Administrative

AUTHORIZATIONS SPECIALIST - ORTHOTICS & PROSTHETICS

Full-time position available to verify demographics and insurance information and obtain initial authorizations and referrals for treatment within the Orthotics and Prosthetics department.  Duties include:  obtaining initial DME and prosthetic authorizations; verifying insurance eligibility; providing financial counseling for patients, when required; collecting patient co-pays and deductibles; scheduling of appointments with O&P Providers; and providing coverage for O&P and MRI front desk as needed.

Applicant must have the ability to learn and understand medical and insurance terminology; basic knowledge of insurance processes and eligibility verification; strong interpersonal and communication skills; be detail oriented with the ability to pay specific attention to accuracy; and possess strong PC and data entry skills.

Must have high school diploma or equivalent education. At least six (6) months of prior work experience in a medical office required.

FRONT OFFICE CUSTOMER SERVICE REPRESENTATIVES

We are currently seeking front office representatives for full-time and part-time positions in our Tallahassee location.

Duties include greeting patients; verifying all demographics and insurance information; entering data into an electronic medical record (EMR) system; collecting co-pays; 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, or independently. In addition, applicant must be able to prioritize, have effective communication skills, and EXCEPTIONAL customer service skills.

This position requires the ability to work a flexible/rotating schedule Monday – Friday between the hours of 6:30 a.m. – 6:00 p.m. Prior medical office experience a plus.

CHIEF EXECUTIVE OFFICER (CEO)

Tallahassee Orthopedic Clinic (TOC) is seeking a Chief Executive Officer to join our dynamic, growing group. TOC is an established team, known for providing state of the art care for the communities we serve. We are strategically positioning ourselves for the future and are looking for a CEO which will mirror that focus. Our vision is to enhance the services to our patients as the regional leader in musculoskeletal care.

TOC provides comprehensive orthopedic and pain management services with 27 physicians and 45+ physician extenders from North Florida to South Georgia. The CEO will ensure continued success of TOC through quality enhancement, cost containment, strategic growth, and continued development of relationships with staff, board members, hospital and community leaders, national organizations, and payers.

TOC has been in business for almost 50 years and has subspecialties in foot and ankle, spine, hand, adult reconstruction, pediatrics, pain management, and sports medicine.  The practice is located strategically throughout the region with 4 satellite offices and two Tallahassee campuses.  Ancillary endeavors include on site X-ray, MRI, Physical Therapy, Ambulatory Surgery Centers, Urgent Care Center, and Orthotics and Prosthetics.  TOC fields team physicians for Florida State University (FSU), Florida A&M University (FAMU), and Tallahassee Community College (TCC), as well as numerous area high schools.  TOC believes the success and future of the organization depends on the dedication and abilities of all our physicians and staff in every facet of patient care.

Duties of CEO include: being ultimately responsible for all practice activities, including operations, physician billing/collections, financial performance/practice metrics, personnel management, development and monitoring of systems for patient registration, maintenance of medical records, practice information technology/electronic medical records, development of policies and procedures and strategic oversight of new practice development; ensuring compliance with all regulatory agencies governing healthcare delivery and rules of accrediting bodies; representing the organization in its relationships with other healthcare organizations, government agencies, providers and third-party payers and to the general public and the communities it serves; serving as a liaison and channel of communication between the Board and its committees and the medical and administrative staff; inspiring and leading the management team.

Position requires: thorough knowledge and understanding of the healthcare environment; comfort with data driven decision making and outcome measures; mastery of contract negotiation;  experience with financial plans, marketing, human resource management, strategic planning and public relations in healthcare; identification of trends and opportunities for improvement; demonstration of strong analytical and problem solving skills; initiative, judgment, discretion and decision making; excellent and effective communication and motivational skills; strong organizational and planning skills, with the ability to prioritize, delegate, and develop realistic action plans; the ability to demonstrate behavior consistent with the organization’s strategic plan, core values and mission developed by the Board of Directors; the ability to work under stressful situations and manage asymmetric working hours.

Must have graduate degree in Healthcare or Business Administration or other advanced degree.  At least 5 years of executive-level experience in a medical system with at least 20 providers.

Salary commensurate with relevant experience with a competitive benefits package.  To apply, please visit our website at www.tlhoc.com, complete an employment application and forward resume to bonnie.solomon@tlhoc.com.

 

PATIENT FINANCIAL SERVICES SPECIALIST

Full-time position available within the administrative office of Tallahassee Orthopedic Clinic in Tallahassee, Florida.

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.

Applicant must have the ability to learn and understand complexities of medical and insurance terminology; 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 office.

INSURANCE SPECIALIST

Full-time position available to ensure timely collections of insurance claims, including workers’ compensation, commercial, managed care, federal and state agencies, and other third party payers.

Applicant must have good working knowledge of posting procedures, Medicare billing guidelines, CCI edits, modifiers, reading dictation, CPT and ICD-9/ICD-10; knowledge of multiple procedure bundling issues, billing for surgeons and PA/ARNP surgical assist; broad knowledge of contracts, contractual issues, multiple surgery discounts, PPO discounts, and the ability to know when a payer has not paid a claim properly. Must have strong problem solving skills, in addition to good oral and written communication skills; the ability to organize and prioritize work to meet deadlines; detail oriented with attention to detail; strong interpersonal skills; strong PC skills to include all Microsoft applications, practice management systems and electronic health records.

At least 1-2 years of prior similar work experience in a medical billing/collections office required.

SCREENING ATTENDANT

Part-time temporary positions available to provide assistance with screening patients.  Duties include:  greeting and welcoming patients; collecting data by asking questions and obtaining body temperature, in accordance with CDC’s recommended guidelines. Applicants must also be able to effectively communicate denial of entrance, when applicable. 

Applicants must have the ability to work various schedules; communicate professionally and effectively with all patient populations; pay attention to detail and accuracy; work in a fast-paced environment remaining calm and helpful during stressful situations; and extend exceptional customer service.

Applicants must have a high school diploma or equivalent. Previous experience in a customer service setting preferred.

SPECIAL PROJECTS & DATA ANALYST

Full-time position available to serve as a critical resource in supporting, managing and driving strategic projects and initiatives for the organization.  Duties include:  building strong relationships with stakeholders to develop and implement initiatives focused on excellence and  improvement; assessing, collecting and disseminating data or analysis of assigned tasks; providing project management for initiatives and projects; assisting with organizational benchmarking; collaborating with departmental and management staff to promote, design and implement performance improvement; designing and conducting ongoing evaluation of assigned projects, processes and outcome measures; coordinating with the TOC Foundation regarding strategic initiatives; and using EHR/PM system and other data tools for relevant information, as required.

Applicants must have excellent organizational and communication skills; the ability to work independently; strong project management and analytical skills; strong PC and various Microsoft Office applications skills.

Bachelor’s Degree required.  Preferred graduate experience in health administration or at least 2 years of related experience working in a clinical setting.

WORKERS' COMPENSATION FACILITATOR

Full-time position available to oversee day to day operations and activities of the Workers’ Compensation department and to ensure department operations are in line with organizational goals.

Duties include: Providing supervisory support for the Workers’ Compensation department, overseeing and coordinating all activities of personnel to ensure smooth operation, including filling in for staff, as needed; developing and maintaining positive working relationships with physicians, area case managers, adjusters, employers, and payers; scheduling appointments and obtaining necessary paperwork from physicians and providers, as needed, such as assisting with authorizations from workers comp carriers and employers, patient paperwork, readiness of charts, DWC-25, and surgical authorizations; taking calls from employers, case managers and adjusters pertaining to work status and plan of treatment of patients; sending office visit notes, return to work orders, status reports and all related paperwork for WC patients, keeping in close contact with all entities involved; assisting COO to establish, implement and maintain WC policies and protocols; identifying and reporting inefficiencies to COO and making recommendations for improvement and resolution of all issues relative to the same; providing education sessions to physicians and staff on how to be more effective in dealing with Workers’ compensation; and assisting TOC’s Marketing Department with the promotion and marketing initiatives of WC services provided by TOC to include setting up events that involve the physicians and local case managers, adjusters, and case nurses that help increase TOC’s overall WC volume.

Applicant must have: strong organizational, documentation, communication, and interpretation skills, with the ability to present information; proficiency in Microsoft Office, with the ability to learn and adapt to other software applications and EMR system; the ability to work independently with little supervision and make appropriate judgments, as they are related to workers’ compensation claims; the ability to establish and maintain working relationships with physicians, employers, case managers, attorneys, patients, and staff members; exceptional customer service skills; excellent organizational and time management skills; knowledge of WC processes, laws, and regulations; and strong skills in team building and conflict resolution.

High school diploma or equivalent education and at least three years of experience in a similar position in a Workers’ Compensation healthcare setting. Associates Degree preferred. Workers’ Compensation Certification (WCCP) must be obtained within 6 months of employment.

ADA/EOE
Tallahassee Orthopedic Clinic is one of the nation’s premier sports medicine and orthopedic clinics, and one of the fastest growing companies in Florida. TOC believes the future and success of our company depends on the dedication and abilities of all our physicians and employees. The achievements of our organization are the result of the combined efforts of every individual working toward common goals and objectives. Our primary goal is to provide the best possible medical service to all patients.TOC is committed to doing its part to provide employees with an enjoyable work experience and seeks employees who will work to promote the TOC image and elevate the experience for our patients. We are proud to offer competitive compensation and benefits, including Medical, Vision Dental, Life and Disability, 401-K/Profit Sharing and much more. As a member of TOC you will not only be an employee, you will be a part of a reputable team in the Tallahassee community.

To apply for any of our listed employment opportunities, please submit an application at https://tlhoc.hirecentric.com