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 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 LiteracyFront 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 LiteracyOut 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.Medical Assistant
Job Title: Medical AssistantReports To: Medical Assistant Supervisor
Responsibilities:• Record patient history and personal information (HPI, medical hx).• Measure vital signs. • Assist physicians during an exam (when needed, or chaperon needed). • Prepare injections (set up exam room with injections/fluoro room).• Apply knowledge of sterile techniques and OSHA regulations.• Set up rooms for post-op evaluations. • Assist physicians with in-office procedures (hips/epidural injection under fluoroscopy).• Specimen collection (when needed).• Medical office procedures (wound care-when needed).• Covid Test.• Pharmacology basics (call-in rx orders).• Address all tasks within a timely matter. • Arrange for gel/osteoporosis administration in office setting. • Obtain benefits verification (medications/gels/osteoporosis injs).• Obtain medication authorizations (medications/gels/osteoporosis injs).• DME training.• Casting removal (when needed).• Inventory count (HA/Osteoporosis injections) daily. • Inventory log-in (excel sheet, done daily when using any injection).• McKesson inventory log-in.• Schedule patient appointments. • Obtain documents from ProviderFlow (daily).• Complete Physical Therapy Progress Reports(daily).• Scan documents (daily).• Exam rooms turn around.• First aid.• Perform other related duties as assigned.
Skills:● Oral Communication.● Written Communication.● Medical Terminology.● Customer Relations.● Customer Service Diplomacy.
Education/Training: High school diploma or equivalent Certification of Medical Assistance.*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.Medical Coder
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 security.8. 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.
Education/Training: Certification in Medical Billing and Coding is required.Experience: A minimum of 2 years of prior medical coding experience is a must.Medical A/R Specialist
Job Title: Medical A/R Specialist
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 appeals, 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:
● Post all daily charges for all assigned providers.● Work on aging reports for Medicare and Medicare Advantage plans.● Communication with assigned providers to help improve their documentation and coding.● Speak to the patients about their balances for services and resolve any discrepancies.● Train new employees 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 the 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 management.● 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.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 LiteracyPrecertification 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.Physical Therapist
Basic Function: Responsible for providing patients with all phases of physical therapy.
Responsibilities:● Evaluate incoming patient conditions to determine appropriate physical treatment programs and consult with referring physicians regarding diagnosis.● Develop and implement physical therapy treatment programs based on each patient's particular needs.● 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.● Document treatments rendered on billing sheets and inappropriate patient charts.● Record patient conditions and responses to treatments in charts after each visit.● Prepare patient care/progress notes and other required forms as requested.● Consult with referring Physicians regarding patient diagnosis and communicate changes via progress notes.● Communicate with referring Physicians and Physical Therapy Assistants regarding patient therapy and equipment.● Communicate with potential referral sources to expand existing business and cultivate new business.● Communicate with Physical Therapy Assistants to perform interim therapy evaluations to continually modify and update treatment programs.● Operate and apply knowledge of standard physical therapy equipment such as ultrasound equipment, nautilus equipment and orthotron machines.● Compose discharge notes for patients and refer to appropriate outside sources as necessary.● Attend continuing educational courses to obtain advanced clinical skills.● Maintain current knowledge of Physical Therapist roles and continuing trends in the industry.● Perform other related duties as assigned.IT Support
We are looking for a team player with strong troubleshooting abilities. The environment is primarily Windows, so a good grasp of Active Directory and Group Policy is required. We support a few applications and maintain several printers. This is across 9 offices and growing; maintaining all these offices will at times require traveling to the office to handle whatever couldn't be resolved remotely.
Environment:● Windows Desktop.● Windows Server.● Active Directory.● Group Policy.● SonicWall Firewall.● Araknis Switches.● Konica Minolta and Xerox Printers.
Applications:● Office 365.● eClinicalWorks.● EXA.● ProviderFlow.● PDQ Deploy and inventory.● Manage Engine.● Sophos.● KnowBe4.
Phone:● Nextiva(Voip).WC A/R Specialist
Reports to: Director of Business DevelopmentFLSA Status: Non-Exempt
Summary: Collection of monies due from aging report.
Kayal Orthopaedic Center 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.MVA & Worker's Compensation Case Coordinator
Reports to: Director of FinanceFLSA 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 paperwork in a timely and efficient manner.*4. Searches for necessary medical records for assigned caseload.*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.
*Essential 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.Work Comp Preauthorization specialist
Summary: The Pre-Authorization Specialist is responsible for identifying prior authorization requirements by insurance/payer and processes and completes the authorizations for scheduled visits.
Responsibilities:1. Ensures patient demographic, insurance information, and verification has been established and documented. 2. Documents all pending, approved, and denied pre-authorizations within ECW system. 3. Communicates effectively with billers and front desk staff if services are approved or denied and facilitates peer to peer review when needed.4. Acquires treatment authorization for workers compensation.5. Assists in the management of client/system relationship; assumes responsibility for establishing/maintaining rapport with key employers, insurance companies and other business entities.6. Ensures that workers compensation office notes are prepared by the provider and sent to employers/claim handlers within 24 hours; reports noncompliance to Supervisor as appropriate.7. Monitors clinical efficiency and reports suggestions/situations to Supervisor.8. Performs other duties as required.9. Responds to employer, carrier, and claims handler requests within 24 hours.
*Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.
Experience:● Strong verbal and written communication skills.● Adept at learning and using multiple software programs.● Demonstrated ability to organize and prioritize work.● Strong attention to detail and follow-up with minimal direction and supervision.● Ability to work and collaborate with the front desk and billing personnel.● Ability to handle large volumes of pre-auths and multi-task concurrently.● Able to work independently and apply critical thinking skills.● Knowledge of Excel Spreadsheets.