Growth Opportunities

Summary of Job: 

• Assist the provider with all aspects of patient care including but not limited to time of service patient triage, results follow up and patient communication  

Duties and Responsibilities: 

1. Review, sign and maintain all clinical protocols as relayed by the Clinical Supervisor. 
2. Assist assigned provider by gathering clinical information and entering it into the EHR. 
3. Respond, resolve, and document all patient correspondence.  
4. Ensure accurate documentation with a clear audit trail. 
5. Ensure MIPS compliance throughout the clinical workflow.   
6. Complete time of service patient triage including but not limited to obtaining medical history, medications and vitals. 
7. Complete any and all medication pre-authorizations. 
8. Monitor all orders entered by assigned provider to ensure each order is completed timely based on clinical protocols.  
9. Perform other tasks as needed or directed by the UAMPA management team. 

Minimum Job Qualifications: 

1. Required license: certified medical assistant or equivalent 
2. Three + years of relevant experience required 

Job Requirements: 

1. Employee must be able to communicate clearly with patients. 
2. Employee must be able to keep an organized workflow and effectively manage multiple tasks at one time. 
3. Employee must be able to be active and mobile for an eight hour period. 

Summary of Job:  

• Field all incoming phone calls, document calls when appropriate, schedule appointments and task additional staff as needed. 

Duties and Responsibilities:  

1. Field all patient phone calls. For questions that can be answered, ensure detailed documentation is present in the patient record. For urgent calls, route to the appropriate staff. For all other calls, task to the proper personnel. 
2. Ensure all fielded calls that are tasked out are completed within 24 hours. 
3. Schedule all appointment requests via phone. For new patients, ensure a full registration is completed. 
4. Perform other tasks as needed or directed by the UAMPA management team. 

Minimum Job Qualifications: 

1. GED required 
2. 2 + years of relevant experience preferred 

Job Requirements: 

1. Employee must be able to communicate clearly with patients. 
2. Employee must be able to keep an organized workflow and effectively manage multiple tasks at one time. 
3. Employee must be able to be active and mobile for an eight hour period. 

Job Summary:

• The Billing Phone Operator is responsible for answering the billing phone line, transferring calls as needed, and addressing certain billing-related questions. This role requires strong communication skills, a customer-focused approach, and the ability to handle sensitive information in a confidential manner.

Duties and Responsibilities:

• Answer the billing phone line promptly and professionally.
• Transfer calls to the appropriate departments or team members as needed.
• Respond to basic billing inquiries and assist with billing-related issues.
• Maintain accurate and detailed records of all call interactions.
• Address patient concerns regarding billing statements, insurance claims, and payment plans.
• Verify patient information and update billing records as needed.
• Ensure compliance with HIPAA and other privacy regulations when handling patient information.
• Assist the billing department with administrative tasks related to patient accounts, as assigned.

Minimum Job Qualifications:

• High school diploma or equivalent required.
• One year of relevant experience in a customer service or phone operator role preferred.
• Basic understanding of medical billing and insurance processes is desirable.
• Excellent communication and interpersonal skills, both written and verbal.
• Proficient with phone systems and basic computer skills, including electronic health record (EHR) software.
• Ability to maintain a professional and positive demeanor in high-pressure situations.
• Strong organizational skills with attention to detail and accuracy.

Physical Requirements:

• Employee must be able to sit for extended periods while handling phone calls.
• Employee must be able to manage multiple calls and tasks simultaneously.

Summary of Job: 

• Work with your assigned payers to ensure accurate payment for all denied and partially denied insurance claims.

Duties and Responsibilities:

1. Work insurance A/R worklist within the EHR. Review all unpaid or denied claims. Work with the patient, the office staff, and the insurance company to correct claims related issues in order to obtain payment. Document all work within the PM system.
2. Ensure foundation grants received needed documentation to process payments.
3. Ensure bulk eligibility.
4. Answer the phone in a timely manner and document all pertinent patient encounters.
5. Obtain referrals for patients seeing physicians in the practice.
6. Review accounts with credits. Review posting to make sure accurate and start the refund with patients and/or insurance.
7. Perform other tasks as needed or directed by management.

Minimum Job Qualifications:

1. GED Required
2. Five + years of relevant experience required

Job Requirements:

1. Employee must be able to communicate clearly with patients.
2. Employee must be able to keep an organized workflow and effectively manage multiple tasks at one time.
3. Employee must be able to be active and mobile for an eight hour period.

Summary of Job: 

The Appeals Coordinator is responsible for managing the insurance denial appeals process for a urology clinic, focusing on claims that have been down-coded or denied by Medicare HMOs, commercial payers, and Medicare. This position ensures timely and appropriate appeals, maintains accurate documentation in compliance with OIG standards, and generates actionable insights through detailed reporting. 

Duties and Responsibilities: 

1. Denial Review and Appeals 

• Review insurance denials related to coding discrepancies and other claim issues provided by the billing department. 

• Assess claims for appropriateness of appeal based on clinical documentation and payer guidelines. 
• Prepare and submit thorough appeal packets to payers with required supporting documentation. 

1. Documentation and Compliance 

• Maintain accurate and complete records of all appeals in the OIG Compliance Manual. 

• Ensure all documentation meets legal and regulatory compliance requirements. 

• Collaborate with the compliance team to address any identified trends in payer denials. 

1. Data Management and Reporting 

• Record details of each denial and appeal in a centralized spreadsheet, capturing key metrics 

• Generate statistical reports and analysis based on appeal outcomes and denial trends. 

• Provide insights to the billing and leadership teams to improve denial management processes. 

1. Communication and Collaboration 

• Communicate with payers to resolve denials and appeal discrepancies. 

• Work closely with the billing department, providers, and coders to clarify documentation and coding issues. 

• Educate staff on common reasons for denials and ways to prevent them. 

Minimum Job Qualifications: 

Education:  

• High school diploma or equivalent required; associate or bachelor’s degree in healthcare administration, business, or a related field preferred. 

Experience: 

• Minimum of 2 years of experience in medical billing, coding, or appeals. 

• Knowledge of HIPAA regulations and commitment to patient confidentiality. 

• Ability to work independently and manage multiple tasks simultaneously. 

Job Requirements: 

• Strong understanding of medical billing and coding principles, including E&M coding. 

• Familiarity with Medicare, commercial payer policies, and denial appeal processes. 

• Proficiency in Microsoft Excel and other data management tools. 

• Excellent organizational skills and attention to detail. 

• Effective written and verbal communication skills. 

Summary of Job:  

• Field and document all incoming clinical related phone calls completing those you can and messaging the appropriate staff member for all other. 

Duties and Responsibilities:  

1. Triage all patient and provider phone calls related to clinical issues. Answer questions based on UAMPA protocol and ensure thorough documentation. For those questions that require Provider Nurse input, message the message to the Provider Nurse and track his/her progress to ensure the task is worked within 24 hours. 
2. Complete all over-the-phone medication refills based on UAMPAs protocols. 
3. Schedule patient appointments as needed. 
4. Maintain a professional and polite phone demeanor at all times. 
5. Perform other tasks as needed or directed by the UAMPA management team. 

Minimum Job Qualifications: 

1. Required license: certified medical assistant or equivalent 
2. Three + years of relevant experience required 

Job Requirements: 

1. Employee must be able to communicate clearly with patients. 
2. Employee must be able to keep an organized workflow and effectively manage multiple tasks at one time. 
3. Employee must be able to be active and mobile for an eight hour period. 

Summary of Job: 

• Obtain pre-certification and benefits, alert patients of required copays/deductibles, and schedule all surgeries  

Duties and Responsibilities: 

1. Obtain pre-certification and benefits for surgeries, ordered by your assigned provider. Ensure pre-certification and benefits information is properly documented within the patient record. 
2. If patient benefits show a deductible or copay, ensure collection of this payment prior to performing a surgery. 
3. Schedule surgeries for your assigned provider based on UAMPA protocol.  Ensure both the patient and hospital confirm the scheduled slot. Properly document all scheduling within the patient record and provide the patient both verbal and written details regarding their surgery/study. 
4. Reschedule office appointments when replaced by a surgery. 
5. Respond to all patient phone calls regarding surgery questions within 24 hours 
6. Maintain a professional and polite phone demeanor at all times 
7. Perform other tasks as needed or directed by the UAMPA management team. 

Minimum Job Qualifications: 

1. GED required 
2. 3 + years of relevant experience required 

Job Requirements: 

1. Employee must be able to communicate clearly with patients. 
2. Employee must be able to keep an organized workflow and effectively manage multiple tasks at one time. 
3. Employee must be able to be active and mobile for an eight hour period. 

Summary of Job: 

• Obtain pre-certification and benefits, alert patients of required copays/deductibles, and schedule all diagnostic tests.

Duties and Responsibilities: 

1. Obtain pre-certification and benefits for imaging, and diagnostic tests ordered by your assigned provider. Ensure pre-certification and benefits information is properly documented within the patient record. 
2. If patient benefits show a deductible or copay, ensure collection of this payment prior to performing an in office study. 
3. Schedule imaging, and diagnostics tests for your assigned provider based on UAMPA protocol. Ensure both the patient and testing facility confirm the scheduled slot. Properly document all scheduling within the patient record and provide the patient both verbal and written details regarding their study. 
4. Respond to all patient phone calls regarding questions within 24 hours. Complete non-clinical patient requests and document using patient messaging. Any request that cannot be completed, task to the proper personnel. 
5. Maintain a professional and polite phone demeanor at all times 
6. Perform other tasks as needed or directed by the UAMPA management team. 

Minimum Job Qualifications: 

1. GED required 
2. 3 + years of relevant experience required.

Job Requirements: 

1. Employee must be able to communicate clearly with patients. 
2. Employee must be able to keep an organized workflow and effectively manage multiple tasks at one time. 
3. Employee must be able to be active and mobile for an eight hour period.