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Careers | Join Our Team

Do you want to join Kayal Orthopaedics? Check the list of open vacancies or contact usto get to know about open positions.

If you’re looking for a rewarding career that contributes to helping people restore their active, pain-free lives, consider joining the Kayal Orthopaedic Center team. We are hiring for the positions described below.

To apply, please complete the form at the bottom of the page, and a member of our team will be in touch with you soon.

  • Aging Specialist

    Reports to: Director of FinanceFLSA Status: Non-Exempt
    Education/Training: High School Diploma or EquivalentExperience: Prior medical office experience required.
    Summary: Collection of monies due from aging report.
    Kayal Orthopaedic Center, PC is looking for a skilled and experienced medical AR specialist who can effectively and aggressively pursue outstanding A/R and consistently generate revenue through professional billing practices and proper and ethical collection efforts.
    Duties: The AR specialist will generally act as an intermediary between our patients and their health insurance carrier. You must maintain a high level of professionalism and adhere to all debt collection rules and regulations.You will handle billing and collections, claim denials, claim appeal, patient accounts, and various administrative duties. All debt-related matters will be under your purview, and you will communicate regularly with insurance carriers and patients to pursue payments.
    Proficiency in the following areas is preferred:● Knowledge of insurance guidelines including HMO/PPO, Medicare, and other payer requirements and systems.● Knowledge of Orthopedic CPT and ICD-10 Coding, as well as modifiers and CCI edits.● Understanding various fee schedules, including but not limited to UCR, Medicare allowable rates, NJ PIP, etc.● Knowledge and understanding of explanation of benefits (EOB).● Effective verbal communication with insurance payers to resolve issues.● Ability to write solid appeal letters.● Customer service skills for interacting with patients regarding medical claims and payments.● Ability to work well in a team environment, ability to prioritize and time manage.● Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.● Knowledge of medical terminology.● Competent use of Microsoft Office.● Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).● Ability to multitask.
    Skills:● Oral Communication● Written Communication● Technical Communication● Customer Relations● Customer Service● Diplomacy● Organization● Planning● Professionalism● Presentation● Reading● Time Management● Computer Literacy

  • Front Desk

    Reports to: Practice AdministratorFLSA Status: Non-Exempt
    Education/Training: High School Diploma or EquivalentExperience: Prior medical office experience helpful.
    Summary: Responsible for greeting patients, relaying incoming telephone calls to the appropriate person, and performing assigned medical administrative responsibilities by performing the following duties.
    Duties and Responsibilities include the following. Other duties may be assigned.● On the designated time each day, ensures the readiness of the reception area, and ensures that the front desk activities are fully operational at the start of business hours.● Greets patients and schedule, cancel and reschedule patient appointments for routine office visits, consultations, treatments and follow-ups using computer system.● Re-verify all medical insurance information and scan insurance card into system.● Check for correct insurance billing address on patient’s insurance card and update system accordingly. (look for correct PO Box or a note from the benefits verifier stating the correct address has been entered into system already).● Enter necessary changes on computer to update information.● Collects co-pays and reminds patients of past due balances on day of office visit.● Confirms patient appointments.● Documents and notifies Doctor when a patient cancels an appointment.● Acts as liaison with third-party vendors for patient medical order requests, specimen pickup, calling appropriate laboratory for pathology results, calling pharmacy to fill prescription orders.● Answers incoming telephone calls on a multi-line telephone system in a professional manner.● Transfers calls to the appropriate person and tasks messages in accordance with approved telephone procedures.● Tasks correspondence and office memos as directed.● Transcribes information regarding patient visits for medical reports.● Operates standard office equipment to include multi-line telephone, answering machine, photocopy machine, adding machine, and calculator.● Tasks computer hardware/software issues to IT Director.● Adheres to all approved policies, procedures, and philosophies.● Performs other related duties as assigned.● Treat all patients and co-workers with dignity and respect.
    Skills● Oral Communication● Written Communication● Technical Communication● Customer Relations● Customer Service● Diplomacy● Organization● Planning● Professionalism● Presentation● Reading● Time Management● Computer Literacy

  • Out Desk/Surgical Coordinator

    Reports to: Practice Administrator
    Summary: Performs data entry of all charges for procedures and office visits by the Physician from patients at checkout by performing the following duties. Schedules follow-up appointments with patients. Schedule surgeries for patients.
    Duties and Responsibilities include the following. Other duties may be assigned.● Posts charges to correct account accurately and carefully and verifies superbill information. *● Schedules follow-up appointments. *● Schedules patient surgeries.● Order Physical Therapy and MRI’s for patients.● Scanning of all patient referrals and/or scripts to other facilities.● Send requested office notes to other facilities.● Print out patient topical RX’s for creams.● Assists with answering telephones as needed when Front Desk and Call Center is busy. *● Applies various insurance plans including Medicare. *● Covers the Front Desk when necessary. *● Processes insurance information as back up for Insurance Verification Clerk when out. *● Ensures proper placement of insurance information in charts after checkout. *● Assists patients with any requests for work releases and school excuses. *● Schedule surgical procedures a directed by Physicians● Contact patients via telephone to schedule pre-operative and/or post-operative appointments● Completes weekly schedules for Physicians to include recording updates and/or cancellations as needed.● Ensure patients are completely informed regarding surgical procedures.● Contact insurance companies regarding pre-certifications for proper documentation or tack Annette to complete Precertification process.● Prepare surgical paperwork promptly and ensure paperwork is submitted to appropriate individuals and institutions as required.● Perform other duties as assigned.● Treat all co-workers and patients with dignity and respect.
    Qualifications: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
    Education/Experience: High school diploma or general education degree (GED); or one year related experience and/or training; or equivalent combination of education and experience.
    Language Ability: Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
    Computer Skills: To perform this job successfully, an individual should have knowledge of Microsoft Word and Fox Meadows.

  • Out Desk

    Reports to: Practice Manager
    FLSA Status:
    Non-Exempt

    Summary: Performs data entry of all charges for procedures and office visits by the Physician from patients at checkout by performing the following duties. Schedules follow-up appointments with patients. Schedule surgeries for patients.
    Responsibilities:1. Posts charges to correct account accurately and carefully and verifies superbill information):
    Schedules follow-up appointments.
    Schedules patient surgeries.
    Order Physical Therapy and MRl's for patients.
    Scanning of all patient referrals andlor scripts to other facilities.
    Send requested office notes to other facilities.
    Print out patient topical RX's for creams.
    Assists with answering telephones as needed when Front Desk and Call Center is busy.*
    Applies various insurance plans including Medicare.*
    2. Covers the Front Desk when necessary.*
    3. Processes insurance information as back up for Insurance Verification Clerk when out.*4. Ensures proper placement of insurance information in charts after checkout.5. Assists patients with any requests for work releases and school excuses.*6. Check on Orthotic benefits.
    *Essenlial Function.
    Qualifications:
    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill. and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Education/Experience:
    High school diploma or general education degree (GED); or one year related experience and/or training; or equivalent combination of education and experience.

    Language Ability:
    Ability to read and comprehend simple instructions. short correspondence. and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers. clients, and other employees of the organization.

    Math Ability:
    Ability to add and subtract two digit numbers and to multiply and divide with 10's and 100's. Ability to perform these operations using units of American money and weight measurement. volume, and distance.

    Reasoning Ability:
    Ability to define problems. collect data. establish facts. and draw valid conclusions. Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.

    Computer Skills:
    To perform this job successfully. an individual should have knowledge of Microsoft Word and Fox Meadows.

    Work Environment:
    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
    The noise level in the work environment is usually moderate.

    Physical Demands:
    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    The employee must occasionally lift and/or move up to five pounds. Specific vision abilities required by this job include close vision, peripheral vision and ability to adjust focus. While performing the duties of this job. the employee is regularly required to sit; use hands; reach with hands and arms and talk or hear. The employee is occasionally required to stand; walk; stoop. kneel. crouch, or crawl and taste or smell.

  • Payment Posting Specialist

    Reports to: Director of FinanceFLSA Status: Non-Exempt
    Education/Training: High School Diploma or EquivalentExperience: Prior medical office experience prefers Orthopaedics, Pain and Spine, Rheumatology, PT and Chiro
    Summary: Posting of monies due from aging report.
    Duties and Responsibilities include the following. Other duties may be assigned.● Post payments made by insurance companies and/or patients, including ERA/EFT● Apply appropriate claim adjustments● Check insurance payments for accuracy and identify discrepancies in payments● Identify payments that are not paid according to the fee schedules and mark them for appeals● Monitor denials of payments and identify trends● Bill patients for deductibles and co-insurances, as well as for the checks they received from their insurance companies● Review patients bills for accuracy. Allocate credit balances● Set up the claims to be transferred to the secondary insurance with the primary insurance explanation of benefits and medical records if needed● Close and open all the journals for the day. Perform a daily close● Download the ERA payments● Use Optum, Emdeon, Navinet, Availity, Payspan, HealthPartners, and Global/Excel websites to print the explanation of benefits● Run credit card payments● Correct and resubmit claims● Follow up on bounced checks● Answer billing phone calls.
    Skills:● Oral Communication● Written Communication● Technical Communication● Customer Relations● Customer Service● Diplomacy● Organization● Planning● Professionalism● Presentation● Reading● Time Management● Computer Literacy

  • Precertification Specialist

    Reports To: Director of FinanceFLSA Status: Non-Exempt
    Basic Function: Responsible for all activities associated with the pre-certifying surgeries and Ancillary procedures within established corporate guidelines.
    Responsibilities:● Continually check providers’ schedules for any updated surgery bookings.● Complete Pre-cert form with patient’s information.● Call to verify patients’ insurance and check for Out of Network benefits.● Initiate Pre-certification and send and/or fax clinicals (Mri, X-ray, CT Scan, Clinical notes).● Scan in correspondence for the patient in their charts.● Update surgery spreadsheet for all providers.● E-mail or call hospitals to provide them with the authorization number after a surgery is approved.● Scanning all Pre-certifications in to the patient charts.● Treat all co-workers and patients with dignity and respect.● Perform other related duties as assigned.
    Skills:● Oral Communication● Written Communication● Customer Relations● Customer Service Diplomacy● Professionalism● Written Communication● Medical Terminology● Customer Relations● Time Management● Organization● Planning● Presentation● Reading● Computer Literacy
    Education/Training: High school diploma or equivalentExperience: Prior work-related experience helpful.

  • WC A/R Specialist

    Reports to: Director of Business DevelopmentFLSA Status: Non-Exempt
    Summary: Collection of monies due from aging report.
    Kayal Orthopaedic Center, PC is looking for a skilled and experienced medical WC A/R specialist who can effectively and aggressively pursue outstanding WC A/R and consistently generate revenue through professional billing practices and proper and ethical collection efforts.
    Duties: The WC AR specialist will generally act as an intermediary between our patients and their workers compensation insurance carrier. You must maintain a high level of professionalism and adhere to all debt collection rules and regulations.You will handle billing and collections, claim denials, claim appeal, patient accounts, and various administrative duties. All debt-related matters will be under your purview, and you will communicate regularly with insurance carriers and patients to pursue payments.
    Proficiency in the following areas is preferred:● Familiarity with Workers Compensation, No-Fault carriers and their guidelines.● Follow-up on open and pending insurance claims to ensure collection within insurance company time limits.● Collect delinquent outstanding balances as quickly as possible by applying collection best practices as defined by the Standard Operating Procedures and training protocols and/or as defined by the AR manager● Attention to detail and timely follow up skills● Review and work denials daily, prepare appeals as needed● Prepare files that require arbitration and submit to attorneys● Maintain confidentiality and adhere to HIPAA and other regulations.● Work effectively in a team environment.● Strong ability to identify, analyze and solve problems.● Self-motivated and approach tasks with a positive, proactive demeanor.● Proactively supports management as well as the objectives and goals of the department● Excellent verbal and written communication skills● Knowledge of Excel is preferred● Knowledge of Liens, Settlements and Letter of Protection procedures.● Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.● Knowledge of medical terminology.● Competent use of Microsoft Office.● Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).● Ability to multitask.● Perform other duties as assigned● Treat all co-workers with respect and dignity
    Skills:● Oral Communication● Written Communication● Technical Communication● Customer Relations● Customer Service● Diplomacy● Organization● Planning● Professionalism● Presentation● Reading● Time Management● Computer Literacy
    Education/Training: High School Diploma or EquivalentExperience: Prior medical office experience required.

  • X-Ray Technician

    Reports To: X-ray SupervisorFLSA Status: Non-Exempt
    Basic Function: Responsible for producing high quality patient X-ray films.
    Responsibilities:1. Produce high quality patient X-ray films by applying knowledge of X-ray developing techniques and related medical procedures.2. Assist patients in and out of examination and/or X-ray rooms in an efficient manner.3. Position patients for X-ray procedures on X-ray table by physically lifting and placing patients on table with co-worker assistance as required.4. Perform filing, mailing and purging duties of films, test results and operative notes.6. Maintain, monitor and order X-ray/medical supplies as needed.7. Perform treatment room maintenance after each patient to include: - disposing of medical waste as required by OSHA. - sterilizing instruments. - cleaning and sanitizing equipment. - changing table paper and pillow cases. - providing clean gowns for patients. - placing used gowns in appropriate container for laundering.8. Schedule routine maintenance for the X-ray developer on a regular basis.9. Provide copies of X-rays with appropriate documentation to insurance companies and Attorneys as requested.10. Maintain daily record of completed X-rays, and record in appropriate patient charts.11. Arrange diagnostic tests with Physicians as requested.12. Attend all required training seminars.13. Perform other related duties as assigned.14. Treat all co-workers and patients with dignity and respect.

    Skills:● Oral Communication.● Technical Communication.● Customer Service.● Diplomacy.● Professionalism.● Presentation.● Reading.● Time Management.● Computer Literacy.● Lifting up to 50 lbs.

    Education/Training: Associates Radiologist license.Experience: Prior work-related experience helpful.

  • Physical Therapist

    Basic Function: Responsible for providing patients with all phases of physical therapy.
    Responsibilities:1. Evaluate incoming patient conditions to determine appropriate physical treatment programs, and consult with referring Physicians regarding diagnosis.2. Develop and implement physical therapy treatment programs based on each patient's particular needs.3. Assist patients with all phases of physical therapy treatment and techniques to include: - exercise instruction. - manual therapy techniques. - modalities (ultrasound). - activities of daily living. - pool therapy. - orthotron testing. - nautilus program.4. Document treatments rendered on billing sheets and in appropriate patient charts. 5. Record patient conditions and responses to treatments in charts after each visit.6. Prepare patient care/progress notes and other required forms as requested. 7. Consult with referring Physicians regarding patient diagnosis, and communicate changes via progress notes.8. Communicate with referring Physicians and Physical Therapy Assistants regarding patient therapy and equipment.9. Communicate with potential referral sources to expand existing business and cultivate new business.10. Communicate with Physical Therapy Assistants to perform interim therapy evaluations to continually modify and update treatment programs.11. Operate and apply knowledge of standard physical therapy equipment such as ultrasound equipment, nautilus equipment and orthotron machines. 12. Compose discharge notes for patients,and refer to appropriate outside sources as necessary.13. Attend continuing educational courses to obtain advanced clinical skills.14. Maintain current knowledge of Physical Therapist roles and continuing trends in the industry.15. Perform other related duties as assigned.
    Supervisory Responsibilities1. Interview and select students for internships and communicate with Professors regarding performance. 2. Supervise and educate students in procedures.3. Supervise overall effectiveness of Physical Therapy Assistants and students.4. Delegate daily physical therapy treatment instructions and duties such as modalities, exercise programs and manual therapy to Physical Therapy Assistants.5. Communicate with Supervisor regarding staff performance and related personnel matters.
    Skills● Budgeting.● Oral Communication.● Written Communication.● Technical Communication.● Customer Relations.● Customer Service.● Diplomacy.● Filing.● Math Aptitude.● Negotiations.● Organization.● Planning.● Professionalism.● Project Management.● Presentation.● Reading.● Time Management.● Typing > wpm● Computer Literacy.● Lifting up to lb. Education/Training: Bachelors Degree.
    Experience: Prior work related experience required.
    Certifications/Licenses: Appropriate Certifications/Licenses required.

  • Physical Therapist Aide

    Duties:●  Assist with patient intake.●  Transporting patients.●  Observing patients.●  Documenting patients' responses and progress.●  Liaise with physicians‘ offices and hospital personnel.●  Prepares treatment room for patient by following prescribed procedures and protocols.●  Prepares patients for physical therapy treatment by welcoming, comforting, providing and/or assisting patient into physical therapy apparel or apertures.●  Provides information to patients by answering questions and requests; allaying fears.●  Helps assist the Physical Therapist/Physical Therapy Assistant by providing heat packs; assist paraffin dips; assisting patients into whirlpool; helping patients onto exercise equipment, monitoring motion; tracking walking time and distance; measuring mobility; performing prescribed exercises and strengthening techniques.●  Educates patients by demonstrating proper use of equipment and exercise routines.●  Maintains patient confidence and protects operations by keeping information confidential.●  Maintains safe and clean working environment by complying with procedures, rules, and regulations (e.g. clean beds, gym equipments,PTmodalities).●  Provides equipment and supplies by sterilizing and delivering equipment and supplies to treatment area; positioning equipment for therapist access; positioning patient on equipment.●  Ensures operation of physical therapy equipment by completing preventive maintenance requirements; following manufacturer's instruction; troubleshooting malfunctions; calling for repairs.●  Maintains physical therapy supplies inventory by checking stock to determine inventory level; anticipating needed supplies; placing and expediting orders for supplies; verifying receipt of supplies.●  Serves and protects the hospital/clinic community by adhering to professional standards, hospital/clinic policies and procedures, federal, state, and local requirements, and JCAHO standards.●  Refrain from cellphone use during work hours.

  • Physical Therapist Assistant


    Summary: Provides assistance to the Physical Therapist by performing the following duties.
    Responsibilities:● Provides assistance to Physical Therapist including assisting, instructing, and scheduling patients.*● Assists patients with all phases of physical therapy treatment and techniques including exercise instruction, manual therapy techniques, activities of daily living, and isokinetic program.*● Assists Physical Therapists in performing range of motion and stretching exercises with patients.*● Assists Physical Therapists with documenting and completing notes following patient appointments.● Completes appropriate forms and home treatment instructions for patients as needed.● Assists patients with understanding prescribed health care treatments. ● Sets up exercise equipment in treatment rooms as needed by pushing, wheeling or carrying equipment.● Ensures billing forms are accurate and complete prior to submission to billing department.● Escorts patients to appropriate treatment areas.● Maintains proper condition and cleanliness of treatment rooms, sterilizes instruments and equipment following each patient visit and ensures treatment rooms are sufficiently stocked at all times with towels and related supplies.● Monitors inventory of supplies, informs management of supply shortages, examines incoming supply orders, and stores in appropriate area.● Provides effective communication to Physicians as required. ● Attends workshops and seminars relative to physical therapy.
    *Essential functions.


    Qualifications:
    To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Education/Experience:
    Associate's degree (A. A.) or equivalent from two-year college or technical school; or equivalent combination of education and experience.

    Language Ability:
    Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to write routine reports and correspondence. Ability to speak effectively before groups of customers or employees of organization.

    Math Ability:
    Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages, area, circumference, and volume. Ability to apply concepts of basic algebra and geometry.

    Reasoning Ability:
    Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to deal with problems involving several concrete variables in standardized situations.

    Computer Skills:
    To perform this job successfully, an individual should have knowledge of word processing software.

    Certificates and Licenses:
    Physical Therapy Assistance License

    Supervisory Responsibilities:
    Directly supervises one employee. Carries out supervisory responsibilities in accordance with the organization's policies and applicable laws. Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

    Work Environment:
    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    While performing the duties of this job, the employee is frequently exposed to work near moving mechanical parts. The employee is occasionally exposed to risk of electrical shock.

    The noise level in the work environment is usually moderate.

    Physical Demands:
    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    While performing the duties of this job, the employee is regularly required to stand; walk; use hands; reach with hands and arms and talk or hear. The employee is frequently required to sit and stoop, kneel, crouch, or crawl. The employee is occasionally required to climb or balance. The employee must occasionally lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, depth perception and ability to adjust focus.

  • PT Chiro Posting & Aging Specialist

    Reports to: Director of Finance
    FLSA Status: Non-Exempt

    Duties:
    The AR specialist will generally act as an intermediary between our patients and their health insurance carrier. You must maintain a high level of professionalism and adhere to all debt collection rules and regulations.
    You will handle billing and collections, claim denials, claim appeal, patient accounts, and various administrative duties. All debt-related matters will be under your purview, and you will communicate regularly with insurance carriers and patients to pursue payments. PT & Chiro charges are need to be posted on a daily basis.

    Proficiency in the following areas is preferred:
    ● Post all daily charges for all Physical Therapists and Chiropractors.● Work on PT/Chiro aging report for Medicare and Medicare Advantage plans.● Communication with all Physical Therapists and Chiropractors to help improve their documentation ad coding.● Speak to the patients about their balances for PT/Chiro services and resolve any discrepancies.● Train new employees Pt/Chiro coding in order to remain consistent across the Practice.● Knowledge of insurance guidelines including HMO/PPO, Medicare, and other payer requirements and systems.● Knowledge of Orthopedic CPT and ICD-10 Coding, as well as modifiers and CCI edits.● Understanding various fee schedules, including but not limited to UCR, Medicare allowable rates, NJ PIP, etc. ● Knowledge and understanding of explanation of benefits (EOB).● Effective verbal communication with insurance payers to resolve issues.● Ability to write solid appeal letters.● Customer service skills for interacting with patients regarding medical claims and payments.● Ability to work well in a team environment, ability to prioritize and time manage.● Problem-solving skills to research and resolve discrepancies, denials, appeals, collections.● Knowledge of medical terminology.● Competent use of Microsoft Office.● Maintaining patient confidentiality as per the Health Insurance Portability and Accountability Act of 1996 (HIPAA).● Ability to multitask.● Other office duties as assigned.● Treat all staff and patients with respect and dignity.
    *Essential functions.

    Skills:● Oral Communication.● Written Communication.● Technical Communication.● Customer Service.● Diplomacy.● Organization.● Planning.● Professionalism.● Presentation.● Time Management.● Computer Literacy.Education/Training: High School Diploma or Equivalent
    Experience: Prior medical office experience required.

  • MVA & Worker's Compensation Case Coordinator

    Reports to: Director of Finance
    FLSA Status:
    Nam-Exempt

    Summary:
    Monitors patients’ treatment plans ensuring timely and effective results through aggressive case management. nursing intervention. and efforts to reduce the number of long term Worker's Compensation and Motor Vehicle cases by performing the following duties.

    Responsibilities:1. Coordinates and provides case management support to a transitional work assignment program.2. Coordinates and provides case management for daily patient flow for assigned companies.3. Completes Worker’s Compensation papenrvork in a timely and efficient manner.*4. Searches for necessary medical records for assigned case load.*5. Collects all patient information for case reviews; produces Excel spreadsheet with case information.*6. Completes patient's state disability. insurance. and private claim forms.7. Schedules appointments for patients.8. Provides work status reports to companies. employers, and insurance providers.
    9. Places authorization request phone calls to insurance companies.
    10. Assists and supervises activities of Referral Specialists. provides coverage for Authorization Specialists who are out of office and assists nursing staff.
    11. Coordinates appointments. time availability. and medical records and disciplining employees; addressing complaints and resolving problems.
    *Essenlial Function.

    Work Environment:
    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
    The noise level in the work environment is usually moderate.

    Physical Demands:
    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    While performing the duties of this job. the employee is regularly required to sit and talk or hear. The employee is occasionally required to stand; walk; use hands; reach with hands and arms; climb or balance and stoop. kneel. crouch. or crawl. The employee must occasionally lift and/or move up to 20 pounds.

  • Insurance Specialist/Benefits Verification

    Reports to: Director of Finance and Billing Manager
    FLSA:
    Non-Exempt

    Summary:
    Verifies and inputs insurance information into the data system by performing the following duties.

    Responsibilities:1. Collects insurance lD’s and creates legible copies for the charts.*2. Verifies eligibility for all insurance and updates insurance information in the computer.*3. Assists with collection activities in an efficient manner.4. Obtains web information for ease of verification and real time processing.5. Assists in answering the telephone as needed when Call Center is busy.6. Applies various insurance plans including Medicare.*7. Processes insurance information as back up for Insurance Verification Clerk when out.8. Maintains and distributes lists of participating insurance plans along with educating staff of changes.*9. Assists in any reproduction of medical records as needed.*
    *Essenlial Function.
    Qualifications:
    To perform this job successfully. an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill. and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Education / Experience:
    High school diploma or general education degree (GED); or one to two years related experience and/or training; or equivalent combination of education and experience. Medical Care training is required.

    Language Ability:
    Ability to read. analyze, and interpret general business periodicals. professional journals. Technical procedures. or governmental regulations. Ability to write reports. business correspondence. and procedure manuals. Ability to effectively present information and respond to questions from groups of managers. clients. customers. and the general public.

    Reasoning Ability:
    Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists. Ability to interpret a variety of instructions furnished in written, oral. diagram. or schedule form.

    Computer Skills:
    To perform this job successfully. an individual should have knowledge of word processing software.

    Special Skills:
    ● Credentialing skills
    ● Strong customer service skills

    Work Environment:
    The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    The noise level in the work environment is usually moderate.


    Physical Demands:
    The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

    Specific vision abilities required by this job include close vision, peripheral vision and ability to adjust focus. While performing the duties of this job. the employee is regularly required to use hands; reach with hands and arms and talk or hear. The employee is frequently required to sit. The employee is occasionally required to walk.

  • Medical Billing and Coding

    Basic Function: Responsible for all activities associated with the posting charges within established corporate guidelines.
    Responsibilities:1. Post daily charges for orthopedic, spine, and pain management providers.2. Post charges for all Buy and Bill injections, PRP injections, and other ancillary services for the Practice.3. Read and analyze clinical documentation to ensure there is no discrepancies in charges and medical records.4. Interact with physicians and assistants to ensure accuracy.5. Ensures that charges are posted to appropriate carriers.6. Re-submit charges and make corrections when needed.7. Maintains patient confidentiality and information security8. Assist patients with the billing inquiries, collect and apply payments.9. Assist with benefits verification as needed.10. Treat all co-workers and patients with dignity and respect.11. Perform other related duties as assigned.
    *Essenlial Function.
    Skills:● Oral Communication.● Written Communication.● Customer Relations.● Customer Service.● Diplomacy.● Professionalism. ● Written Communication.● Medical Terminology.● Customer Relations.● Time Management.● Organization.● Planning.● Presentation.● Reading.● Computer Literacy.

    Education/Training: Certification in Medical Billing and Coding.
    Experience: Prior work-related experience required.


Ebook Kayal Orthopaedic Center

Exceptional Care From Head to Toe

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