Credentialing Specialist

Full time opportunity to process and maintain all documents in relation to credentialing for physicians and all other health care providers,  carrying out the necessary and related functions in an extremely professional and discreet fashion.   Duties include: maintaining active credentialing status and licenses for TOC and all providers with facilities, government agencies, payors, CAQH and NPI; maintaining supervision data forms for physician assistants; tracking CME credits for all providers; scanning and maintaining all documents in an organized manner; and establishing trust and credibility throughout the organization.  Applicant must have knowledge of insurance terminology and contractual agreements; familiarity with Medicare, Medicaid, HMO and commercial guidelines; have the ability to maintain confidentiality; be detail-oriented, paying close attention to detail; have strong interpersonal and communication skills; excellent written skills, including the ability to read, analyze, interpret and complete complex documents; and strong PC skills to include all Microsoft applications, practice management systems and electronic health records.

Must have a high school diploma or equivalent, and at least 2 years of relevant work experience in a medical office setting.

Patient Financial Services Specialist

Full-time position available to perform patient registration and verification.  Duties include: obtaining surgery authorizations; verifying insurance eligibility of orthopedic patients using various internet tools offered by payers; providing financial counseling for patients regarding surgical pre-pays, deductibles and copays; explaining financial policies of the practice and obtaining financial commitment from patients; determining and implementing appropriate collection actions using established policies and procedures.

Applicant must have the ability to learn and understand complexities of medical and insurance terminology; basic knowledge of billing procedures;  strong interpersonal and communication skills; be detail oriented with the ability to pay specific attention to accuracy; strong PC and data entry skills.  Must have high school diploma or equivalent education and at least 1 year of prior work experience in a medical collections office.

Front Office Customer Service Representatives

Full-time and part-time positions available.  Duties include: greeting patients; verifying all demographics and insurance information; entering data into Practice Management System; collecting co-pays, surgery prepays and any outstanding balances due from patients; scheduling follow-up appointments as needed. Applicant must have basic knowledge of insurance plans and medical terminology; the ability to multi-task and perform as an effective team member, as well as independently, for optimal patient care. In addition, applicant must be able to prioritize, have effective communication skills, EXCEPTIONAL customer service skills and the ability to work a flexible schedule to include evening hours.

Only those with relevant experience providing exceptional customer service need apply. Prior relevant experience in a medical office setting preferred.