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.
Following up on Medicare claims status and denials. Researching to have claims processed in a timely manner.
1. High school graduate or equivalent.
2. Computer experience
3. At least one year experience working insurance follow up with knowledge of the Medicare modifiers and other guidelines for physicians.
4. Must know how to use CPT book and ICD-10 book. At least 2 - 4 weeks of training is required.
5. Must have knowledge of medical and medical business office terminology. (EOB, RA, EFT, etc.)
Under direct general supervision of Physician the LVN/LPN/CMA is to assist and perform general nursing duties in the course of providing care and treatment of patients in an 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.
The Scribe will work with physician to facilitate patient flow and ensure an accurate and complete medical record for each patient. The Scribe assists the physician by accompanying her during the medical history-taking and exam, recording details of both into the medical record, and coordinating department resources regarding tests, orders, radiology and results. The Scribe tracks the orders for each patient, records results and notifies provider of results as they arrive.
High School Diploma.
Working knowledge of medical terminology and accepted abbreviations.
Recognition of physical exam process and ability to record exam details.
Legible handwriting and ability to accurately record information.
Computer proficiency and ability to quickly learn new applications.
Communication skills and the ability to coordinate and cooperate with multiple members of the health care team.
Organizational skills with focus on tracking patient care and improving patient flow.
Professional demeanor and recognition of privacy considerations for patients and family members.
Communicates with nursing staff and patients' insurance company to obtain authorization/pre-certifications for outpatient/in-patient procedures and medication infusions/injections as ordered by physician. Pleasant, courteous disposition with the ability to communicate effectively with insurance representatives as well as patients, employees and physicians. Professional in conduct and appearance.
1. Obtains pre-certification form for outpatient and/or in-patient
procedure from nursing staff with patients' demographic, diagnosis,
type of procedure and insurance information.
2. Contacts patients' insurance companies by phone or use of internet
to acquire the pre-cert number.
3. Documents on the pre-cert form the date, person spoken to and
authorized pre-cert number.
4. Completes information in the EHR "Incoming Referrals" tab for
attachment to claim.
5. Completes referral requests and files referral forms.
6. Keeps a record on each contact with insurance companies by
computer and file notes.
7. Faxes pre-cert information to hospital admissions as needed.
8. Answers telephone identifying self.
9. Returns phone calls in timely manner.
10.Floats to other areas as needed.
11.Follows approved Electronic Medical Record Security standards as
outlined by Information Systems department.
12.Keeps workstation neat and clean.
13.Completes OSHA and Fire Safety training annually.
1. High school education or equivalent.
2. Computer knowledge.
3. Good interpersonal skills.
Must have current LPN/LVN License or be a Certified Medical Assistant.
