With 100+ physicians in 20 specialties, Collom & Carney Clinic serves the healthcare needs of more than 200,000 active patients. This "Physician Owned" group has been a staple in East Texas for the past 70 years. Medical Group Management Association (MGMA) has recognized Collom & Carney as a better performer in the "Performance and Practices of Successful Medical Groups." The clinic has received this distinction since 1998, the first year criteria was developed for this award. The clinic has always maintained a standard of professionalism and excellence, yet within a friendly working environment. All of our physicians are provided with the best resources available, including state-of-the-art equipment, superior staff support, and administrative assistance.
Summary Of Position And Responsibilities
Must have ARRT and a valid Texas State License.
|
Submission of an application should not be construed as an offer and does not automatically result in your being selected for the position. The goal of the Clinic continues to be to place the best qualified applicant in the position. Collom & Carney Clinic is an Equal Opportunity Employer |
1. Computer experience.
2. Must know how to use a CPT book and ICD-10 book. At least 2 - 4 weeks of training is required.
3. At least one year follow-up experience on claims is desirable.
4. Medical and medical business office terminology. (EOB, RA, EFT, etc.)
1. Taking care of all accounts with Commercial as their primary insurance.
2. Works all above insurance denials. Must decide why a claim was denied, correct it if possible and re-file as soon as possible.
3. If a procedure is denied that we cannot collect on, maybe the procedure is bundled or global, then you must write up a request for a write off to forward to Data Department.
4. Answer phone calls from the patients or other departments.
5. File all supplement insurance claims, which involves matching the claims with the Commercial EOB’s and mailing them or filing electronically.
1. Pleasant, friendly disposition with the ability to work with patients as well as employees.
2. Awareness of need for discretion and for keeping confidential all matters relating to clinic, the employees and the patients.
3. Intelligence to use judgement and initiative in determining the course of action with filing claims.
4. Ability to handle stressful situations while remaining calm.
5. Exhibits a cooperative helpful manner toward co-workers.
6. Tact and diplomacy when dealing with patients.
Must have current nursing license.
Please submit an online application.
You may also apply in person in the Human Resources office.
Must have current nursing license
Under direct general supervision of Physician and/or Nurse Practitioner, the Licensed Vocational/Practical Nurse (LVN/LPN) is to assist and perform general nursing duties in the course of providing care and treatment of patients in the office setting. Pleasant, courteous disposition with the ability to work with patients as well as employees and physicians. Professional in conduct and appearance.
Must have current license.
Taking care of all accounts with Blue Cross Blue Shield as their primary insurance.
1. File all Texas and Arkansas Blue Cross Plans Claims. This involves making sure all correct information is printed on the claims before mailing them.
2. Works all above insurance denials. Must decide why a claim was denied, correct it if possible and re-file as soon as possible.
3. If a procedure is denied that we cannot collect on, maybe the procedure is bundled or global, then you must write up a request for a write off to forward to Data Department.
4. Answer phone calls from the patients or other departments.
5. File all supplement insurance claims, which involves matching the claims with the Blue Cross EOB’s and mailing them.
6. Order claims form EOB’s that don’t have a matched claim and vice versa.
1. High school graduate or equivalent.
2. Computer experience.
3. Must know how to use a CPT book and ICD-10 book. At least 2 - 4 weeks of training is required.
4. At least one year follow-up experience on claims is desirable.
QUALIFICATIONS
1. Pleasant, friendly disposition with the ability to work with patients as well as employees.
2. Awareness of need for discretion and for keeping confidential all matters relating to clinic, the employees and the patients.
3. Intelligence to use judgement and initiative in determining the course of action with filing claims.
4. Ability to handle stressful situations while remaining calm.
5. Exhibits a cooperative helpful manner toward co-workers.
6. Tact and diplomacy when dealing with patients.
To file all claims for patient on dialysis regardless if Medicare is primary or secondary. Follow-up on any denials. File all secondary insurance claims. Also, help work on non-dialysis Medicare denials.
1. File all claims that do not file electronically. You must look at each one to make sure all information is printed correctly on the claim before mailing.
2. Working the denied EOBS. You must decide why a charge was denied, then correct the claim if possible and re-file. You may need to collect office or hospital notes in order to find a more valid diagnosis to re-file the claim with. When it is not possible to change anything on a claim so it can be re-filed, you must request an adjustment to be done by Data.
3. Reviewing mail, which involves deciding what an insurance may be requesting or correcting a patient’s policy number, etc.
4. Updating limited coverage issues from Medicare Newsletters. Reading the newsletters and learning any new guidelines.
5. Working account on the Collection Work list. Applying any needed adjustments and/or re-filing claims.
6. Pulling EOBS from mediviewer for possible missed discounts or to request refunds.
7. Alphabetizing and filing mail and EOBS.
8. Talking with patients regarding their accounts.
1. High school graduate or equivalent.
2. Computer experience.
3. At least one year of Insurance experience with knowledge of the Medicare modifiers and other guidelines for physicians. Must know how to use a CPT book and ICD-10 book. At least 4 week of training is required.
Will do all the diagnostic readings from the hospitals. Sets up new patients and updates the patients. Checks for covered diagnosis and helps others in Census department with batching, if needed.
Must be ARRT with Texas License required. MR credentials preferred. Salary dependent upon experience.
Submission of an application should not be construed as an offer and does not automatically result in you being selected for the position. The goal of the Clinic continues to be to place the best qualified applicant in the position.
Collom & Carney Clinic is an Equal Opportunity Employer
Under direct general supervision of Physician and/or Nurse Practitioner, the Licensed Vocational/Practical Nurse (LVN/LPN) or CMA is to assist and perform general nursing duties in the course of providing care and treatment of patients in the office setting. Pleasant, courteous disposition with the ability to work with patients as well as employees and physicians. Professional in conduct and appearance.
Please contact Angela Bonner at 903-614-3208 for more details.
