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Gastromed LLC
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  • Medical Assistant  

    - Miami
    Job DescriptionJob DescriptionJOB SUMMARY: The Medical Assistant assis... Read More
    Job DescriptionJob Description

    JOB SUMMARY:

    The Medical Assistant assists physicians and other medical staff in providing care to their patients by performing administrative and clinical duties under the direction of the Physician and/or Advanced Practice Registered Nurse.

    QUALIFICATIONS/EDUCATION:

    High School Diploma or equivalent required.Bi-lingual English/Spanish preferred; must be able to read, write and speak English. 1-2 years of related experience in a medical setting preferred.Knowledge of medical terminology.Strong people skills. Excellent communication skills, including verbal with proper grammar. Data entry skills.Attention to detail.Strong organizational skills and ability to multi-task effectively.Must be able to comply with OSHA and HIPAA rules and regulations. Demonstrates skill in the use of personal computers, various programs, and applications required to competently execute job duties. Internet, document with Electronic Health Records and/or authorization system with minimal typing/spelling errors, send e-faxes and email.

    CERTIFICATIONS/LICENSES:

    Medical Assistant Certification preferredCPR Certification preferred

    ABILITIES/SKILLS:

    Basic computer skills to be able to recognize and understand our EMR System.Excellent communication and Customer Service skills.Strong organizational skills and ability to multi-task effectively.Must be able to work independently with minimal supervision in a fast-paced environment.Able to respect and maintain patient confidentiality at all times and comply with HIPAA Regulations. Must be dependable and conduct him/herself in a professional manner.Demonstrates skill in the use of personal computers, various programs, and applications required to competently execute job duties.Must be able to follow all safety and universal precautions.Able to demonstrate proper use of Personal Protective Equipment.Must be able to follow policies and procedures.


    SUPERVISORY RESPONSIBILITIES:

    N/A


    ESSENTIAL DUTIES/ RESPONSIBILITIES:

    Prepares the patient’s charts prior to the office visit to ensure that all studies, procedures reports, labs, diagnostic imaging, etc. have been received and uploaded to the patient’s chart. Greets and escorts patients to the exam room. Interviews patients, measures vital signs, including weight, blood pressure, pulse, and temperature, and documents all the information in the patient’s chart including current medications and medical history.Recognizes abnormal vital signs and reports these immediately to the physician. Follow up with Specialty Pharmacy regarding any pending prescriptions authorizations. Responsible for patient flow. Communicates with the care coordinator regarding any special check-out orders or instructions provided by the physician.Assist patients with inquiries or concerns and ensure patients’ expectations are met. Follows up on patient callbacks before the end of the day. Completes tasks or actions assigned to him/her in a timely manner. Reports malfunction of medical equipment and safety issues to their supervisor. Responsible for informing their supervisor of any clinical supply needs. Complies with Infection Control and OSHA Regulations (biomedical waste, handling, and disposal) for the practice as per regulations. Complies with HIPAA laws.Disinfects and cleans patient exam rooms and keeps work area clean at all times. Stores drug samples and removes any expired medications. Ability to answer phones, and schedule/reschedule appointments as needed. Assist patients and physicians in connecting remotely in order to facilitate Telehealth visits. Conducts all activities in a professional, polite, and courteous manner and abides by company policies and procedures. Perform any other duties as assigned by management.


    We offer a competitive salary, Employee Health Insurance is covered at 100%. We also offer Dental, Vision, Life, and 401k Benefits.

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  • Billing Specialist  

    - Miami
    Job DescriptionJob DescriptionJOB SUMMARY:The Billing Specialist is re... Read More
    Job DescriptionJob DescriptionJOB SUMMARY:

    The Billing Specialist is responsible for the accurate and timely submission, follow-up, and resolution of medical claims. This position requires in-depth knowledge of procedural coding, ICD-10, CPT, HCPCS, CMS-1500 claim forms, electronic claims submission, payment posting, denials, and appeals. We are seeking a candidate with infusion billing experience, including biologic and specialty medication billing, to support our growing infusion services.

    QUALIFICATIONS/EDUCATION:High School Diploma required.Minimum 2 years of experience in medical billing and collections.Previous infusion billing experience required, including biologic and specialty medication billing.Experience with infusion claims, medication billing, J-codes, and payer reimbursement preferred.Bilingual English/Spanish preferred; must be able to read, write, and speak English.Basic computer knowledge, including Microsoft Word, Excel, Internet, Electronic Health Records (EHR), practice management systems, e-faxes, and email.CERTIFICATIONS/LICENSES:CPC preferred.ABILITIES/SKILLS:In-depth knowledge of CPT, ICD-10, HCPCS, and medical billing regulations.Knowledge of infusion billing, biologic medications, J-code billing, and payer reimbursement guidelines.Understanding of Medicare, Medicaid, and commercial payer billing requirements.Excellent communication, customer service, and telephone skills.Strong organizational skills and ability to multi-task effectively.Must be able to work independently with minimal supervision.Ability to respect and maintain patient confidentiality at all times.Dependable, professional, and detail-oriented.Demonstrates proficiency in the use of personal computers, Electronic Health Records, billing software, and Microsoft Office applications.Must be able to follow company policies and procedures.SUPERVISORY RESPONSIBILITIES:N/AESSENTIAL DUTIES/RESPONSIBILITIES:Process medical claims daily, ensuring the correct diagnosis, CPT, HCPCS, and infusion-related billing codes are utilized.Submit infusion and specialty medication claims accurately and in accordance with payer guidelines.Review claims to determine whether prior authorizations or referrals are required and ensure all necessary documentation is complete.Maintain the billing process within the established 15-day billing timeframe.Process between 80 and 100 claims per day while maintaining accuracy and productivity standards.Submit claim batches to the clearinghouse daily.Review and resolve claim rejections and denials, resubmitting corrected claims as appropriate.Follow up with insurance carriers regarding unpaid, denied, or underpaid infusion and medical claims.Review provider documentation and progress notes to ensure accurate billing and coding.Analyze denial trends and identify opportunities to improve reimbursement and reduce billing errors.Maintain accurate and detailed account notes within the billing system.Prepare and submit weekly productivity reports to the Revenue Cycle Manager.Collaborate with providers, coding staff, authorization staff, and infusion personnel to resolve billing issues and maximize reimbursement.Perform other duties as assigned by management.


    Qualified individuals, please submit your resume.

    We offer a competitive salary; Employee Health Insurance is covered at 100%. We also offer Dental, Vision, Life, and 401k Benefits.

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  • Authorization Department Manager  

    - Miami
    Job DescriptionJob DescriptionAuthorization Department Manager (Referr... Read More
    Job DescriptionJob DescriptionAuthorization Department Manager (Referrals & Prior Authorizations)

    Reports to: Chief Development Officer
    FLSA Status: Exempt

    Join Our Team at GastroMed

    At GastroMed, we are committed to delivering exceptional patient care through collaboration, innovation, and operational excellence. We are seeking a dynamic Authorization Department Manager to lead our referrals and prior authorization operations across multiple locations.

    In this role, you will play a critical part in ensuring patients receive timely care while supporting revenue integrity and operational efficiency across our growing organization.

    Position Overview

    The Authorization Department Manager is responsible for leading the daily operations of the referral and prior authorization team. This role ensures that all procedures are properly authorized, scheduled efficiently, and aligned with payer requirements to minimize denials and delays in care.

    You will collaborate closely with Practice Managers, Revenue Cycle, and Surgical Center leadership to drive performance, improve workflows, and deliver an excellent patient experience.

    Key ResponsibilitiesLeadership & Team DevelopmentLead, coach, and develop a high-performing referrals and authorization teamFoster a collaborative, accountable, and service-oriented cultureConduct training, performance evaluations, and ongoing staff developmentSupport employee engagement and retention initiativesAuthorization & Referral OperationsOversee all referral and prior authorization processes across multiple locationsEnsure timely approvals to avoid delays in patient care and claim denialsMonitor authorization turnaround times and department performance metricsEnsure accurate insurance eligibility and benefits verificationOperational ExcellenceOptimize workflows to improve efficiency, productivity, and turnaround timesAlign staffing levels with procedure volumes and operational needsMonitor scheduling accuracy and support timely patient reschedulingIdentify and implement process improvementsRevenue Cycle CollaborationPartner with Revenue Cycle leadership to reduce authorization-related denialsSupport initiatives that improve reimbursement and revenue integrityCoordinate with surgical centers to resolve scheduling and authorization issuesCommunication & ServiceEnsure timely response to patient inquiries, calls, and department communicationsMaintain strong relationships with physicians, practice managers, and leadershipPromote a patient-centered approach to care coordinationQualificationsAssociate degree required; Bachelor’s degree preferred3–5 years of experience in healthcare referrals, authorizations, or patient accessMinimum 2 years of leadership or supervisory experienceStrong knowledge of insurance verification, prior authorizations, and payer guidelinesBilingual English/Spanish requiredProficiency with EMR systems and Microsoft Office (Excel, Word, Outlook)Core CompetenciesStrong leadership and team development skillsExcellent organizational and problem-solving abilitiesAbility to manage multiple priorities in a fast-paced environmentStrong communication and interpersonal skillsHigh attention to detail and commitment to accuracyCommitment to confidentiality and HIPAA complianceWhy Join GastroMed?Be part of one of South Florida’s fastest-growing healthcare organizationsCollaborative, team-oriented, and supportive cultureOpportunity to lead impactful operational improvementsCompetitive compensation and comprehensive benefits packageCareer growth and professional development opportunitiesAdditional Information

    This position supervises referral and authorization staff and carries out management responsibilities in accordance with company policies and applicable employment laws.

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  • Senior Director of Finance  

    - Miami
    Job DescriptionJob DescriptionPosition SummaryThe Senior Director of F... Read More
    Job DescriptionJob Description

    Position Summary

    The Senior Director of Finance is responsible for leading the financial operations of a growing gastroenterology practice with approximately twenty-five providers. This position oversees budgeting, financial reporting, revenue cycle performance, forecasting, and financial analysis while partnering with executive leadership to support strategic growth, operational excellence, and long-term financial sustainability. The Senior Director of Finance serves as a key advisor to physician leadership and department managers by providing actionable financial insights and ensuring sound fiscal management.

    Key Responsibilities

    Financial Leadership

    Serve as financial advisor to the CEO and Executive Committee and Board.Assist executive leadership in developing and executing the organization's financial strategy.Prepare and present monthly financial statements, key performance indicators (KPIs), and operational dashboards.Analyze financial performance and recommend strategies to improve profitability and operational efficiency.Support strategic initiatives including practice growth, acquisitions, new service lines, and capital investments.

    Budgeting & Forecasting

    Lead the annual budgeting process.Develop monthly and quarterly financial forecasts.Monitor departmental performance against budget and identify opportunities for cost management.Provide variance analysis and recommendations to leadership.

    Revenue Cycle Management

    Collaborate with Revenue Cycle Management to optimize:Charge capture; Coding accuracy; Claims management; Accounts receivable; Collections; Denial management; Payment Delays.Monitor reimbursement trends across Medicare, Medicaid, and commercial payers.Track provider productivity and compensation metrics.

    Financial Reporting & Analysis

    Produce timely monthly, quarterly, and annual financial reports.Develop physician productivity and profitability reports.Perform service line and location profitability analyses.Monitor cash flow and working capital.Analyze payer mix, reimbursement trends, and operating margins.ASC & Ancillary Analytics (Pathology, Anesthesia, Infusion, Manometry etc.).Produce Daily & Monthly Executive Dashboard to include Operational, Financial and Clinical KPIs for all departments.Physician Compensation modeling; FMV, Buy-Ins, Incentives, RVU performance etc.Perform ROI and Payback periods for investments, expansion projects, and acquisitions.

    Accounting & Compliance

    Oversee general accounting functions.Ensure accurate month-end and year-end close processes.Coordinate annual financial audits and tax reporting.Maintain compliance with GAAP and healthcare financial regulations.Assist with internal controls and risk management initiatives.

    Operational Collaboration

    Partner with Operations, Clinical Leadership, Human Resources, and Revenue Cycle teams.Support business planning and operational improvement initiatives.Provide financial education and support to department managers.Participate in executive leadership meetings.

    Leadership Responsibilities

    Supervise finance and accounting personnel.Mentor and develop finance team members.Foster a culture of accountability, continuous improvement, and customer service.Participate in succession planning within the finance department.

    Qualifications

    Education

    Bachelor’s degree in finance, Accounting, Business Administration, or related field required.MBA, MHA, CPA, or CMA preferred.

    Experience

    7–10 years of progressive financial leadership experience.Minimum 3–5 years in healthcare finance required.Experience in physician practice management strongly preferred.Gastroenterology or multi-specialty physician practice experience preferred.Experience with budgeting, forecasting, and financial modeling.

    Knowledge & Skills

    Strong understanding of physician practice operations and healthcare reimbursement.Knowledge of Medicare, commercial insurance, and physician compensation models.Advanced financial modeling and analytical skills.Experience with healthcare financial software, ERP systems, and Microsoft Excel.Ability to communicate complex financial information to physicians and non-financial leaders.Excellent leadership, organizational, and project management skills.

    Key Performance Indicators (KPIs)

    Budget performanceEBITDA and operating marginRevenue cycle metrics (Days in A/R, collection rate, denial rate)Cash flow managementFinancial reporting accuracy and timelinessProvider productivity reportingCost reduction and efficiency initiativesAudit complianceEmployee engagement and finance team development

    Physical Requirements

    Ability to work in a standard office environment.Occasional travel between practice locations may be required.Prolonged periods of sitting and computer work.

    Compensation

    Competitive executive salaryAnnual performance incentive/bonusComprehensive benefits package.401(k) with employer contributionPaid time off and continuing education support Read Less

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Astrid-Lindgren-Weg 12 38229 Salzgitter Germany