Patient Care Coordinator / Medical Biller

Company Description

Hyperbaric Medical Solutions (HMS) is a free-standing provider of hyperbaric oxygen therapy (HBOT) with offices in Manhattan, NY, Woodbury, NY, Miami, FL, Fort Lauderdale, FL, and Randolph, MA. HBOT is an established medical modality going through a renaissance, and our innovative medical practice provides this all-natural treatment with applications for a wide range of medical conditions. Traditionally, this includes non-healing wounds, soft tissue radiation damage, failed flaps and skin grafts, and others, but as a free-standing medical clinic, HMS has the opportunity to expand the application of HBOT to help many more. This is an emerging area of medicine that is delivering meaningful results to patients every day.

Currently, HMS is seeking well qualified candidates for a Full-Time Medical Biller and Patient Care Coordinator position at its Woodbury, NY location. Below is a description of the position and the required qualifications for consideration. 

Job Description

Medical billing and care coordination requires an in-depth knowledge of all the clinical activities of the medical practice, and the services it provides. This is especially true with hyperbaric medicine, with many details and nuances that require continual review. This position will require the team member to have excellent communication skills - internally, with patients, and with insurance company representatives. Important tasks include initiation of process, proactive follow-up, and conscientiousness about what is necessary to "close of the loop".

Candidate must be a self-starter and a team player. Complete and thorough data entry, communication and follow up will be necessary to be successful in the role. Additionally, the candidate must be willing to work in a collaborative, team environment, that extends the role beyond billing on a regular basis. This position will work closely with clinical and administrative staff at all HMS locations.

Candidate Responsibilities and Expectations:

• Welcome patients with cheer, enthusiasm, and confidence
• Verify insurance benefits and review coverage with patients
• Initiate and Process
  • Prior-Authorizations
  • Precertifications,
  • Eligibility and Benefits
  • Explanation of Benefits
• Work closely with clinical team to retrieve required medical records and assist with patients however required
• Referrals generation and management
  
• Knowledge to work payer processing, denials, and appeals
• A strong background in Workers Comp and No Fault billing and guidelines a plus
  
• Perform day-to-day administrative functions, including the following
  • Receive and manage phone calls
  • Manage patient schedules
  • Collect patient payments
  • Maintain clean, timely, and accurate data entry
    
• Prepare for each HBOT session to ensure that each patient has safe and comfortable treatment experience
• Assist patients with whatever they need, providing high-quality service and ensuring they exceed the patient's expectations
• Help keep office clean and tidy
• Support Management and Medical Director with any projects and tasks required
  

Qualifications:

• Demonstrated ability to work independently within a collaborative care environment, showing strong interpersonal skills with outgoing professionalism
• Must show critical thinking, technical, and interpersonal skills, plus be able to interact with patients and their families in a manner that instills confidence and facilitates communication
• Computer proficiency - ability to learn and work simultaneously on multiple systems with accuracy
• Available for occasional work outside of regularly scheduled hours, if needed (i.e., early mornings, evenings, and/or weekends).
  

• Self-starter with excellent verbal and written communication and problem solving skills

• Excellent, and welcoming, telephone presence - providing a superior patient experience
  
• At least two years of relevant experience in a healthcare administration or spa/hospitality customer service a plus
  
• Medical training/experience as a EMT a plus

 Position Details

• Position: Full-Time
• Location: Woodbury, NY 
• Hours: Typically 10AM - 6:00PM (~40 hours/week)
• Available Benefits Include:
  • Medical, Dental, Vision (company sponsored/supported)
  • 401K w/ matching program
  • Basic Life & AD&D
  • Supplemental Life & AD&D
  • Flexible Spending (FSA)
  • STD/LTD
  • Commuter Benefits
  • Discount Marketplace