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Employment opportunities may arise and exist from time to time. We are dedicated and hard working people who work as a team.

In addition to a very competitive salary, full time employees are offered Health Benefits, Paid time off, and may choose to participate in a 401K plan.

Positions will be posted as they become available.

Medical Assistant / LPN:

  • must be a certified medical assistant or LPN
  • CPR certified
  • must be able to travel to Hampton and Williamsburg offices
  • able to multitask and work in a fast paced environment
  • experience preferred

email resume to tidewaterorthojobs@gmail.com

Commercial Billing Specialist:

Very busy Orthopaedic practice in Hampton has an opening in its billing department for a Commercial Insurance Billing Specialist with strong appeals and follow-up experience.

Responsibilities

  • Maintains current knowledge of all office operations, job specific requirements and related regulations.
  • Reviews all claims for completeness, reasonableness of charges, and appropriateness of billing codes, and payer information.
  • Pursues timely collection of each claim using thorough follow-up efforts appropriate to each payer.
  • Reviews, makes corrections to, and insures the legibility of outgoing secondary bills, and other correspondence before sending.
  • Handles all incoming phone calls and inquiries in an appropriate manner.
  • Properly processes and responds to incoming correspondence.
  • Contacts and effectively communicates with all parties involved in the resolution of accounts placed.
  • Completes work request timely and in accordance with instruction.
  • Performs all the task necessary to maintain current and accurate account information in each of the appropriate systems (i.e. entering notes, claims on hold).
  • Forwards and logs all documentation related to processes and duties which are transferred to other employees.
  • Brings problems and troubling accounts, as well as related questions, to his/her immediate supervisor’s attention daily.
  • Exercised good judgment and makes sound decisions in the absence of detailed instructions or in an emergency.
  • Treats client request with a high priority. Quickly informs supervisor and any other personnel needed to help carry out the request timely, accurately, and per instruction.
  • Strives to improve current operations by identifying inefficiencies and recurring problems, and by making suggestions to the immediate supervisor.
  • Adapts and conforms to company and client requirements not specified in this job description/performance review.
  • Promotes Medicare compliance and helps to identify the necessary resources to meet the needs of its customers.
  • Practice and adhere to the “Standards of Conduct” philosophy and “Mission and Value Statement”
  • Other duties as assigned

Work Experience Required

  • Minimum 2 years’ experience working with third party payers
  • Knowledge of Commercial Insurance regulations and appeals process.
  • Knowledge of 1500 billing.
  • Knowledge of ICD-9/10 and CPT-4 coding.
  • Analytical and organizational skills.
  • Ability to identify, set, and follow priorities.
  • Knowledge of physicians’ business office operations.
  • Strong PC and data entry skills.
  • Ability to communicate effectively with employees, clients, and others.
  • Character to maintain strict confidentiality.

Educational Requirements

  • High School Diploma

email resume to tidewaterorthojobs@gmail.com

DME Coordinator

Tidewater Orthopaedics is seeking a DME Coordinator to work primarily in the Hampton location. The DME Coordinator works closely with the providers to facilitate the patients treatment plan. This individual must poses strong customer service skills with the ability to multitask at a fast pace.

Medical Assistant or Orthopedic Tech preferred!

Schedule/Hours: Monday thru Friday, hours range from 7:30am - 5:30 pm

Responsibilities

  • Meets with patients for fitting and provides education regarding the medical device
  • Reviews pricing and collects payments
  • Works with insurance carriers to obtain pre-authorizations
  • Completes all necessary DME paperwork for insurance carriers
  • Responsible for maintaining inventory at set levels
  • Assists in the integration of new products

Work Experience Required

  • Minimum 2 years’ experience working with third party payers
  • Previous DME experience preferred
  • Great customer service skills
  • Basic computer skills
  • Previous experience with electronic health record preferred
  • In lieu of DME experience, previous medical assisting and/or orthopedic tech experience desired

Educational Requirements

  • High School Diploma

email resume to tidewaterorthojobs@gmail.com

Patient Referral Coordinator

Tidewater Orthopaedics is seeking a Patient Referral Coordinator to work primarily in the Williamsburg location. The Patient Referral Coordinator works closely with the entire clinical team to facilitate outgoing referrals. This individual must poses exceptional customer service, great communication and good organization skills

Schedule/Hours: Monday thru Friday, hours range from 7am - 5:30 pm

Responsibilities

  • Meets with patients to schedule diagnostic tests, procedures and follow-up care
  • Works with insurance carriers to obtain pre-authorizations
  • Communicates with the clinical team to create a closed-loop referral system
  • Responds to patient inquiries in a timely manner
  • Responsible for maintaining and updating the referral information in the electronic health record

Work Experience Required

  • High School Diploma
  • Great customer service skills
  • Basic computer skills
  • Good communication skills
  • Previous experience with electronic health record preferred
  • Previous medical experience preferred but not required

Educational Requirements

  • High School Diploma

email resume to tidewaterorthojobs@gmail.com

Medicare/Medicaid AR Specialist

Very busy Orthopaedic practice in Hampton has an opening in its billing department for a Medicare/Medicaid Billing Specialist with strong appeals and follow-up experience. Training in Hampton, permanent position in Williamsburg
Schedule/Hours: Monday thru Friday, hours range from 7am - 5:30 pm

Responsibilities

  • Maintains current knowledge of all office operations, job specific requirements and related regulations.
  • Reviews all claims for completeness, reasonableness of charges, and appropriateness of billing codes, and payer information.
  • Pursues timely collection of each claim using thorough follow-up efforts appropriate to each payer.
  • Reviews, makes corrections to, and insures the legibility of outgoing secondary bills, and other correspondence before sending.
  • Handles all incoming phone calls and inquiries in an appropriate manner.
  • Properly processes and responds to incoming correspondence.
  • Contacts and effectively communicates with all parties involved in the resolution of accounts placed.
  • Completes work request timely and in accordance with instruction.
  • Performs all the task necessary to maintain current and accurate account information in each of the appropriate systems (i.e. entering notes, claims on hold).
  • Forwards and logs all documentation related to processes and duties which are transferred to other employees.
  • Brings problems and troubling accounts, as well as related questions, to his/her immediate supervisor’s attention daily.
  • Exercised good judgment and makes sound decisions in the absence of detailed instructions or in an emergency.
  • Treats client request with a high priority. Quickly informs supervisor and any other personnel needed to help carry out the request timely, accurately, and per instruction.
  • Strives to improve current operations by identifying inefficiencies and recurring problems, and by making suggestions to the immediate supervisor.
  • Adapts and conforms to company and client requirements not specified in this job description/performance review.
  • Promotes Medicare compliance and helps to identify the necessary resources to meet the needs of its customers.
  • Practice and adhere to the “Standards of Conduct” philosophy and “Mission and Value Statement”
  • Other duties as assigned

Work Experience Required

  • Minimum 2 years’ experience working with third party payers
  • Knowledge of Medicare regulations and appeals process.
  • Knowledge of 1500 billing and SNF billing.
  • Knowledge of ICD-9/10 and CPT-4 coding.
  • Analytical and organizational skills.
  • Ability to identify, set, and follow priorities.
  • Knowledge of physicians’ business office operations.
  • Strong PC and data entry skills.
  • Ability to communicate effectively with employees, clients, and others.
  • Character to maintain strict confidentiality.

Educational Requirements

  • High School Diploma

email resume to tidewaterorthojobs@gmail.com

Medicare AR Specialist

Very busy Orthopaedic practice in Hampton has an opening in its billing department for a Medicare Billing Specialist with strong appeals and follow-up experience. Training in Hampton, permanent position in Williamsburg
Schedule/Hours: Monday thru Friday, hours range from 7am - 5:30 pm

Responsibilities

  • Maintains current knowledge of all office operations, job specific requirements and related regulations.
  • Reviews all claims for completeness, reasonableness of charges, and appropriateness of billing codes, and payer information.
  • Pursues timely collection of each claim using thorough follow-up efforts appropriate to each payer.
  • Reviews, makes corrections to, and insures the legibility of outgoing secondary bills, and other correspondence before sending.
  • Handles all incoming phone calls and inquiries in an appropriate manner.
  • Properly processes and responds to incoming correspondence.
  • Contacts and effectively communicates with all parties involved in the resolution of accounts placed.
  • Completes work request timely and in accordance with instruction.
  • Performs all the task necessary to maintain current and accurate account information in each of the appropriate systems (i.e. entering notes, claims on hold).
  • Forwards and logs all documentation related to processes and duties which are transferred to other employees.
  • Brings problems and troubling accounts, as well as related questions, to his/her immediate supervisor’s attention daily.
  • Exercised good judgment and makes sound decisions in the absence of detailed instructions or in an emergency.
  • Treats client request with a high priority. Quickly informs supervisor and any other personnel needed to help carry out the request timely, accurately, and per instruction.
  • Strives to improve current operations by identifying inefficiencies and recurring problems, and by making suggestions to the immediate supervisor.
  • Adapts and conforms to company and client requirements not specified in this job description/performance review.
  • Promotes Medicare compliance and helps to identify the necessary resources to meet the needs of its customers.
  • Practice and adhere to the “Standards of Conduct” philosophy and “Mission and Value Statement”
  • Other duties as assigned

Work Experience Required

  • Minimum 2 years’ experience working with third party payers
  • Knowledge of Medicare regulations and appeals process.
  • Knowledge of 1500 billing and SNF billing.
  • Knowledge of ICD-9/10 and CPT-4 coding.
  • Analytical and organizational skills.
  • Ability to identify, set, and follow priorities.
  • Knowledge of physicians’ business office operations.
  • Strong PC and data entry skills.
  • Ability to communicate effectively with employees, clients, and others.
  • Character to maintain strict confidentiality.

Educational Requirements

  • High School Diploma

email resume to tidewaterorthojobs@gmail.com

Charge Entry Specialist

The charge entry specialist is responsible for carefully reviewing a variety of data related to patient care and inputting or updating this information with a narrow margin of error. This data includes but is not limited to demographics, patient billing, insurance information, CPT/HCPCS codes, ICD-10 codes, and provider information.

This position reports to the Business Office Manager, and requires a minimum of two-year experience in the position at a medical facility.

Responsibilities

  • Posting charges to appropriate accounts, including inputting and validating registration in accordance with department procedures.
  • Process charges within 48 hours of being locked and communicates possible problems to appropriate work team for resolution
  • Assigning appropriate medical codes to all diagnosis or services
  • Research and Verifies accuracy of all insurance billing information including authorizations
  • Make necessary corrections to patient accounts and charges for accurate electronic submission
  • Performs detailed data collection for tracking and monitoring charge entry related items
  • Revise any errors including payer specific billing and coding edits
  • Reviews Electronic Health System and Operative reports to enter service codes
  • Informs and coordinates with authorization team for absent pre-certifications
  • Understands and adheres to the insurance carrier’s claims submission guidelines
  • Familiar with secondary insurance billing and filing claims on paper
  • Familiar with month end reconciliation and closing process

Minimum requirements:

  • High School Diploma or Equivalent
  • 2 years previous experience as a Charge Entry Specialist
  • Basic knowledge of Microsoft Office and Outlook (Word, Excel, PPT, Access)
  • Basic Medical Terminology and Medical Coding
  • Basic Understanding of Insurance Billing procedures and practices
  • Ability to communicate with the general public in a courteous manner
  • Excellent Oral and Written Communication Skills
  • Familiar with Insurance Terminology, Billing Practices, Benefit Verification and Eligibility
  • Familiar with Electronic Health System/Electronic Records System
  • Proficient with Online Payer Resources

Preferred requirements

  • Certified Professional Coder Certificate from a Nationally recognized and accredited organization
  • Familiar with EClinical Works

Job Type: Full-time

email resume to tidewaterorthojobs@gmail.com

Insurance Verification Clerk

The Insurance Verification Clerk is responsible for collecting and verifying insurance information for each patient prior to the time of appointment.

Responsibilities

  • Verifies all insurance information including authorizations, benefits, coverage, electronic payer ID# and claims mailing address
  • Informs Pre-Admission clerk of any co-payments and/or deductibles that need to be collected
  • Reviews and corrects all insurance information in the patient account system, including but not limited to any deductible, co-payment or patient payments that need to be collected at the time of service
  • Informs patient and Medical Receptionist of any deductible, co-payment or patient payments
  • Provide back-up support for business office staff
  • Works cooperatively with Scheduler and Pre-Admission clerk for cancellations, additions and any changes to the schedule
  • Collaborates with Medical Biller on Insurance Authorizations, claim numbers and adjusters
  • Communicates with any and every Adjuster, Nurse Case Manager and Benefits organizer for authorizations and plan coverage
  • Works with the Scheduler for accurate information from the referring physician’s offices into the computer system
  • Entering data in an accurate manner and update patients benefits in patient accounting system
  • Enters accurate and detailed notes on accounts
  • Conducts self in accordance with TOA’s employee handbook
  • Maintains strictest confidentiality and adheres to all HIPAA guidelines/regulations
  • Performs other duties pertinent to the business office as requested by Business office Director

Qualifications

  • Basic Typing and 10-key Skill
  • Knowledge of insurance terminology, billing and practices
  • Experience with insurance benefit verification and eligibility
  • Knowledge of EHR/EMR System
  • Proficient with online payer resources
  • Basic knowledge of Microsoft Office and Outlook (PPT, Excel, Word, Access)
  • Basic medical terminology and medical coding
  • Basic understanding of insurance billing procedures and practices
  • Basic understanding of insurance contracts and reimbursement practices
  • Filing, Scanning, Copying, Faxing
  • Organizational skills
  • Detail oriented
  • Ability to work with professional and non-professional personnel
  • Ability to communicate with general public in a courteous manner
  • Excellent oral and written communication

email resume to tidewaterorthojobs@gmail.com

Surgery Scheduler

Assists the physician by coordinating surgery dates and times with multiple hospitals; coordinates all pre-operative requirements including clearances, DME, necessary labs and forms. Maintains and updates Physician’s operative calendar. Receives and follows-up with all surgical referrals.

Other duties as assigned

  • Schedule surgery to include coordination with hospital, outside vendors, and physician schedule
  • Provide verbal and written instruction to the patient in regards to surgery and additional appointments needed
  • Make pre and post op appointments for patients to include H & P , post op appointments, medical, cardiac and dental clearances
  • Set up home health and authorize with insurance company
  • Acquire therapy appointments for patients to include authorization with insurance company
  • Prepare surgical packets for the physician to include all pertinent paperwork and discharge instructions for patient
  • Triage medical problems for patients and consult physician for resolution
  • Call in prescriptions designated by the physician to pharmacy and authorize with insurance company as needed
  • Update surgical referrals in a timely manner 
  • Follow-through with all referrals to include authorization and billing requirements
  • Other duties as assigned
  • Ability to communicate effectively with physicians and fellow co-workers
  • Demonstrates flexibility as a team member
  • Organized and able to manage time effectively

REQUIREMENTS

  • Able to multi-task and prioritize assignments
  • High School Diploma
  • Certified Medical Assistant highly preferred
  • Experience scheduling high volume surgeries highly preferred
  • 2 years Medical Experience required


Job Type: Full-time

email resume to tidewaterorthojobs@gmail.com