Administrative

CLINICAL CLAIM CREATOR

Full-time position available in our Tallahassee office to perform a variety of tasks centered on claim creation and posting over-the-counter payments.  Applicants must be detail-oriented, able to pay close attention to accuracy; possess good oral and written communication skills; demonstrate strong interpersonal skills; and utilize strong PC skills to include all Microsoft applications, practice management systems and electronic health records. This position also requires sitting for prolonged period of time, experienced use of general office equipment, as well as the ability to work under stressful conditions and/or irregular hours to meet deadlines. Applicants must have a high school diploma or equivalent education. Previous medical experience preferred. Billing and/or insurance experience a plus.

CERTIFIED PROFESSIONAL CODER

In-office position available to audit coding and documentation for services rendered in an orthopedic clinical setting, including, but not limited to, surgery, ER, office visits, consultations, procedures, x-rays, cast applications, MRI and orthotics and prosthetics. ***NOT a remote position ***

Duties include: auditing charges from providers’ charge sheet or electronic health system for coding and billing accuracy using claim scrubber software, medical records, practice management system, etc. to verify the accuracy of entered charges; reviewing supporting documentation, CPT, HCPC and ICD-10 codes for accuracy using Medicare guidelines, CCI, AAOS and other medical data coding computer software; consulting with providers and the business office staff to obtain missing documentation or information in order to correct erroneous data; when appropriate, working assigned reports in a timely manner; reviewing Orthopedic coding newsletters, coding alerts and e-mail notifications daily; attending various webinars, seminars and coding meetings as required for the position; identifying opportunities to reduce denials and enhance revenue, reporting to business office supervisor and director of matters regarding medical billing.

Applicant must have knowledge of coding, CCI/bundling, CPT, HCPC, CCI, and ICD-10, insurance terminology, and contractual agreements; familiarity with Medicare, Medicaid, HMO and commercial guidelines; strong PC skills to include Microsoft applications, practice management systems, and electronic health records; strong analytical, problem solving, and organizational skills; the ability to multi-task, paying strong attention to detail and accuracy; good oral and written communication skills.

CPC certification or comparable prior work experience in a medical billing office.  CPC certification required within 2 years of date of employment.

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.

SUPERVISOR

Full-time position available to oversee day-to-day functions of Ideal Protein and all activities of the front office for MRI and O&P departments including identifying any inefficiencies, expediting patient flow, and eliminating conflicts. This is a ‘working supervisor’ position which will fill-in as needed for staff. Additional duties include: identifying inefficiencies and any additional training needed; checking in patients, verifying & entering patient demographics and information into computer system; collecting co-pays or past due balances; scheduling follow-up appointments; ensuring DME-POS and HME accreditation; recommending various personnel actions including, but not limited to, performance appraisals, disciplinary actions, time off schedules, and hiring; assisting Ancillary Services Manager with compiling data and preparation of reports, as directed.

Requires demonstrated knowledge of basic research and analytics; proficiency in Microsoft Office, with the ability to learn and adapt to other software applications; strong oral & written communication skills; the ability to multi-task, working simultaneously on multiple projects; exceptional customer service skills; strong skills in team building and conflict resolution; knowledge of insurance plans and medical terminology.

Must have a high school diploma or equivalent education and at least one year of supervisory experience in a medical setting or customer service field.  At least an A.A. degree preferred.

WORKERS COMPENSATION COORDINATOR

Full-time position available to coordinate the management of workers’ compensation patients by being the point of contact for workers’ comp adjusters and case managers for cases referred to TOC.  Duties include:  developing and maintaining positive working relationships with area case managers, adjusters, employers and payors;  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, DWC-25, and surgical authorizations; phone triaging for workers’ comp patients, documenting patient questions, consulting with Physician for appropriate answers and returning patient phone calls in a timely manner; and verifying patient demographics and insurance information.

Applicant must have strong organizational, documentation, communication and interpretation skills; the ability to work independently with little supervision, making appropriate judgments, as related to workers’ compensation claims; the ability to demonstrate a high level of professionalism and effectively present information to Management, Physicians, and clients; be highly self-motivated, with the ability to prioritize, multi-task, and meet strict deadlines.

Must have a high school diploma or equivalent.  At least two years relevant work experience in a medical office setting or related workers’ compensation experience preferred.

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