Address
Form of workJob Details
Level
Experienced
Job Location
CBO (Central Business Office) - Garden City, NY
Remote Type
N/A
Position Type
Full Time (30+ hrs/wk)
Education Level
Undisclosed
Salary Range
Undisclosed
Travel Percentage
Minimal (less than 25% of the time)
Job Shift
Day
Job Category
Healthcare (Ophthalmology)
Description
Summary: Responsible for accurately and timely processing of MSO, patient and insurance accounts; resolution of open claims or open client support issues; determination of appropriate payer for accounts receivable. Responsible for initial electronic practice management (EPM) software application training for new hires as outlined by Human Resources; Supports existing internal staff and external customers for select training on EPM applications. Performs assigned duties with a strong emphasis on Nextgen application functions related to accounts receivable management. Performs other billing department and OCLI operational tasks as assigned.
Essential Duties and Responsibilities include the following.
Works with OCLI staff in the planning, training and support of MSO client rollouts.
Creates and maintains MSO customer and OCLI requested reports; coordinates requests with other departments to meet MSO customer or internal customer needs.
Monitors and responds to requests in a timely manner that come through the Nextgen Support email account.
Helps maintain Viatrack clearinghouse website.
Coordinates submission of claims to appropriate primary and secondary payers in compliance with department policy and payer requirements, including Medicare, Medicaid, Worker's Compensation, No-Fault, and commercial carriers; creates policy and procedure and training materials on submission, cross trains other billing department staff on submission process.
Adding, editing and maintaining Nextgen Form templates, including but not limited to ABNforms, drug consents, etc...
Answers internal and external customer questions and resolves problems regarding billing department operational activities such as: claims issues, patient or insurance statements, patient and/or ledger account balances, Nextgen file maintenance, Nextgen functionality, insurance coverage and tasks in EPM.
Assists with the testing, maintenance and changes of EPM related to the front desk and submission process, all processes for EDI migration for claims and data submission, and various web based platforms for commercial carriers.
Assists with implementation, maintenance, support and training for various operational features of NextGen EPM including Background Business Processor (BBP), Budget Plan functionality, ICS, RTS and other operational features of NextGen as approved for roll-out by OCLI's management team.
Researches and follows up with appropriate payers for unpaid insurance claims to obtain settlement of patient balances; researches and follows up with insurance payer credits and over-payments., when applicable.
Conducts training in connection with orientation process for new and existing hires in billing.
Contributes to the development of training materials.
Works with others in ongoing professional development of staff relating to various applications and billing/charge capture processes
Provides remote, telephonic and on-site support to various OCLI clinical locations and MSO clients. Works with vendor and Internal support staff to resolve end user issues
Works in concert with IT Dept. concerning updates to various applications, including regression testing, documentation and end user training
Supports and adheres to department policies including strict patient confidentiality, HIPAA and compliance programs as may be in place and adopted from time to time
Performs other duties as reasonably assigned.
Competencies: To perform the job successfully, an individual should demonstrate the following competencies:
Service - Manages difficult or emotional situations; Responds promptly to stated or perceived needs of internal and external customers; Solicits feedback to improve service; Meets commitments.
Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Supports everyone's efforts to succeed.
Communication Skills - Speaks clearly and informatively; Active listener who seeks clarification where appropriate; Responds well to questions; Can effectively communicate on work related issues; Able to read and interpret both verbal and written information; Varies communication style to meet needs.
Interpersonal Skills - Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Speaks clearly and persuasively in positive or negative situations;
Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments; Assesses own strengths and weaknesses; Continuously strives to build knowledge and skills; Shares expertise with others.
Judgment - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process.
Planning/Organizing - Uses time efficiently; Sets goals and objectives; Ability to manage multiple projects or tasks simultaneously; Completes work in timely manner; Very detail oriented with strong organizational skills.
Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values and respects diversity.
Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
Initiative - Volunteers readily; Pursues training and development opportunities; Seeks increased responsibilities; Looks for and takes advantage of opportunities; Asks for and offers help when needed; Demonstrates persistence and overcomes obstacles.
Dependability - Is consistently at work and on time; Ensures responsibilities are covered when absent; Arrives at meetings and appointments on time. Responds to management direction; Takes responsibility for own actions; Commits to hours of work necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.
Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually quiet.
Qualifications
Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
Associates degree in communications or other business related major required, four year college degree preferred; three to five years related experience and/or training; or equivalent combination of education and experience.
Language Skills
Ability to read and interpret documents such as written instructions, short correspondence and procedure manuals. Ability to present information one on one, or, in small groups to patients, co-workers or supervisors.
Mathematical Skills
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, or schedule form.
Computer Skills
To perform this job successfully, an individual should have knowledge of Next Gen EPM and ICS applications; and or similar practice management software; Microsoft's Excel, Access, PowerPoint, and Word applications; and Crystal Reports.
Other Qualifications
Prior healthcare, medical industry and/or physician interaction experience, ophthalmology preferred. Experience training participants with high, medium and low PC skills. Must possess strong ability to implement change in utilization of PC and web-based systems. Knowledgeable in EDI, NPI, RTS, ICS, and BBP standards, implementation, utilization. Experience in use of and training for EPM systems, NextGen preferred. Trainers must demonstrate patience and flexibility of approach when managing various learning styles, personalities and skill levels. Must be able to keep presentation fresh despite repetition of delivery. Thorough knowledge of CPT coding, ICD-9 coding, and government and other third party payer requirements and policies, all with an emphasis in ophthalmology.
Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to sit and use hands to finger, handle, or feel. The employee is frequently required to reach with hands and arms. The employee is occasionally required to stand. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, depth perception and ability to adjust focus.
Level
Experienced
Job Location
CBO (Central Business Office) - Garden City, NY
Remote Type
N/A
Position Type
Full Time (30+ hrs/wk)
Education Level
Undisclosed
Salary Range
Undisclosed
Travel Percentage
Minimal (less than 25% of the time)
Job Shift
Day
Job Category
Healthcare (Ophthalmology)
Description
Summary: Responsible for accurately and timely processing of MSO, patient and insurance accounts; resolution of open claims or open client support issues; determination of appropriate payer for accounts receivable. Responsible for initial electronic practice management (EPM) software application training for new hires as outlined by Human Resources; Supports existing internal staff and external customers for select training on EPM applications. Performs assigned duties with a strong emphasis on Nextgen application functions related to accounts receivable management. Performs other billing department and OCLI operational tasks as assigned.
Essential Duties and Responsibilities include the following.
Works with OCLI staff in the planning, training and support of MSO client rollouts.
Creates and maintains MSO customer and OCLI requested reports; coordinates requests with other departments to meet MSO customer or internal customer needs.
Monitors and responds to requests in a timely manner that come through the Nextgen Support email account.
Helps maintain Viatrack clearinghouse website.
Coordinates submission of claims to appropriate primary and secondary payers in compliance with department policy and payer requirements, including Medicare, Medicaid, Worker's Compensation, No-Fault, and commercial carriers; creates policy and procedure and training materials on submission, cross trains other billing department staff on submission process.
Adding, editing and maintaining Nextgen Form templates, including but not limited to ABNforms, drug consents, etc...
Answers internal and external customer questions and resolves problems regarding billing department operational activities such as: claims issues, patient or insurance statements, patient and/or ledger account balances, Nextgen file maintenance, Nextgen functionality, insurance coverage and tasks in EPM.
Assists with the testing, maintenance and changes of EPM related to the front desk and submission process, all processes for EDI migration for claims and data submission, and various web based platforms for commercial carriers.
Assists with implementation, maintenance, support and training for various operational features of NextGen EPM including Background Business Processor (BBP), Budget Plan functionality, ICS, RTS and other operational features of NextGen as approved for roll-out by OCLI's management team.
Researches and follows up with appropriate payers for unpaid insurance claims to obtain settlement of patient balances; researches and follows up with insurance payer credits and over-payments., when applicable.
Conducts training in connection with orientation process for new and existing hires in billing.
Contributes to the development of training materials.
Works with others in ongoing professional development of staff relating to various applications and billing/charge capture processes
Provides remote, telephonic and on-site support to various OCLI clinical locations and MSO clients. Works with vendor and Internal support staff to resolve end user issues
Works in concert with IT Dept. concerning updates to various applications, including regression testing, documentation and end user training
Supports and adheres to department policies including strict patient confidentiality, HIPAA and compliance programs as may be in place and adopted from time to time
Performs other duties as reasonably assigned.
Competencies: To perform the job successfully, an individual should demonstrate the following competencies:
Service - Manages difficult or emotional situations; Responds promptly to stated or perceived needs of internal and external customers; Solicits feedback to improve service; Meets commitments.
Teamwork - Balances team and individual responsibilities; Exhibits objectivity and openness to others' views; Welcomes feedback; Contributes to building a positive team spirit; Puts success of team above own interests; Supports everyone's efforts to succeed.
Communication Skills - Speaks clearly and informatively; Active listener who seeks clarification where appropriate; Responds well to questions; Can effectively communicate on work related issues; Able to read and interpret both verbal and written information; Varies communication style to meet needs.
Interpersonal Skills - Maintains confidentiality; Listens to others without interrupting; Keeps emotions under control; Speaks clearly and persuasively in positive or negative situations;
Professionalism - Approaches others in a tactful manner; Reacts well under pressure; Treats others with respect and consideration regardless of their status or position; Accepts responsibility for own actions; Follows through on commitments; Assesses own strengths and weaknesses; Continuously strives to build knowledge and skills; Shares expertise with others.
Judgment - Displays willingness to make decisions; Exhibits sound and accurate judgment; Supports and explains reasoning for decisions; Includes appropriate people in decision-making process.
Planning/Organizing - Uses time efficiently; Sets goals and objectives; Ability to manage multiple projects or tasks simultaneously; Completes work in timely manner; Very detail oriented with strong organizational skills.
Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values and respects diversity.
Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
Initiative - Volunteers readily; Pursues training and development opportunities; Seeks increased responsibilities; Looks for and takes advantage of opportunities; Asks for and offers help when needed; Demonstrates persistence and overcomes obstacles.
Dependability - Is consistently at work and on time; Ensures responsibilities are covered when absent; Arrives at meetings and appointments on time. Responds to management direction; Takes responsibility for own actions; Commits to hours of work necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.
Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The noise level in the work environment is usually quiet.
Qualifications
Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
Associates degree in communications or other business related major required, four year college degree preferred; three to five years related experience and/or training; or equivalent combination of education and experience.
Language Skills
Ability to read and interpret documents such as written instructions, short correspondence and procedure manuals. Ability to present information one on one, or, in small groups to patients, co-workers or supervisors.
Mathematical Skills
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
Reasoning Ability
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral, or schedule form.
Computer Skills
To perform this job successfully, an individual should have knowledge of Next Gen EPM and ICS applications; and or similar practice management software; Microsoft's Excel, Access, PowerPoint, and Word applications; and Crystal Reports.
Other Qualifications
Prior healthcare, medical industry and/or physician interaction experience, ophthalmology preferred. Experience training participants with high, medium and low PC skills. Must possess strong ability to implement change in utilization of PC and web-based systems. Knowledgeable in EDI, NPI, RTS, ICS, and BBP standards, implementation, utilization. Experience in use of and training for EPM systems, NextGen preferred. Trainers must demonstrate patience and flexibility of approach when managing various learning styles, personalities and skill levels. Must be able to keep presentation fresh despite repetition of delivery. Thorough knowledge of CPT coding, ICD-9 coding, and government and other third party payer requirements and policies, all with an emphasis in ophthalmology.
Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to sit and use hands to finger, handle, or feel. The employee is frequently required to reach with hands and arms. The employee is occasionally required to stand. The employee must occasionally lift and/or move up to 10 pounds. Specific vision abilities required by this job include close vision, depth perception and ability to adjust focus.
