Job Title: Patient/Insurance Account Representative

Department & Location: Billing Department – 1072 X-Ray Dr. Gastonia NC
Reports To: Heather Clifton, Insurance Department Supervisor

Job Summary
Collections on delinquent accounts, work patient A/R denials by a weekly tracking report for all unpaid aged accounts. Assist patients with billing questions. Re-file claims with corrected information or with notes if necessary. Work Medicaid A/R weekly. Assist with credentialing of new physicians. Help in other areas as needed.

Minimum Requirements:

  • Extensive knowledge of all insurance companies including Medicare and Medicaid
  • Knowledge of coding/modifiers and medical terminology
  • 2+ years medical billing/collections experience
  • Ability to work denials and rejections to ensure payment of all claims

Additional Comments:
This position requires someone with extensive insurance follow up and coding knowledge and must have the ability to work well under pressure. You must be able to multitask and prioritize well. It also requires patient collection experience. This position as with all positions in the insurance department will require cross training for all items in the insurance department.

Note: Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.


Job Title: Insurance Verification

Department & Location: Administrative – Cotswold office
Job Reports To: Yesi Inestroza– Administrative Supervisor

Job Summary
Verify patient insurance prior to visit for all providers and work-in appointments per policy, obtain authorizations from PCP if needed and enter authorizations in patient’s account, verify Insurance Surgical Benefits and obtain pre-certification for patients having surgery, call patients for insurance information when we are unable to obtain at the time the appointment is made, call patients to inform them of deductibles or high $$ balances.

Minimum Requirements

  • High School Degree
  • Customer Service Experience
  • Medical Office Experience
  • Previous Insurance Verification Experience

Additional Comments:
This full time position requires someone who can lift 25 lbs or more and can have the flexibility to arrive at 7:30AM to open and/or be the closer in the evenings after the last patient leaves.

Note: Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.


Skin Care Product Specialist

Location: Hickory, NC

Job Summary: The Skin Care Product Specialist is primarily responsible for transitioning patients from the physician to the aesthetic/retail portion of the practice. This position works closely with physicians to understand their preference of products and ingredients, so to effectively relay to patients why topical aesthetic products contribute to their overall skin health. Knowledge of skin structure and physiology is essential in order to effectively explain product ingredient efficacy to patients. Continual intensive training in product lines and ingredients is vital to remain relevant in the constantly changing field of aesthetics.

This position is responsible for product training, product success and inventory management.

Education and Experience:

  • One or two years of dermatologic/aesthetics experience.
  • Previous Sales Experience preferred.
  • College degree, Aesthetic Certification or Previous Experience in Medical Practice Aesthetic Sales.

Essential Skills and Abilities:

  • Superior communication skills, oral, written and platform
  • Ability to exert subtle motivation and influence
  • Computer Literate. Familiarity with MS Word, Excel, Nextech (preferred) or other Practice Management System software and ability to use analytic modules provided by vendors
  • Must be able to work as part of a team
  • Effective organizational skills
  • Must be customer service orientated\
  • Effective organization skills with attention to detail
  • Ability to manage multiple projects simultaneously
  • Presents a highly professional image

Responsibilities:

  • Product consultation
  • Product education FOR PATIENTS and STAFF
  • Product Research
  • Ordering Product
  • Maintaining Product Inventory
  • Manage analytical tools to generate reports as needed to access product sales and inventory management.
  • Work closely with Marketing Chair, Committee and Marketing Liaison to effectively coordinate all specials, events and campaigns
  • Manage analytical tools to generate reports identifying referral lists, patient contact lists and patient product use as required by marketing and specific marketing initiatives
  • Use analytical tools to track success of product, specials, events and campaigns

Job Title:  CMA, Dermatology (MOHS Surgery Assistant)

Department: Clinical/Blakeney

FLSA STATUS: Non-Exempt Job Summary

1. Escort patients from waiting room to the exam / surgical room in a timely and courteous manner.
2. Assist Physician with various procedures and examinations in a surgical environment. Telephones in prescriptions as directed by Physicians.
3. Provides telephone calls to patients regarding test results. Provides follow-up information to patients as directed by Physician. Documents all conversations and prescriptions called in on a daily basis.
4. Updates patient charts with current medical information.
5. Ensures patient exam rooms are fully stocked, organized and clean at all times.
6. Organizes patient flow through the assigned area.
7. Collects patient history, problems, exam preparation, specimens and lab work.
8. Completes patient forms as necessary.
9. Maintains patient confidentiality.
10. Prepare specimens for lab and requesting exams as required.
11. Performs in-room surgical scrub duties.
12. Provide tray set-ups and designated extra instruments for all surgical procedures.
13. Prepare, wrap and sterilize instruments, supplies and equipment as appropriate.
14. Effectively work with surgeon and clinical staff during procedures.
15. Ensure compliance with OSHA and HIPAA regulations.
16. Assists in preparation of surgical procedures by anticipating needs of physician and patient.

Minimum Requirements

  • This is a full-time position and one year of medical office experience is preferred, but will consider other combinations of education and work experience. Candidates must possess good written and verbal communication skills; must do detailed and accurate work; must always present a professional image. This position requires regular attendance and working as part of a team.
  • Note: Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.

Job Description: Medical Assistant – Blakeney Office

Reports to: Nursing Supervisor / The Physician has total responsibility/accountability for the role of the medical assistant including training, validation of competencies, delegation, supervision and evaluation.

JOB SUMMARY: Schedules / performs procedures under the supervision of Physician and Nursing Supervisor. Assists physician in examinations and procedures. Instructs patients of their continued care. Responsible for maintaining clean, well equipped exam and or procedure rooms.

ESSENTIAL FUNCTIONS:
1. Escort patients from waiting room to the exam / surgical room in a timely and courteous manner.
2. Assist Physician with various procedures and examinations in a plastic surgery office / surgical environment.
3. Coordinate with clinical manager the ordering of medical supplies and maintains adequate inventory.
4. Sterilizes and stocks all instruments according to accepted office guidelines and AAAASF regulations.
5. Cleans / mops operating rooms after each procedure as assigned.
6. Telephones in prescriptions as directed by Physicians.
7. Provides telephone calls to patients regarding test results. Provides follow-up information to patients as directed by Physician. Documents all conversations and prescriptions called in on a daily basis.
8. Updates patient charts with current medical information.
9. Ensures patient exam rooms are fully stocked, organized and clean at all times.
10. Organizes patient flow through the assigned area.
11. Collects patient history, problems, exam preparation, specimens and lab work.
12. Completes patient forms as necessary.
13. Maintains patient confidentiality.
14. Obtains pertinent benefits / insurance authorizations prior to Physician performing surgical procedures on patient for those procedures performed at Gaston Memorial Hospital or Gaston Ambulatory Surgery. 15. Ensures compliance with OSHA and HIPAA regulations.

ADDITIONAL RESPONSIBILITIES: Performs other tasks as deemed necessary by Physician, Nursing Supervisor and/or Practice Administrator.

EDUCATION AND EXPERIENCE: Certification or license as a Medical Assistant, Nurse Aide or Surgical Technician.


JOB TITLE: Director of Nursing

FLSA STATUS: Exempt STATEMENT OF DUTIES: Directs the activities of the clinical departments in all offices. Provides direct supervision to the Clinical Supervisors. Assists in the delivery of primary heath care and patient management.

EDUCATION: High School Diploma, Graduate of an Accredited Registered Nursing Program, successful completion of NCLEX. Graduate degree preferred.

EXPERIENCE: Minimum of five years of work experience as RN with supervision and operating room experience. EMR and MU experience required.

JOB RELATIONS: Supervises the Clinical Supervisors. Reports directly to the Practice Administrator.

WORKING CONDITIONS: Works in a fast-paced, well-lit, comfort controlled medical office. High traffic area. Work may be stressful. Interaction with others may be constant and interruptive. Occasional irregular hours. Frequent exposure to communicable disease, toxic substances, medical preparations, and other conditions common to a clinic environment. Requires travel to all office locations.

PHYSICAL DEMANDS: Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Involves substantial standing and walking. Vision should be correctable and hearing discernible to telephone/paging contacts.

PERFORMANCE REQUIREMENTS: Skill in establishing and maintaining effective working relationships with physicians, patients, employees, and the public. Ability to effectively supervise other clinical staff and assign responsibilities appropriately. Ability and knowledge to perform medical care. Knowledge of examination, diagnostic, treatment room procedures and recovery room procedures. Knowledge of medical equipment and instruments to administer patient care. Ability to react calmly and effectively in emergency situations. Ability to interpret, adapt, and apply guidelines and procedures. Knowledge of common safety hazards and precautions to establish a safe work environment. Skill in assisting in a variety of treatments and medications as directed. Skill in maintaining records and recording test results. Skill in developing and maintaining department quality assurance. Possess good written and verbal communication skills. Always presents a professional image. Ability to do detailed and accurate work. Utilize time management skills. Answer telephone in a professional manner. Read, understand, and follow oral and written instruction. Recognize, evaluate, solve problems, and correct errors. Maintain productivity and work independently.

ESSENTIAL FUNCTIONS:

Supervision
1. Develops and implements standards of nursing practice and nursing protocols for the practice. Periodically reviews and updates departmental nursing protocols and materials to ensure they remain current.
2. Provides nursing expertise and participates in strategic planning for the practice.
3. Responsible for articulating policies and procedures of the practice to the clinical supervisors and ensuring compliance with such and performing re-education for management and staff as needed including EMR/MU.
4. Confirms and maintains consistency in protocol and policy among all offices. Responsible for annual review of clinical policies and manuals to ensure consistency and accurate reflection of current practices. Works closely with OR committee chair and DOO to develop and implement new policies and procedures.
5. Conducts regular meetings with clinical supervisors in each office and other staff as needed. Makes certain each meeting is run according to agenda and minutes are distributed. Attends a clinical staff meeting at each office with location’s Clinical Supervisor on a quarterly basis.
6. Attends monthly Supervisor / Provider meeting and bi-monthly Partners’ meetings and others as assigned.
7. Participates on the QA/OR and Performance Improvement committees and others as assigned.
8. Ensures clinical supervisors have adequate scheduling of all clinical staff for each provider. Analyzes the utilization of nursing staff in order to improve efficiency and effectiveness of nursing staff allocations and deployments.
9. Establishes and maintains on-going training programs for nursing staff.
10. Establishes and reviews department-wide nursing performance measures and outcomes. Provides direction and consultation to supervisors to improve nursing performance and outcomes; reviews medical aspects of nursing staff performance and may recommend disciplinary actions.
11. Develops long range plans for nursing needs and utilization.
12. Assists and monitors the clinical supervisors so that they maintain their department budget in accordance with practice guidelines.
13. Supervises the chart audits performed each month by the clinical managers. Performs regular independent audit of charts to determine any areas of concern with documentation and then addresses those with the appropriate supervisors and staff.
14. Confirms the clinical supervisors are performing their essential duties including:
a. Proper scheduling of staff among providers in all offices.
b. Collecting and processing medical supply orders weekly or as needed. Maintaining supply room and establish reorder policies for supplies. Make sure supplies are promptly unpacked and placed in appropriate places.
c. Ensuring principles of LEAN management are in place and followed in all designated areas of the practice and suggest additional efficiency opportunities.
d. Carrying out clinical personnel disciplinary functions when appropriate.
e. Maintaining medical equipment in the most beneficial method for longer life.
f. Responding to clinical staff issues and maintaining professional demeanor and actions.
g. Coordinate, complete and evaluate training for new clinical staff.
h. Monitoring pathology records and completion of process closely for accurate and complete patient information on laboratory requisition forms, specimen and blood containers, and log book. Confirms log books are reviewed weekly by clinical supervisors.
i. Ensures patient telephone and mail questions and requests from patients regarding their medical care are handled promptly and appropriately.
15. Provide weekly feedback to Director of Operations and Practice Administrator regarding clinical operations of practice.

Regulatory
1. Facilitates annual and new hire staff education and licensing requirements related to all regulatory organizations in all offices. Confirms required license and certification renewals for clinical staff if applicable.
2. Ensures compliance in all offices with OSHA standard guidelines. Distributes all applicable materials to supervisors and staff.
3. Ensures compliance in all surgery offices with AAAASF regulations and requirements. Maintains appropriate records as required and facilitates annual inspections in each office with the on site supervisor.
4. Remains in compliance in all offices with Clinic Laboratory Improvement Act Standards. 5. Provides proper HIPAA training to all new hires and provides annual education and testing.
6. Maintains all required clinical staff licensing requirements to confirm all staff are current.
a. Organizes on site training for any required courses such as annual ACLS.
b. Schedules off site training if appropriate and approved.

Other
1. Provides direct patient care and patient surgery recovery if needed for any reason.
2. Maintains RN licensure and clinical skills.

Note: This description is intended to indicate the task and level of work difficulty that will be required of the position title. It is not intended to limit the supervisor to assign, modify or direct the staff members under his or hers supervision. The use of a particular expression or illustration of described duties shall not be held in exclusion.


JOB DESCRIPTION:  Medical Assistant/PRN

LOCATION:  Charlotte/Cotswold

Reports to: Nursing Supervisor / The Physician has total responsibility/accountability for the role of the medical assistant including training, validation of competencies, delegation, supervision and evaluation.

JOB SUMMARY: Schedules / performs procedures under the supervision of Physician and Nursing Supervisor. Assists physician in examinations and procedures. Instructs patients of their continued care. Responsible for maintaining clean, well equipped exam and or procedure rooms.

ESSENTIAL FUNCTIONS:

  1. Escort patients from waiting room to the exam / surgical room in a timely and courteous manner (bilingual).
  2. Assist Physician with various procedures and examinations in a plastic surgery office / surgical environment.
  3. Coordinate with clinical manager the ordering of medical supplies and maintains adequate inventory.
  4. Sterilizes and stocks all instruments according to accepted office guidelines and AAAASF regulations.
  5. Cleans / mops operating rooms after each procedure as assigned.
  6. Telephones in prescriptions as directed by Physicians.
  7. Provides telephone calls to patients regarding test results.       Provides follow-up information to patients as directed by Physician. Documents all conversations and prescriptions called in on a daily basis.
  8. Updates patient charts with current medical information.
  9. Ensures patient exam rooms are fully stocked, organized and clean at all times.
  10. Organizes patient flow through the assigned area.
  11. Collects patient history, problems, exam preparation, specimens and lab work.
  12. Completes patient forms as necessary.
  13. Maintains patient confidentiality.
  14. Obtains pertinent benefits / insurance authorizations prior to Physician performing surgical procedures on patient for those procedures performed at Gaston Memorial Hospital or Gaston Ambulatory Surgery.
  15. Ensures compliance with OSHA and HIPAA regulations.

ADDITIONAL RESPONSIBILITIES: Performs other tasks as deemed necessary by Physician, Nursing Supervisor and/or Practice Administrator. EDUCATION AND EXPERIENCE: Certification or license as a Medical Assistant, Nurse Aide or Surgical Technician. Note: Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time.


JOB DESCRIPTION: Registered Nurse/PRN

FLSA STATUS: Non Exempt

STATEMENT OF DUTIES:  Assists in the delivery of primary heath care and patient management and supervises clinical staff.

EDUCATION:  High School Diploma, Graduate of an Accredited Registered Nursing Program, successful completion of NCLEX.

EXPERIENCE:  Minimum of one year of work experience as RN with operating room experience. WORKING CONDITIONS:  Works in a fast-paced, well-lit, comfort controlled medical office.  High traffic area.  Work may be stressful.  Interaction with others may be constant and interruptive.  Occasional irregular hours.  Frequent exposure to communicable disease, toxic substances, medical preparations, and other conditions common to a clinic environment.

PHYSICAL DEMANDS:  Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination.  Involves substantial standing and walking. Vision should be correctable and hearing discernible to telephone/paging contacts.

PERFORMANCE REQUIREMENTS:  Ability and knowledge to perform medical assistant care.  Knowledge of examination, diagnostic, treatment room procedures and recovery room procedures.  Knowledge of medical equipment and instruments to administer patient care.    Ability to react calmly and effectively in emergency situations.  Ability to interpret, adapt, and apply guidelines and procedures.  Knowledge of common safety hazards and precautions to establish a safe work environment.  Skill in assisting in a variety of treatments and medications as directed.  Skill in taking vital signs.  Skill in maintaining records and recording test results.  Skill in developing and maintaining department quality assurance.  Skill in establishing and maintaining effective working relationships with physicians, patients, employees, and the public. Ability to effectively supervise other clinical staff and assign responsibilities appropriately. Possess good written and verbal communication skills. Always presents a professional image.  Ability to do detailed and accurate work.  Utilize time management skills.  Answer telephone in a professional manner.  Read, understand, and follow oral and written instruction.  Recognize, evaluate, solve problems, and correct errors.  Maintain productivity and work independently.

ESSENTIAL FUNCTIONS:  

Patient Care

1) Responsible for assisting the physician(s) in the care of patients to assure optimal medical care.
a)         Keeps appointments flowing smoothly to assure all patients are seen timely, and the physician’s time is well-managed
b)         Posts daily patient schedule and keeps physician(s) informed of appointments
c)         Greets and escorts patients to treatment room
d)         Takes patient’s history.  This includes but not limited to chief complaint, family history, and drug allergies
e)         Reviews patient information and education with patient before physician enters treatment room
f)         Prepares patients for exam/procedure
g)         Assists (as trained) physician(s) in the exam/procedure *
h)        Responsible for patient education: – distributes pamphlets and samples – gives care instructions verbally – provides instruction sheets – answers patient’s questions *
i)        Gives injections/local anesthesia *
j)        Applies dressing changes and performs suture removals
k)         Promptly responds to any intercom call and/or any physicians’ request
l)          Observes sterilization guidelines
m)        Prepares treatment room for next patient (includes cleaning, stocking, and instruments ready)
n)         Responds to emergency situations confidently and professionally
o)         After exam/procedures checks chart and charge sheets for accuracy and completeness before directing patients to front desk
p)         Assists in scheduling follow-up appointments
q)            Recover patients from surgery as needed; circulate in OR as needed *Performs these Essential Functions only under a physician’s direction.

Laboratory
1)         Responsible for performing basic laboratory procedures and maintaining the laboratory a)      Performs appropriate diagnostic lab procedures
b)                  Records accurate and complete patient information on laboratory requisition forms, specimen and  blood containers, and log book
c)      Ensure specimens are in containers and handled properly
d)                 Timely processes pathology reports, (CLIA-including checking computer for report entry/results)
e)      Sterilizes instruments using autoclave; wraps, and labels sterile packs
f)       Conducts quarterly inventory of surgical instruments
g)      Assures lab equipment is maintained functional at all times
h)                  Works in conjunction with lab histotech to maintain laboratory in compliance with CLIA regulations

Triage / Patient-Call (as assigned) *

1) Responsible for handling by phone or mail questions and requests from patients regarding their medical care.
a)     Promptly receives and responds to incoming phone calls/mail
b)     Answers questions and requests regarding follow-up care, prescriptions, laboratory results, etc.
c)     Documents all questions, requests, and answers in charts
d)     Maintains a clean and organized work area
e)     Contacts patients to explain diagnosis of skin cancer, other abnormalities, and set up surgery
f)     Informs doctors of blood work / pathology reports and abnormalities
g)     Screens calls for physician(s) as appropriate
h)     Reviews blood/lab (biopsy) reports with other medical assistants and staff as appropriate
i)      Sends out as appropriate copies of pathology and blood reports, etc. to patients and their physician(s) as requested
j)      Daily copies patient-call notes for transcriptionist Regular Attendance is Required.

MARGINAL FUNCTIONS:
1)        Must attend staff meetings and in-service programs.
2)        Keeps up-to-date on all pertinent information affecting job and patient care.
3)        Maintains patient confidentiality.
4)        Maintains accurate, complete, and timely patient records.
5)        Charts in medical records as appropriate.
6)        Monitors drug samples and sales people. -Assures drug reps do not stock unassisted -Regularly organizes drug shelf -Disposes of expired drug samples
7)        Responsible for making sure crash cart is maintained.
8)        Maintains a clean and safe work area.
9)        Remains in compliance with OSHA-Bloodborne Pathogen Standard guidelines including universal precautions, personal protective equipment, and housekeeping, etc.
10)       Remains in compliance with OSHA/Hazardous Communication Standard guidelines and Clinic Laboratory Improvement Act Standards.
11)       Takes pictures of patient’s conditions as requested by physician.
12)       Maintains prepared sterile packs and transets.
13)       Fills liquid nitrogen bottles as necessary.
14)       Assures treatment rooms are clean and stocked (supplies, pamphlets, etc.)
15)       Performs other duties as requested.

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