• 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.

Accounts Receivable Specialist manages incoming payments, properly tracking them into the system to maintain accurate bookkeeping records. Communicate with Insurance & Patients to request payment and arrange payment plans.

• Minimum 6 months to 1 years of
• Excellent written and verbal English communication skills
• Working knowledge of current Microsoft Office.
• Responsible for calling Insurance companies on behalf of physicians and follow up on outstanding Accounts Receivable.
• Understanding the denials, especially CARC/RARC.
• Deep knowledge of US healthcare terminologies, accounts receivable, collections, rejections, denials, appeals, and research billing guidelines and payer policies.
• Working knowledge of various reimbursement methodologies, including reimbursement reductions, fee schedule calculations and review of claims for correct payment.
• Prioritization and multi-task skills are required.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations

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