgeable on the insurance plan types etc. PPO, HMO, and government payers.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

A Medical Coder is responsible for reviewing a patient’s medical records after a visit and translating the information into codes that insurers use to process claims from patients. The main duty of a Medical Coder is assigning codes to medical procedures and diagnoses. Other duties and responsibilities of a Medical Coder include:

• Minimum 1 Year of experience.
• Making sure that codes are assigned correctly and sequenced appropriately.
• Complying with medical coding guidelines and insurance policies.
• Implementing strategic procedures and choosing strategies and evaluation methods that provide correct results (Random Audits).
• Receiving and reviewing patients’ charts and documents for verification and accuracy.
• Analyzing and identifying the medical procedures, diagnoses or events that could lead to improper payments.
• Following up and clarifying any information that is not clear to code accurately.
• Perform monthly reporting, code wise to track trends for coding improvements.
• The proper use of modifiers.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Certification is preferred.

• Review and/or input all charges related to the assigned client’s professional services into EMR software system including office and related charges in accordance with client protocol with an emphasis on accuracy to ensure timely reimbursement and maximum patient satisfaction. All charge batches should balance in both number of procedures and total dollar prior to posting
• File all charge, payment, and adjustment batches in the appropriate format by batch date for quick reference.
• Review the physicians coding at charge entry to ensure compliance with Medicare guidelines and to ensure accurate and timely reimbursement.
• Provide customer service on the telephone and in the office for all clients and authorized representatives regarding patient accounts in accordance with practice protocol. Patient calls regarding accounts receivable should be returned within 1 business day to ensure maximum patient satisfaction.
• Verify all demographic and insurance information in patient registration of the EMR software system at the time of charge entry to ensure accuracy, provide feedback to clients and supervisor to ensure timely reimbursement.
• Follow-up on all outstanding insurance claims 30-days from the date of service to start with and in accordance with practice protocol with an emphasis on maximizing patient satisfaction and practice profitability.
• Follow-up on all outstanding patient account balances at 60-days from the date of service in accordance with practice protocol with an emphasis on maximizing patient satisfaction and practice profitability using the A/R aged reports.
• Provide information pertaining to billing, coding, managed care networks, insurance carriers and reimbursement to physicians, managers, and subordinates.
• Follow-up on all returned claims, correspondence, denials, account reconciliations and rebills within five working days of receipt to achieve maximum reimbursement in a timely manner with an emphasis on patient satisfaction.
• Submit primary and secondary insurance claims electronically each day and to HCFA to ensure timely reimbursement.
• Process refunds to insurance companies and patients in accordance with client protocol.
• Monitor reimbursement from managed care networks and insurance carriers to ensure reimbursement consistent with contract rates.
• Proficiency with all facets of the EMR software system including patient registration, charge entry, insurance processing, advanced collections, reports, and ledger inquiry.
• Provide cross coverage for Account Managers in their absence as required to ensure efficient and professional practice operation.
• Maintain information regarding coding, insurance carriers, managed care networks and credentialing in an organized easy to reference format.
• Adhere to all practice policies related to HIPAA and Medicare Compliance.

The Insurance Verification Specialist performs patient billing, including verification of insurance information and resolution of problems to ensure a clean billing process. Follows up on accounts that require further evaluation. Verify insurance eligibility from medical insurances for upcoming appointments by utilizing online websites or by contacting the carriers directly. Reviewing and enter patient deductibles, copays & Co-Insurance in to the billing system and/or spreadsheets provided to the front office staff.

• Minimum 6 months to 1 year experience
• Excellent written and verbal English communication skills
• Working knowledge of current Microsoft Office.
• Maintains patient demographic information.
• Coordinate with front office staff regarding scheduling errors.
• Assist front office staff in understanding verification of eligibility.
• Notification of insurance referrals/authorizations as needed.
• Answers questions from patients, clinical staff and insurance companies.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

The Prior Authorization Specialist is responsible for all aspects of the prior authorization process. Responsibilities include collecting all the necessary documentation, contacting the client for additional information and completion of the required prior authorization to proceed with service.

• Minimum 6 months to 1 year experience
• Excellent written and verbal English communication skills
• Working knowledge of current Microsoft Office.
• Interacts with clients, insurance companies, patients, and sales representatives, as necessary, to request for prior authorizations
• Requires knowledge of benefit verification, Referrals & prior authorization with speed and accuracy.
• Proactively manages and maintains all outstanding authorization accounts to increase billing of clean claims
• Deep knowledge of referral vs authorization vs pre-certification
• Familiar with insurance provider portals.
• Familiar with coding and medical necessity for requesting Prior authorizations
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Knowledgeable on the insurance plan types etc. PPO, HMO, and government payers.

The Medical Transcriptionist responsibilities include transcribing dictated notes with various speed recognition software. This position may also help with entering medical reports into our electronic healthcare record system as needed. Ultimately, you will work with Physicians and other medical professionals to transcribe notes and other voice recordings for our organization’s use.

• Minimum 1 year of experience in the same field.
• Requires Good English communication skills (Both Written and Verbal)
• Working knowledge of current Basics of Microsoft Office.
• Transcribe medical reports, summaries, office visit notes and other medical documents from recorded messages from health care providers
• Provide online copies of transcribed documents to physicians or other providers for review and signature, making corrections or changes as noted
• Prepare correspondence, summaries, research & other administrative reports not directly related to patient care in order to assist medical team
• Work with transcription equipment that can include speech recognition equipment, word processing and computer software, medical references and other technologies
• Maintain strict adherence to patient confidentiality according to provider standards and government regulations
• Review transcription documents for quality assurance and precision to spot and correct any errors that could impact patient care and medical liability
• Create templates and enter data into electronic health record (EHR) systems for updated record keeping and archives

Roles and Responsibilities

• Manage Internal IT infrastructure operations of the organization includes network, hardware, and software issues.
• Installing, upgrading, and configuring application software and computer hardware for windows, Linux, and mac systems.
• Troubleshoot hardware and software errors by running diagnostics, documenting problems and resolutions, prioritizing problems, and assessing impact of issues.
• Lead desktop and helpdesk support efforts, making sure all desktop applications, workstations, and related equipment problems are resolved in a timely manner with limited disruptions.
• Creating and managing system permissions and user accounts.
• Basic Firewall Management.
• Maintain documents of all the IT operations include IT asset and user accounts details.
• Troubleshooting networking and connection issues.
• Advising on software or hardware upgrades.
• Adhere to IT disciplines including incident, problem, change, patch, capacity, performance management, etc.
• Maintain records of relevant/applicable IT peripherals.
• Provide IT issue support to end Users.

Desired Candidate Profile

• AD/DNS/ADFS/DHCP
• Servers
• OS (Windows, Linux, Mac)
• Email Infrastructure
• Citrix
• Virtualization Infrastructure
• Google Workspace
• Backups Knowledge
• Network Fundamentals
• Firewall concepts
• VOIP

• AD/DNS/ADFS/DHCP
• Servers
• OS (Windows,Linux,Mac)
• Email Infrastructure
• Citrix
• Virtualization Infrastructure
• Google Workspace
• Backups Knowledge
• Network Fundamentals
• Firewall concepts
• VOIP

• Support for network-related issues specific to office wired and wireless environments and including remote office.
• Installation and troubleshooting of Windows, Mac & Linux Based Operating Systems, Applications and Security Patches
• Basic hardware assembling and troubleshooting.
• Network (LAN) connection setup and troubleshooting for a computer.
• Lead desktop and helpdesk support efforts, making sure all desktop applications, workstations, and related equipment problems are resolved in a timely manner with limited disruptions.
• Knowledge on basic network protocols and configurations (e.g - Static routing, NAT, DHCP, DNS)
• Inventory Management (Hardware, Software, Licensing)
• Monitoring, Reporting and Documentation
• Basic knowledge of Firewall, N-Switch, Active Directory, Servers, VOIP, Backups.
• Contacting users to find out the nature of the problem.
• Work as per the established standards and guidelines.