The Clinical Director is responsible for the smooth running of the clinic, including managing clinical staff, ensuring patient safety, as well as developing and implementing policies.
Education
· Bachelor’s degree in healthcare administration, health science, or related area (required)
· Master’s degree in public health administration or a related discipline (preferred)
Experience
· 5-7 years in a clinical management role
· Ability to communicate effectively with physicians, patients and the public
Read LessESSENTIAL FUNCTIONS:
Prepare requests for treatment to be authorized by worker’s compensation carriers, both state and federal claims, via fax, email, and online. Correspond with all worker’s compensation adjusters and nurse case managers to ensure we get a response and that it’s in accordance to guidelines. Prepare 1010A’s and 1009’s when necessary and justified. Keep record of all new patient referrals, patients that do not show up for or cancel their appointments, all requested treatment sent out for approval, and all requested treatment that is denied. Operate office equipment, such as voice mail messaging systems, facsimile, scanner, and use work processing, spreadsheet, or other application to prepare reports, invoices, financial statements, letters, case histories, or medical records.The job holder must demonstrate current competencies for job position.
EDUCATION:
High school diploma or GED
EXPERIENCE:
Minimum two to three years of experience in medical billing. Must be able to communicate effectively with physicians, patients and the public and capable of establishing good working relationships with both internal and external customers.REQUIREMENTS:
Medical office experience. Knowledge of workers compensation processes and guidelines.KNOWLEDGE:
Knowledge of the physician billing processes, 1010A’s and 1009’s. Knowledge of computer systems. Advanced computer knowledge, including Window based programs.SKILLS:
Skill in customer service and an understanding of LOS’ code of conduct. Skill in using computer programs and applications including Microsoft Excel, Microsoft Word and Outlook. Skill in establishing good working relationships with both internal and external customers.ABILITIES:
Ability to multi task in a fast- paced environment. Must be detailed oriented with strong organizational skills. Ability to understand patient demographic information and determine insurance eligibility. Ability to work independently and demonstrate the ability to analyze data.ENVIRONMENTAL/WORKING CONDITIONS:
Normal office environment.PHYSICAL/MENTAL DEMANDS:
Requires sitting and standing associated with a normal office environment. Some bending and stretching required. Manual dexterity using a calculator and computer keyboard.This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.
ESSENTIAL FUNCTIONS:
Reviews insurance denials and rejections to determine next appropriate action steps and obtain necessary information to resolve any outstanding denials/rejections. Verifies patient demographic information and insurance eligibility including coordination of benefits; updates and confirms as necessary to allow processing of claims to insurance plans. Verifies receipt of claim with insurance plans, determining the next appropriate action step. Researches all information needed to complete billing process including obtaining information from providers, ancillary services staff and patients. Assists patients and family members with billing and account questions including following up with insurance companies and internal departments as needed. Maintains satisfactory productivity rates and ensures the timeliness of claims reimbursement from insurance payers. Assumes full responsibility of reducing the accounts receivable of insurance balances by working through outstanding accounts. Analyzes accounts for proper claims processing and payment posting through inquiries from patients or staff. Communicates with insurance and collection agencies. Completes daily requests and working through obstacles on account balance to ensure maximum reimbursement. Identifies and communicates trends and/or potential issues to Billing Supervisor. Follows and maintains all LOS policies and procedures, including those specific to billing. Maintains account receivables, identifying potential problems through registration, charge corrections, duplicate accounts and refunds. Has an understanding of accounts receivable posting process for medical billing including: charges, payments and adjustments.The job holder must demonstrate current competencies for job position.EDUCATION:
High school diploma or GED.EXPERIENCE:
Minimum two to three years of experience in medical billing. Must be able to communicate effectively with physicians, patients and the public and capable of establishing good working relationships with both internal and external customers.REQUIREMENTS:
None.KNOWLEDGE:
Knowledge of the physician billing processes, ICD-10 and CPT coding. Knowledge of computer systems. Advanced computer knowledge, including Window based programs.SKILLS:
Skill in customer service and an understanding of LOS’ code of conduct. Skill in using computer programs and applications including Microsoft Excel, Microsoft Word and Outlook. Skill in establishing good working relationships with both internal and external customers.ABILITIES:
Ability to multi task in a fast- paced environment. Must be detailed oriented with strong organizational skills. Ability to understand patient demographic information and determine insurance eligibility. Ability to work independently and demonstrate the ability to analyze data.ENVIRONMENTAL/WORKING CONDITIONS:
Normal office environment.PHYSICAL/MENTAL DEMANDS:
Requires sitting and standing associated with a normal office environment. Some bending and stretching required. Manual dexterity using a calculator and computer keyboard.The job holder must demonstrate current competencies for job position.
BA/BS, MS preferred. Graduate of AMA accredited physician assistant program.
Minimum of one-year experience as a physician assistant in a clinic or hospital. Experience in orthopedics is preferred.
Current state PA license, certified by National Commission on Certification of Physician Assistants, current CPR certification.
Knowledge of acute and chronic protocols, administration of medications, delivering physical care following treatment plan.
Knowledge of how to assess patient health and measure/record physiologic and growth indices.
Knowledge of health promotion principles and techniques and patient learning measurements.
Skill in gathering and analyzing physiological, socioeconomic and emotional patient data.
Skill in accurately evaluating patient problems in person or via phone and providing appropriate advice, intervention or referral.
Skill in evaluating and revising care plan based on patient changes.
Ability to make responsible decisions within the scope of dependent medical practitioner.
Ability to develop health education programs and materials.
Ability to work collaboratively with all members of the health care team.
ESSENTIAL FUNCTIONS:
Assesses patient health status including state of wellness, compliance with care plan and determines appropriate diagnostic and therapeutic procedures,Provides acute and chronic patient care including taking histories, doing physicals, monitoring therapies, giving injections and medications, suturing wounds.Triages patient calls and evaluates patient problems.Responds to emergencies including the use of CPR.Documents patient information and care provided in patient record and maintains patient statistics.Educates patients and families as appropriate. Provides continuity of care.Assists the physicians with surgeries in the operating room.Participates in rounds at the hospital and responds to patient calls received after hours and on weekends.Consults with other staff as necessary.Maintains patient confidentiality.The job holder must demonstrate current competencies for job position.
EDUCATION:
BSN, MSN preferred. Successful completion of an approved Nurse Practitioner program and Surgical 1st Assist Certification (if required).
EXPERIENCE:
Minimum of two years professional nursing experience in a clinic or hospital environment and two years of Nurse Practitioner experience. Orthopedic experience preferred.
REQUIREMENTS:
Current LA state RN license, DEA and Board Certified.
KNOWLEDGE:
Knowledge of acute and chronic protocols, administration of medications, delivering physical care following treatment plan.Knowledge of how to assess patient health.Knowledge of health promotion principles and techniques and patient learning measurements.SKILLS:
Skill in gathering and analyzing physiological, socioeconomic and emotional patient data.Skill in accurately evaluating patient problems in person or via phone and providing appropriate advice, intervention or referral.Skill in evaluating and revising care plan based on patient changes.ABILITIES:
Ability to make responsible decisions within the scope of dependent medical practitioner.Ability to develop health education programs and materials.Ability to work collaboratively with all members of the health care team.ENVIRONMENTAL/WORKING CONDITIONS:
Normal office environment. Some travel within community.
PHYSICAL/MENTAL DEMANDS:
Requires sitting and standing associated with a normal office environment. Some bending and stretching required. Manual dexterity using a calculator and computer keyboard.
This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve
1. Promptly greets and acknowledges patients. Informs MAs and Providers of patient’s arrival.
2. Instructs patients in completion of medical history and patient information forms, and makes any necessary corrections to the patients account. Obtains accurate, complete demographic and insurance information and financial contract / consent on patient paperwork as well as interviewing patients and guarantors to obtain accurate information.
3. Responsible for identifying and collecting co-payments, co-insurances and past due account balances.
4. Explains financial requirements to the patient in response to patient questions on billing and insurance matters; refers questions regarding more complex insurance/benefits questions to Site Billing Specialist.
5. Evaluates patient financial status and establishes payment plans based upon authority levels.
6. Responsible for accurately completing and interpreting insurance verification and benefits. Notifies patients, family members, physicians and/or supervisors of network insurance coverage issues that may result in coverage reduction.
7. Scans all new patient or updated patient information into computer (including photo ID, insurance cards, referrals, and patient paperwork).
8. Reviews with patient their estimated out of pocket responsibility for future appointments, reviews patient's insurance coverage and notifies patient if service requires an authorization or referral
9. Maintains general knowledge of insurance plans accepted by LOS.
10. Communicates with the patients in the lobby if the physician or provider is running behind schedule.
11. Responsible for maintaining a secure and accurate cash drawer. Responsible for daily balancing of cash drawer.
12. Maintains strictest patient confidentiality.
The job holder must demonstrate current competencies for job position including a general understanding of insurance requirements.
Requirements:Qualifications and Requirements
1.High school diploma or GED
2. Successful candidate must have a minimum of one year of patient registration experience in a medical office or healthcare setting.
3. Requires knowledge of insurance rules and regulations, medical terminology, and computer scheduling systems.
4. Must be able to communicate effectively with physicians, patients, and the public and be capable of establishing good working relationships with both internal and external customers.
5. Must be able to type a minimum of 40 WPM. Previous experience in collecting money is preferred.
6. Knowledge of insurance rules and regulations including eligibility and referral requirements. Able to verify eligibility of each payer, per patient according to defined parameters.
7. Knowledge of medical terminology and HIPAA Guidelines.
8. Computer knowledge, including Windows based programs.
9. Ability to maintain patient confidentiality.
10. Ability to communicate with upset and frustrated patients while consistently providing excellent customer service. Demonstrate empathy, concern, good listening skills, and compassion for all patients.
Read LessJob Type: Full Time
Shift: 8am- 8pm
Responsibilities
- Responsible for identifying and collecting deductibles, co-insurance, and past due account balances.
- Explains financial requirements to the patient in response to patient questions on billing and insurance matters; refers questions regarding more complex insurance/benefits questions to Site Billing Specialist.
- Evaluates patient financial status and establishes payment plans based upon authority levels.
- Responsible for accurately completing and interpreting insurance verification and benefits. Notifies patients, family members, physicians and/or supervisors of network insurance coverage issues that may result in coverage reduction.
- Scans all patient surgery estimate information into the patient’s chart.
- Reviews with patients their estimated out of pocket responsibility for surgery.
- Maintains general knowledge of insurance plans accepted by LOS.
- Responsible for daily balancing of collections.
- Maintains strictest patient confidentiality.
The job holder must demonstrate current competencies for job position including a general understanding of insurance requirements.
Qualifications and Requirements
- High school diploma or GED
- Understanding of insurance rules and regulations including eligibility and referral requirements. Able to verify eligibility of each payer, per patient according to defined parameters.
- Requires knowledge of insurance rules and regulations, medical terminology and computer scheduling systems. Must posses knowledge of insurance rules and regulations including eligibility and referral requirements. Able to verify eligibility of each payer, per patient according to defined parameters.
- Must be able to communicate effectively with physicians, patients and the public as well as be capable of establishing good working relationships with both internal and external customers.
- Skills in customer service.
- Skills in communicating effectively with providers, clinical staff and the public.
- Skill in establishing good working relationships with both internal and external customers.
* If a candidate does not possess the required knowledge, the candidate will be given benchmarks and assessed on a candidate-by-candidate basis. *
Read LessESSENTIAL FUNCTIONS:
Performs radiology procedures as ordered by physicians and providers.Uses equipment in compliance to all safety requirements.Complies with all HIPAA and OSHA requirements.Reports any patient complaints or concerns to the Clinical Supervisor.Establishes and maintains effective communication with physicians, employees and other departments.Responds to patient questions as required to resolve issues and maintain high patient satisfaction levels.Maintains patient confidentiality.Attends required department staff meetings.The job holder must demonstrate current competencies for job position.
EDUCATION:
Certificate and or Associates Degree in Radiology Technology and current ARRT certification.
EXPERIENCE:
One – two-year experience as a Radiology Technologist in a hospital or urgent care facility.
CERTIFICATE/LICENSE: Current state and ARRT certification with the American Registry of Radiologic Technologists.
KNOWLEDGE:
Knowledge of radiology exam policies and procedures.Knowledge of operating a PC and applicable computer software.Knowledge of safety requirements within the department.SKILLS:
Skill in production of radiology exams.Skill in obtaining patient information via the computer.Skill in maintaining professional relationships with patients, family members and the public.ABILITIES:
Ability to effectively care for patients.Ability to communicate clearly to patients, family members and staff.Ability to maintain professional relationships with providers.ENVIRONMENTAL/WORKING CONDITIONS:
Position is performed in a high demand urgent care facility
PHYSICAL/MENTAL DEMANDS:
Requires sitting and standing associated with a normal office environment. Combination of bending, lifting and transferring activities. Manual dexterity using a calculator and computer keyboard.
ORGANIZATIONAL REQUIREMENTS:
OSHA Requirements and training to include: *Safety Training.This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.
ESSENTIAL FUNCTIONS:
Assesses patient condition, establishes goals, treatments and care plan in conjunction with the physician, patient/family.Ensures that appropriate treatment is performed in interdisciplinary fashion, consulting with physicians about impact of occupational therapy factors on the patient’s health status.Documents findings, treatments and other patient information for the medial record.Educates patient/family on appropriate care and use of various therapies/exercises.Serves as information/education resource for patients, families and staff.Supervises Occupational Therapy Assistants and Therapy Technicians in course of patient careServes as a resource to Rehabilitation staff.Fabricates and modifies splints and bracesAssists the director with patient care issues as needed.Maintains patient confidentiality.Participate in team meetings as needed.The job holder must demonstrate current competencies for job position.
EDUCATION:
Requires a master’s degree or a Bachelor’s degree if degreed program was grandfathered. Current certification as an Occupational Therapist.
EXPERIENCE:
Seeking an Occupational Therapist with experience in an outpatient therapy clinic, preferably with a focus on orthopedic and upper extremity conditions. Candidates who are Certified Hand Therapists (CHT) or are actively pursuing CHT certification are strongly encouraged to apply.
REQUIREMENTS:
Current Louisiana state license.
SUMMARY:
This position focuses on the evaluation and treatment of hand, wrist, elbow, and shoulder orthopedic conditions. The therapist will work with a diverse patient population recovering from injuries, surgeries, or chronic conditions, helping restore strength, mobility, and function in the upper extremity.
KNOWLEDGE:
Knowledge of occupational therapy principles, standards and applications.Knowledge of upper extremity anatomy, biomechanics, and familiarity with orthopedic protocols.Familiarity with splinting principles and post-operative rehabilitation guidelinesKnowledge of clinic policies, procedures, regulations, safety/infection control, and quality control.Knowledge of how to use therapy equipment.Knowledge of medical terminology.SKILLS:
1. Skilled in evaluation and treatment of hand, wrist, elbow, and shoulder conditions
2. Proficient in manual therapy, therapeutic exercise prescription, and neuromuscular re-education techniques (or willingness to train)
3. Ability to fabricate or adjust custom splints and orthoses (or willingness to train)
4. Strong communication skills with patients, physicians, and interdisciplinary team members
5. Effective clinical reasoning and decision-making to deliver individualized, evidence-based care
6. Competency in EMR systems for documentation of evaluations, progress notes, and outcomes
7. Recognition of patient safety and fall risks with appropriate intervention strategies
8. Skill in effectively communicating with in-house as well as external physicians and referral sources as well as skills germane to clinicians such as planning, problem solving, decision making, and motivating others.
ABILITIES:
Ability to establish/maintain effective working relationships with patients, providers and staff.Ability to communicate clearly and timely in verbal and written form.Ability to be a resource to patients and staff.ENVIRONMENTAL/WORKING CONDITIONS:
Normal office environment. Some travel within community between locations may be needed.
PHYSICAL/MENTAL DEMANDS:
Requires sitting and standing associated with a normal office environment. Some bending and stretching required. Manual dexterity using a calculator and computer keyboard. Requires occasional support all size patients in transfers. Ability to lift 50 lbs. floor to waist. Demands of kneeling, squatting, overhead lifting, upper extremity motion, and strength to perform range of motion and mobilization exercises on patients.
ORGANIZATIONAL REQUIREMENTS:
LOS employee handbook must be read, and acknowledgement receipt signed.OSHA Requirements and training.Adherence to LOS OIG Compliance ProgramThis description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.
