Family Practice - Without OB Physician
Innovacare Health job in Orlando, FL
InnovaCare Health is a dynamic physician-led healthcare organization innovating change in value-based healthcare. We operate over 40 clinics employing more than 1,100 professionals who share our mission, vision, and values. Our practices offer Chronic Disease Treatment/Management, Women s Health, Wellness, X-Ray/Ultrasound, Dental, Chiropractic, Urgent Care, Managed Care, and Workers Comp Services.
Our goal is to make an impact in the communities we serve through public health education, outreach, and our philanthropic endeavors that span beyond the doors of our facilities. As we continue to grow, we invite you to explore opportunities with InnovaCare Health. Join us in our mission to improve the lives of those we care for each day.
We are committed to creating a diverse and inclusive workplace, offering flexible work arrangements, and providing opportunities for professional development. If you are looking for a career in healthcare where you can truly make a difference, then InnovaCare Health is the right place for you.
Job Summary:
Applies and modifies the principles, methods, and techniques of medicine to provide primary patient care. Work closely with Practice Administrator & Case Manager to ensure comprehensive delivery of services and quality patient care. Cooperates with management in helping to achieve company objectives and deliver quality care to patients. Evaluates medical procedures and everyday situations and suggests ways to improve delivery of quality service.
Why Join InnovaCare Health:
Make a difference in the lives of others: We are committed to providing our patients with the highest quality care possible, with compassionate and dedicated providers who offer a wide range of services.
Work with cutting-edge technologies: We are constantly looking for new ways to improve the way we deliver care, using technology to improve patient care and the patient experience.
Grow and develop your career: We offer a supportive and challenging work environment where you can grow and thrive, with a strong commitment to professional development and a variety of opportunities to learn and grow.
Join a team of passionate professionals: We are a team of passionate professionals who are committed to improving the health and well-being of our patients. We are always looking for new talent to join us, and we offer a supportive and collaborative work environment where you can make a real difference.
Physician Benefits:
Competitive Compensation and Bonus Structure
Generous Benefits Package - Matching 401k, Medical, Dental, Vision, and Much More!
Four Days and $3,500 for CME
Opportunities for Professional Development and Advancement
Collaborative and Supportive Work Environment
Strong Commitment to Diversity and Inclusion
Culture of Innovation
Malpractice Insurance and Tail Coverage
Relocation and Sign-On Bonus options
Essential Duties and Responsibilities:
Provides medical treatment to patients.
Charts all patient interactions in accordance with company policies and procedures.
Work closely with Medical Assistants to ensure compliance with all applicable regulations.
Communicate and works with medical staff to ensure coordinated efforts for the provision of high-quality medical treatment and client services.
Complies with ethical, legal & professional guidelines.
Complies with applicable regulations and with corporate policies and procedures to stay in compliance.
Complies with quality assurance for all medical issues and assists in the solution of any medical problems.
Contributes solutions to intra- and inter-departmental problems.
Protects clinic assets and property against loss or waste through negligence or dishonesty.
Participates in implementing special medical projects and services, such as on-site services.
Participates in professional development activities and maintains professional affiliations.
Required Qualifications:
Doctor of Medicine (M.D.) or Doctor of Osteopathic Medicine (D.O.) degree from a U.S. accredited institution or equivalent licensing required to comply to practice medicine in the U.S. in the instance of foreign graduate training.
Board Certified or Board Eligible in Internal Medicine, Family Medicine and/or Geriatric Medicine
Valid, unrestricted license in the state which employment is located (or willing to obtain)
Active/Unrestricted DEA license
Preferred Qualifications:
Two years' experience in out-patient setting
Active/Unrestricted Medicare and Medicaid numbers
Commercial and Medicare Advantage patient management (Value-Based Care)
Knowledge of Medicare coverage and guidelines
Strong verbal and written communication
Excellent attention to detail
Knowledge of diagnostic equipment and procedures
Good interpersonal skills
Critical-thinking and problem-solving skills
Ability to move and manipulate patients
Ability to multitask in a fast-paced environment
Computer Savvy Microsoft Programs (Email, Word, Excel, PowerPoint, Teams), Athena EMR, etc.
Knowledge, Skills, and Abilities:
Knowledge of professional medical practices related to treatment.
Knowledge of organizational and medical policies, regulations, and procedures.
Knowledge of medical equipment and instruments.
Knowledge of common safety hazards and precautions to establish a safe medical environment.
Skill in developing and maintaining records, writing reports, and responding to correspondence.
Skill in developing and maintaining medical quality assurance and quality control standards.
Skill in establishing and maintaining effective working relationships with patients, employees, medical staff, and the general public.
Ability to react calmly, objectively, and effectively in emergency situations.
Ability to communicate clearly with patients, staff, and clients.
Good telephone manners and etiquette.
Strong organizational skills; orientation to detail.
Excellent interpersonal skills. Ability to motivate and work effectively with others.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed .
Practice Administrator
Innovacare job in Orlando, FL
LE0028 Semoran Physician Group, LLC
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Report to: Regional Operations DirectorFLSA Status: ExemptJob Summary: Management position where individual executes strategies to deliver positive financial results and optimum patient care outcomes. Oversees the daily operation of a Medical Center to ensure maximum efficiency in the care and service of the patients.Responsibilities:
Office/ Facility
Manages and directs the day to day operations of office staff in accordance with company policies and procedures.
Ensures the highest degree of customer service and patient quality care is maintained at all times.
Identifies and resolves problems to improve services and patient satisfaction.
Ensures all the administrative duties of the facility are completed in a timely manner.
All patient records are accurate and complete while patient confidentiality is strictly maintained.
Supervises the selection and ordering of medical and office supplies.
Responsible to manage facility to the agreed upon procedures and objectives regarding office visit minimums, phone calls, insurance verification, coding, billing, fee collection, patient wait time, maintenance of equipment, safety, cleanliness, and licensing.
Assures the readiness of the reception area for each working day, open the office at the designated time and have all front desk activities fully operational at the start of business hours. Closes the office.
Professional and Corporate
Monitors/ manages that all regulatory agency guidelines are implemented and in compliance. (i.e. AHCA, CLIA, OSHA and HIPAA).
Maintains all regulatory binders with current and up to date information.
Maintains a well prepared facility and staff for regulatory onsite visits and inspections.
Financial
Responsible to deliver revenue and profit plans.
Manages budgeted plans.
Daily bank deposit.
Review and supervise internal systems for handling cash, recording mail receipts, etc.
Follow-up audit control systems.
Business Development
Works with Regional Operations Director (ROD) and Marketing and Sales Manager to design and implement marketing strategic plan.
Plans and assists in healthcare events.
Markets facility to increase new patient base.
Develops relationships with extended team members such as pharmaceutical representatives, insurance representatives, medical agencies, specialists, hospitals, pharmacists to ensure patients are referred to preferred service providers.
Staffing
Hires new staff and directs employee orientation and training.
Adheres to all human resource requirements (e.g. maintaining employee field records).
Supervision, including salary review and proposed salary adjustments and evaluations.
Maintain records of vacations, sick leave, etc.
Responsible for delegation of work and staffing hours.
Organize regular office meetings and set agendas.
Determine and change personnel assignments and job descriptions as needed.
Assure the staff is trained and operated in compliance with all government and other regulatory agencies.
Arrange for coverage for employees out sick or on vacation.
Reporting
Understands and follows the Code of Conduct and HIPPA guidelines.
Completes end of day reports.
Daily Visit Recap.
Office Manager Checklist reports.
Provides insurance company the proper documentation to obtain authorization for patient referral within preferred service provider network.
Managed Care
MRA/CAP
Reimbursement analysis.
Managed care contract
Supplies
Order clerical supplies and oversee ordering of all medical supplies.
Maintain supply records, pricing studies, etc.
Other
Duties as assigned or requested by supervisor or leadership.
Skills and Specifications
High school diploma/ GED
Healthcare industry experience required; minimum 3-5 years.
Management experience; minimum 5-7 years.
The ability to understand the goals of the practice and work to obtain these goals both independently and with direction.
The ability to relate well to patients, physicians, employees and other professionals.
The employee must be dedicated to the vision, goals and culture of the practice.
The employee must have the ability to remain calm and exhibit tact in stressful and/or delicate situations
The employee must have the ability to handle confidential issues with discretion.
EMR experience
College education preferred
Bilingual (English/Spanish) preferred
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Auto-ApplyQuality Assurance Analyst
Innovacare job in Lake Mary, FL
LE0020 Orlando Family Physicians, LLC
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Responsibilities:
Participates in design of call monitoring formats and quality standards. Performs call monitoring and provides trend data to management. Uses quality monitoring data management system to compile and track performance at team and individual level. Participates in patient listening programs to identify customer needs and expectations. Provides actionable data to various internal support groups as needed. Provides feedback to call center team leaders and managers. Prepares and analyzes internal and external quality reports for management staff review. Perform other duties as assigned.
Skills and Specifications
• 6 months of call center customer care experience, preferably in a healthcare environment.
• Excellent oral, written and interpersonal communication skills.
• Exceptional listening and analytical skills.
Intermediate level of knowledge/expertise with PC hardware and software (Word and Excel).
Intermediate to advanced level of knowledge with Internet technology
• Strong knowledge of customer care processes and techniques.
• Demonstrated ability to work well in a team environment.
• Dedication to providing exceptional customer service.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Auto-ApplyMarketing Coordinator
Innovacare job in Orlando, FL
LE0066 InnovaCare Partners, LLC
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
As Marketing Coordinator, you are a direct report and strategic partner of the Vice President of Marketing and Sales and driving force behind growing and retaining our member volumes. At InnovaCare Partners, Marketing Coordinator is a high-leverage force multiplier for the entire organization and for the individual practices that are part of InnovaCare Partners in Central Florida. This position is responsible for driving consumer awareness and providing a consistent brand voice across all marketing activities to specific audiences. Working closely with management, this role supports the successful implementation and delivery of membership business strategies and initiatives.
Area of Responsibility:
Central Florida and other markets as needed.
Duties and Responsibilities:
Assist with development of strategic marketing initiatives and activities
Implement marketing plans that include traditional and digital tactics
Create branded advertising campaigns and support the marketing and sales teams by coordinating and collating content
Maintain budget projections, reconcile expenses and process invoices
Setup tracking systems for marketing campaigns and online activities
Conduct market research to identify marketing opportunities
Traffic all advertising efforts to appropriate channels, utilizing agencies as appropriate
Develop and manage all internal communication systems
Create, maintain and strengthen the organization's overall brand through all media avenues
Organize and streamline service offerings into user-friendly concepts
Train and educate other employees on marketing process and procedures
Manage content development and design of collateral materials with agencies or creative service to ensure brand voice and standards
Manage print contractors and other promotional vendors
Maintain strict confidentiality of sensitive information
Maintain inventory of required collaterals, give-aways, event equipment, etc., and coordinate delivery to outreach efforts
Develop and manage social media content, utilizing agencies as appropriate
Maintain web site content
Skills/Qualifications:
Bachelor's degree in Marketing/Communications or related (essential)
Two years of experience in content management, creative writing, advertising concepts and media trafficking
Critical thinker with strong problem-solving and research proficiencies
Ability to comprehend and interpret competitor strategies and consumer behavior
Knowledge of Content Management Systems (CMS)
Ability to gather large amounts of data and convert it into meaningful analysis
Solid organizational skills and detail oriented
Ability to work under pressure and meet strict deadlines
Creative mind with superb written and verbal communication skills
Ability to simplify complex information into a user-friendly format
Proficient in Microsoft Office, Adobe Creative Suite and web editing packages
Fluent in English; fluency in Spanish (verbal and written) is a plus
Strong public speaking and presentation skills
Ability to travel is required
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Auto-ApplyInsurance Verification
Innovacare job in Orlando, FL
LE0020 Orlando Family Physicians, LLC
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Job Title: Insurance Verification Specialist
Report to: Billing Manager
FLSA Status: Non-Exempt
Job Summary: Pre-certification of benefits for incoming patients entails utilizing the insurance provider portal and in some extend calling insurance providers for verification of patient benefits before the day of appointment.
Responsibilities:
1. Verification of Medicare and Medicaid eligibility for patients
2. Verification of all Commercial eligibility for patients
3. Verification for all Managed Medicare eligibility for patients
4. Scan all requested and received eligibility information into the patient account
5. Assure that the correct PCP is in the patient demographic in ECW
6. Update Insurance information so that patients have the correct information on file.
7. Verification personnel must do their job while adhering to insurance and patient confidentiality laws
8. Verification personnel would document in the patient demographic as well in the printed scheduled the patient financial obligation once coverage is verified.
9. Verification personnel is to also document in the patient demographic as well in the printed scheduled any patient past due balance.
10. Assist patient when calling in question of a bill or statement they might have received.
11. Communicate with the offices in reference to patient insurances and balances discrepancy found while verifying patient benefits
12. Update any claims pending due to insurance information
13. Document daily the count of patient eligibility done for each provider
14. Provide a monthly report with discrepancy
Skills and Specifications
• Interpersonal and communication skills are a must to communicate with patients, insurance providers and billing personnel.
• Must be knowledgeable of Insurance terminology and types of policies.
• Computer literate and have exceptional telephone skills
• High School Diploma or equivalent is required for entry-level positions
• At least one year of experience in a related field
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Auto-ApplySenior Clinical Documentation Integrity Specialist
Innovacare job in Orlando, FL
LE0066 InnovaCare Partners, LLC
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
The Senior Clinical Documentation Integrity (CDI) Specialist serves as a subject matter expert in diagnostic coding and RAF methodology. His or her performance ensures diagnostic coding accuracy and compliance for primary care clinics and Medicare Advantage health plans. The Senior CDI Specialist reviews clinical documentation and provides feedback to in-house coders, billers, and providers across the company's markets. He or she possesses an excellent ability to work directly with the provider's medical staff, physicians, and targeted groups using educational material, presentations, key performance indicator reports, and other tools. The Senior CDI Specialist works mostly remotely; however, he or she may be required to travel around different locations and states.
RESPONSIBILITIES
Analyzes the risk adjustment and other data based on diagnoses, medical services, codes, and other indicators for identifying opportunities for improvements.
Reviews medical documents such as surgical reports, medical visits, and diagnostic reports in order to create educational strategies to ensure correct diagnosis code assignment by the provider.
Reviews clinical documentation and assigns accurate diagnosis codes according to guidelines and projects.
Performs coding compliance audits and coding assessments to potential business acquisitions.
Be able to identify opportunities in diagnosis coding, clinical documentation, and billing within the clinical practice's day-to-day operations.
Performs on-going educational interventions to providers to close gaps or related data
Delivers training to physicians, targeted groups, and administrative staff regarding coding topics.
Maintains a log of audits and education performed.
Prepares and submits to the supervisor a monthly report of activities performed.
Participates in training to maintain an understanding of CMS regulations
Performs other duties relevant to the position.
EDUCATION AND EXPERIENCE
Educational requirements:
Associates, (preferred) Bachelor's Degree or higher in health information management (HIM), health informatics, biology, nursing, business administration, or related to the health industry from an accredited school.
Professional certifications and experience
A certificated HIM professional with at least 3 years of experience in Risk Adjustment coding. A HIM certification by one of the following recognized organizations American Academy of Professional Coders (AAPC), American Health Information Management (AHIMA) or Association of Clinical Documentation Integrity Specialists (ACDIS). Examples are CRC, CPC, CIC, COC, CPC-P, CPMA, CDEO, CCS, CCS-P, CDIP, RHIA, RHIT, CCDS, or CCDS-O.
Or foreign medical degree with at least 2 years of experience in CDI, medical coding, medical billing, and/or medical record reviewing.
Or a certified medical assistant (MA), licensed practical nurse (LPN), or registered nurse (RN) with an active license and at least 3 years of experience in CDI, medical coding, medical billing, and/or medical record reviewing.
Or at least 6 years of experience in CDI, medical coding, and/or medical billing.
SKILLS AND ABILITIES
Must have ability to work as a team player with excellent communication skills.
Must solve resource issue in a creative, positive manner.
Must possess the ability to make independent decisions when circumstances warrant such action.
Stay updated on CMS rules and guidelines.
Must be able to function with frequent interruptions, travel by car or plane to different locations when required, including but not limited to Miami-Dade, Broward, Palm Beach, Orange, Osceola counties.
Accepts change and able to prioritize activities when faced with competing demands.
GENERAL SKILLS
Knowledge and interpretation of the systems of standard classification (CPT, ICD-10-CM and HCPCS)
Knowledge and interpretation of the Risk Adjustment Factor and Stars Program payment methodologies of Medicare Advantage
Knowledge of correct coding guidelines defined by CMS and other regulatory angencies
LANGUAGE SKILLS
(Preferred) bilingual (English and Spanish). Ability to read, analyze, and interpret general business periodicals, operating and maintenance instructions, procedure manuals, 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.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Auto-ApplyPromoter
Innovacare job in Orlando, FL
LE0021 Premier Health Network, LLC
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
covers Volusia County*
Job Summary: Responsible for meeting monthly sales goal for an assigned marketing site or through the development and implementation of a strategic sales plan. This position will require field work in any of these counties in Florida: Volusia, Seminole, Orange or Osceola
Responsibilities:
Sells and promotes Orlando Family Physicians VIP Medicare Coordinating and delivering formal sales presentations Arrange appointments. Make outbound phone calls to prospect. Generate daily leads at an assigned marketing site.
Skills and Specifications
Strong presentation skills
Organizational and planning skills
Ability to build strong customer relationships and customer loyalty
Manage administrative responsibilities, including submitting reports & expenses
Daily travel within assigned territory will be required
2+ years of sales experience required - preferably business to business sales. Must demonstrate track record of success and related work experience.
Quick learner with the aptitude to pick up technical knowledge and skills in a short period.
Excellent communication skills and the ability to effectively present information and respond to questions from prospect patients.
Go-getter with a passion for interacting with people, helping solve business problems, and closing the sale.
Self-starter with the ability to work effectively and independently with little or no supervision.
Bilingual English and Spanish is a plus.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Auto-ApplyMedical Records
Innovacare job in Orlando, FL
LE0020 Orlando Family Physicians, LLC
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Job Summary: The medical records clerk organizes and evaluates patients' health information and records. In addition, they perform a variety of record keeping and clerical duties in support of services provided in medical setting.
Responsibilities:
Generate and prepare/assemble medical records. Organize and evaluate medical records for completeness and accuracy. Pull and route records to appropriate personnel or department. Pull charts as needed for special audits and peer review. Prepare reports and forms as directed and in accordance with established policies. Maintain and search computerized medical records. Knowledge of chart control, access and storage in accordance with established policies and regulations. Knowledge of medical records regulations and release of health information. Prepare copy of records when presented with properly completed medical release forms. Receive, screen and coordinate telephone calls from patients and healthcare providers. Perform a variety of administrative duties including but not limited to: answering phones; faxing and filing of confidential documents; and basic Internet and email utilization. Provide excellent customer service to all internal and external customers.
Skills and Specifications
Knowledge of professional medical practices related to treatment.
Knowledge of organizational and medical policies, regulations and procedures.
Knowledge of common safety hazards and precautions to establish a safe medical environment.
Skill in developing and maintaining records, writing reports, and responding to correspondence.
Skill in developing and maintaining medical quality assurance and quality control standards.
Skill in establishing and maintaining effective working relationships with patients, employees, medical staff and the general public.
Ability to react calmly, objectively and effectively in emergency situations.
Ability to communicate clearly with patients, staff and clients.
Good telephone manners and etiquette.
Strong organizational skills; orientation to detail.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Auto-ApplyMedical Assistant
Innovacare job in Orlando, FL
LE0028 Semoran Physician Group, LLC
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Job Summary: Under medical supervision, assists physicians in the delivery of health care services; and performs related duties as required. Provide excellent care to our patients.
Responsibilities:
Identifies patient's chief complaint and records pertinent information in patient's permanent medical record. Communicates to physician abnormal findings. Assists patients to complete medical history forms and prepares patients for examination and treatment by physician. Documents all phone calls with patients. Performs vital signs, measurements as height and weight and records them in the EMH - structure data Conducts tests and procedures as directed, such as EKG's, non-stress tests, spirometer, venipuncture, skin punctures, strep screen, glucometer, and urine tests. Assists health service providers with treatments and examinations of patients such as injections, wound care, pelvic exams, minor surgery, and IUD insertions; assists in the identification of psychosocial needs and consults with the health service provider. Cleans and sterilizes equipment and stocks patient rooms and labs with appropriate supplies. Maintains medical supply inventory. Transcribes doctors' orders and prepares appropriate requisitions, forms as needed Performs calls to pharmacy. Daily follow up of pharmacy messages. Notifies patient of any change ordered by the physician. Ensures Physician signs charts, labs, prescriptions, diagnostics daily. Maintains patient flow after check in. Discuss patient flow with physician according to urgency and daily patient load. Performs triage on patient. Ability to assist more than one physician at a time. Complies with office policy and procedure, OSHA Standards and HIPAA Privacy Regulations as stated in HIPAA Policy and Procedure Manual.
Skills and Specifications
Medical Assistant Certificate issued by an accredited institution approved by the State of Florida, or one year experience working in a health care setting that included direct patient contract or a combination of training, education, and experience that is equivalent to one of the employment standards listed above and provides the required knowledge and abilities.
Bilingual in English/Spanish preferred but not required
Basic medical terminology,
Basic arithmetic,
Satisfactory vein puncture techniques
Safe work practices in a clinic setting.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Auto-ApplyClinic Administrator
Innovacare job in Haines City, FL
InnovaCare Management Services Company, LLC
InnovaCare Health is a dynamic physician lead healthcare provider pioneering change in value-based healthcare. We operate 40+ clinics with 1,100+ employees who share the mission, vision, and values that drive success in each of the communities we touch. Our goal isn't just healthcare; it's about promoting work-life balance and supporting the personal and professional goals of each employee to help them lead their best lives.
We are an organization strengthened by our diversity and inclusion. We strive to make an impact in the community through public health education, outreach, and our philanthropic endeavors that span beyond the doors of our facilities.
As we continue to grow, we want employees, like you, who value improving the lives of those they care for each day. #WeAreInnovaCare
Our practices offer: Women's Health, Wellness, X-Ray/Ultrasound, Dental, Chiropractic, Urgent Care, Managed Care, and Workers Comp services
Job Summary
Provides leadership, direction, and administration of operations to ensure accomplishment of clinic and organizational objectives. Directs, supervises, and coordinates the overall operation of the clinic and staff.
Essential Job Functions
Directs, supervises, coordinates specific functions and activities of clinic, including systems, policies and procedures, human resources, support services, etc. .
Actively aligned with InnovaCare's mission, vision, and values, and advocates for an inclusive culture.
Assists the clinic and the overall organization in the development and marketing of new services and referral sources.
Oversees clinic recruitment, selection, onboarding, performance management and termination of employees.
Promotes the provision of cost-effective, high-quality health care services to clinic patients.
Cooperates with medical and administrative staff to ensure compliance with federal, state, InnovaCare, and other standards and regulations.
Reviews operational problems/policies and recommends solutions and changes with the teams within the clinic and the overall organization.
Collaborates with the clinic and the overall organization by preparing and implementing quarterly budgets. Recommends funding options based on knowledge of policies, costs, and operating practices.
Develops and oversees the implementation and administration of internal practices, policies, and procedures.
Participates in the drafting, distribution, and assessment of patient satisfaction endeavors. Drafts a summary to provide the regional director.
Represents clinic at public and professional meetings and conferences.
Participates in clinic communication and public relations programs.
Maintains professional affiliations and enhances professional development to keep pace with the trends in health care administration.
Performs other related duties which may be inclusive, but not listed in position .
Supervises the selection and ordering of medical and office supplies.
Reviews and approves payroll.
Minimum Required Education, Experience & Skills
Bachelor's degree in Healthcare Administration, Business Administration, Nursing, or related field . (4 additional years of comparable work experience beyond the required years of experience may be substituted in lieu of a bachelor's degree).
Three or more years of healthcare administration experience , including one year of supervisory experience.
Computer and healthcare system literacy .
Knowledge of health care administration, clinic philosophy and policies and operating procedures .
Knowledge of fiscal management systems .
Knowledge of human resource management practices including supervision and staff development required.
Knowledge of governmental regulations and reimbursement standards .
Knowledge of computer programs and applications .
Skill in exercising initiative, judgment, problem solving, decision making .
Skill in developing and maintaining effective relationship with staff, Senior Management, patients, vendors, payers, and public .
Skill in organizing work to achieve clinic goals and objectives .
Ability to analyze and interpret complex data .
Ability to research and prepare comprehensive reports .
Ability to monitor compliance standards .
Physical & Mental Requirements: (check all that apply)
Required immunizations and vaccinations.
Ability to lift to 50 pounds.
Ability to push or pull heavy objects using up to 100 pounds of force.
Ability to stand or sit for extended periods of time.
Ability to use fine motor skills to operate equipment and/or machinery.
Ability to properly drive and operate a vehicle.
Ability to receive and comprehend instructions verbally and/or in writing.
Ability to use logical reasoning for simple and complex problem solving.
Occasionally requires exposure to communicable diseases or bodily fluids.
Occasional travel for clinic activities may be (ex. InnovaCare meetings or training).
The information listed above is not comprehensive of all duties/responsibilities performed. This is not an employment agreement or contract. Management has the exclusive right to alter this job description at any time without notice.
Auto-ApplyFront Desk Receptionist
Innovacare job in Winter Haven, FL
LE0053 Trinity Medical Physicians Services, LLC
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Front Desk Receptionist
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Auto-ApplyReferral Coordinator
Innovacare job in DeBary, FL
LE0032 Debary Physician Group, LLC
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Job Summary: The role of the Referral Coordinator is to collaborate with patients by assessing, facilitating, planning and advocating for health needs on an individual basis. Successful outcomes cannot be achieved without specialized skills and knowledge applied throughout the process. These skills include, but are not limited to, positive relationship building, effective written/verbal communication, ability to affect change, perform critical analysis, plan and organize effectively and promote client/family autonomy. It is crucial for the Referral Coordinator to have knowledge of funding resources, services and clinical standards and outcomes
Responsibilities:
Maintain ongoing tracking and appropriate documentation on referrals to promote Team awareness and ensure patient safety. This tracking may use an IT database. Ensure complete and accurate registration, including patient demographic and current insurance information. Assemble information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist. Contact review organizations and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis and prognosis. Provide specific medical information to financial services to maximize reimbursement to the hospital and physicians. Review details and expectations about the referral with patients. Assist patients in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance). Be the system navigator and point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns. May assume advocate role on the patient's behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion. Identify and utilize cultural and community resources. Establish and maintain relationships with identified service providers. Ensure that referrals are addressed in a timely manner. Remind patients of scheduled appointments via mail or phone. Ensure that patient's primary care chart is up to date with information on specialist consults, hospitalizations, ER visits and community organizations related to their health. Understands and follows the Code of Conduct and HIPPA guidelines
Skills and Specifications
High school diploma, sometimes combined with medical assistant certification
Strong customer service focus
Effective verbal and written communication skills
Teamwork orientation
Organized and able to manage competing priorities
Good judgment
Resourcefulness in problem solving
Able to take and follow through with delegated tasks and accountability
Bilingual skills preferred (English/Spanish
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Auto-ApplyUtilization Review Nurse
Innovacare job in Orlando, FL
LE0020 Orlando Family Physicians, LLC
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Job Summary: The Utilization Review Nurse will support the clinical review operations needed to assist our membership. This position is a member of a team of nurses, physicians, pharmacists, and program coordinators. This role evaluates the efficiency, appropriateness, necessity of the use of medical services, procedures, and facilities. This position is empowered to review medical services with evidenced-based criteria to ensure improved outcomes and appropriate utilization of medical resources based on a patient's condition.
Responsibilities:
Coordinate with the appropriate case manager(s) on a daily basis to assess the inpatient census for appropriate alternative health care service needs. Utilizes pre-approved criteria and guidelines to validate medical necessity of continued stay and appropriateness of treatment and discharge planning (e.g. Milliman Care Guidelines, Interqual). Performs on-site and/or telephonic concurrent review of acute and sub-acute services, as well as precertification review for all services following the plans authorization guidelines. Predicts and plans for patient's needs from pre-admission, through acute and sub-acute care and post-discharge, in collaboration with the member and providers. Coordinates with appropriate discharge planning with interdisciplinary health care team to coordinate timely discharge. Tracks and reports trends of inappropriate utilization of resources or quality issues to the Medical Director(s). Functions as a major contributor as it relates to discharge planning and readmission reduction strategies. Documents all activities in the appropriate system(s) on a timely basis. Participates in rounds with the Medical Directors from the practice and Health Plans. Monitors and facilitates appropriate utilization of resources using evidenced-based clinical criteria. Participates in an interdisciplinary health care team to achieve positive member outcomes. Functions as a resource to the clinical team regarding approved criteria, practice guidelines and alternative treatment options. Other duties as requested or assigned
Skills and Specifications
Degree in Nursing from an accredited college
Required to have education, training or professional experience in medical or clinical practice.
A current license, without restrictions
3-5 years of nursing experience (preferably in utilization management or hospital/acute care).
Exceptional communication skills, both written and oral, ability to positively influence others with respect and compassion; bilingual is a plus.
Strong work ethic built on a foundation of proactivity and teamwork.
Ability to navigate ambiguity with the aid of structured problem solving techniques.
Committed to the practice of inquiry and listening.
Willingness to “roll up one's sleeves” and embrace the nitty gritty, bottom up task of building an organization and implementing new initiatives
Personal and professional track record that demonstrates a commitment to quality in health care
A positive attitude: ability to work hard, have fun, and operate efficiently in a fast paced, start up, work environment and in a highly complex and dynamic movement for health delivery reform.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
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Innovacare job in Orlando, FL
LE0020 Orlando Family Physicians, LLC
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Post electronic and manual receivables including adjustments to software system. Take calls form patients with questions about the account. Position requires strong math and communication skills. Knowledge of medical EOB's and how to read them.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Auto-ApplyX-ray Technician
Innovacare job in Winter Haven, FL
LE0053 Trinity Medical Acquisition,Physicians Services, LLC
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Seeking energetic licensed x-ray tech for high-volume fast-paced urgent care practice in Winter Haven, Florida; willingness to learn Experity (formerly DocuTap) and assist other office personnel in office in patient care processes. will consider candidates seeking part-time or full-time. Will consider new graduates.Will be trained medical assistant skills.
Must have current Florida State License
Fast paced work environment
Will be trained to do BAT and URINE DRUG SCREEN
MA duties
Asking medical histories
Preparing patients for examination
Assisting the physician during exams
Collecting and preparing laboratory specimens
Performing basic laboratory tests
Preparing and administering medications as directed by a physician
Transmitting prescription refills as directed
Drawing blood (will train)
Taking electrocardiograms
Removing sutures and changing dressings
Administering TB
Working shifts consist of 3 day - 12 hour shifts Job Type: Full-time
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Auto-ApplyCertified Billing & Coder
Innovacare job in Orlando, FL
LE0020 Orlando Family Physicians, LLC
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Responsible for providing coding services on all diagnosis and maintains a professional relationship with the Managers and Providers.
Responsibilities:
Audits records to ensure proper submission of services prior to billing on pre-determined charges Receives proper progress notes to properly bill provider services for services provided to patients Supplies correct ICD-10 CM diagnosis codes on all diagnosis provided Supplies correct HCPCS code on all procedures and services performed Supplies correct CPT code on all procedures and services performed Coding claims 100-150 a day Contacts providers to train and update them with correct coding information Remain current on coding issues Accurately follows coding guidelines and legal requirements to ensure compliance with federal and State regulatory bodies Determines the final diagnosis and procedures stated by the physician are valid and complete Qualitative analysis- evaluates the record for documentation consistency and adequacy. Ensures that the diagnosis reported accurately reflects the care and treatment rendered. Analyzes provider documentation to assure the appropriate Evaluation and Management (E&M) levels are assigned using the correct CPT code Performs other related duties, which may be inclusive, but not listed in the job description
Skills and Specifications
Certified Professional Coding Certificate (preferable)
At least two years of Billing and Coding experience in Primary Care or Internal Medicine
Electronic Medical Records (E-Clinical Works preferred)
Thorough knowledge of CPT & ICD -10 coding, medical compliance, HIPPA, claim formatting issues that cause payment errors, and medical insurance follow up
Computer proficiency, specifically Excel and Windows
Strong organization and communication skills in order to interact effectively with others in the medical field
Self-motivated to deliver results
Work independently
Work collaborative on projects
Create channel of communication to obtain information necessary to perform job tasks, such as with payers, clinical staff, and billing department staff
Ability to recognize individual and system problems and to communicate such information to Management/ Supervisor
Excellent written and verbal communication skills
Attention to detail and time management skills
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Auto-ApplyMedical Doctor
Innovacare job in Altamonte Springs, FL
LE0023 Altamonte Physician Group, LLC
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Management:
Participates in the recruitment and selection process for medical providers.
Performs clinical supervision of medical staff, including regular performance appraisals and provides feedback.
Provides supervision of clinical scheduling, call and leave for medical staff.
Provides supervision of continuing professional education, in-service training and orientation of new medical staff.
Ensures integration of medical services into OFP's overall comprehensive services.
Advises on purchase of medical equipment.
Leads planning for the development of new clinical programs.
Provides counseling to the clinical staff.
Facilitates medical staff/provider meetings.
Supervises physician assistants and nurse practitioners in the OFP programs.
Assists staff with treatment modalities pertinent to OFP patient populations.
Reviews input from medical staff on their ideas and concerns with the VP of Medical Management.
Oversee and maintain performance improvement processes for OFP as established by
the health center, JCAHO, the federal government, and any other entities.
Reviews results of patient satisfaction surveys
Reviews patient complaints.
Actively participates and supports all collaborative efforts throughout the office.
Administrative:
Development of standards and qualifications for medical personnel.
Approval of medical practice procedures and policies.
Provides ongoing clinical guidance and reports on clinical activities at the Medical Director's meetings.
Reviews clinical and patient care contracts for services provided by OFP.
Performs periodic review of practice management functions.
Serves as a liaison between medical staff and administration.
Advises on schedules of fees (and related discounts for services to patients, as appropriate) to be charged for professional services rendered by OFP medical providers.
Participates, in conjunction with the management team, in the overall budget planning and monitoring process; reviews the formulation and evaluation of project goals and budgets.
Attends designated OFP meetings; represents OFP at local, state and federal level.
Skills and Specifications
At least 5 years' experience working with indigent populations and community-based programs.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Auto-ApplyCall Center Specialist
Innovacare job in DeBary, FL
LE0020 Orlando Family Physicians, LLC
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Job Summary: To provide excellent customer service in a medical call center environment.
Responsibilities:
Phones efficiently answered and with proper etiquette Obtain 90% target for Inbound and Outbound calls to and from patients Schedules patients in the correct office with the proper physician. Follows the Best Practice Scheduling* Phone calls directed to proper area, if applicable Conversations documented in patient medical records Schedules new patients and verifies insurance. Updates Patient information in EMR Collects insurance information and updates personal data in patient EMR file Respects and maintains privacy and dignity of patients to assure client confidentiality at all times Understands and follows the Code of Conduct and HIPPA guidelines
Skills and Specifications
Excellent Customer Service Phone Skills
High School Graduate
1 year Telemarketing, Call Center or Sales Experience
Experience in typing and data entry
Basic arithmetic skills
Bilingual in English/Spanish
One year experience in a medical office
Electronic Health Records experience (EClinical Works a Plus)
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Auto-ApplyMedical Assistant
Innovacare job in Orlando, FL
LE0020 Orlando Family Physicians, LLC
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Job Summary: Under medical supervision, assists physicians in the delivery of health care services; and performs related duties as required. Provide excellent care to our patients.
Responsibilities:
Identifies patient's chief complaint and records pertinent information in patient's permanent medical record. Communicates to physician abnormal findings. Assists patients to complete medical history forms and prepares patients for examination and treatment by physician. Documents all phone calls with patients. Performs vital signs, measurements as height and weight and records them in the EMH - structure data Conducts tests and procedures as directed, such as EKG's, non-stress tests, spirometer, venipuncture, skin punctures, strep screen, glucometer, and urine tests. Assists health service providers with treatments and examinations of patients such as injections, wound care, pelvic exams, minor surgery, and IUD insertions; assists in the identification of psychosocial needs and consults with the health service provider. Cleans and sterilizes equipment and stocks patient rooms and labs with appropriate supplies. Maintains medical supply inventory. Transcribes doctors' orders and prepares appropriate requisitions, forms as needed Performs calls to pharmacy. Daily follow up of pharmacy messages. Notifies patient of any change ordered by the physician. Ensures Physician signs charts, labs, prescriptions, diagnostics daily. Maintains patient flow after check in. Discuss patient flow with physician according to urgency and daily patient load. Performs triage on patient. Ability to assist more than one physician at a time. Complies with office policy and procedure, OSHA Standards and HIPAA Privacy Regulations as stated in HIPAA Policy and Procedure Manual.
Skills and Specifications
Medical Assistant Certificate issued by an accredited institution approved by the State of Florida, or one year experience working in a health care setting that included direct patient contract or a combination of training, education, and experience that is equivalent to one of the employment standards listed above and provides the required knowledge and abilities.
Bilingual in English/Spanish preferred but not required
Basic medical terminology,
Basic arithmetic,
Satisfactory vein puncture techniques
Safe work practices in a clinic setting.
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
Auto-ApplyPatient Care Coordinator
Innovacare job in Kissimmee, FL
LE0038 John Young Physician Group, LLC
It's fun to work in a company where people truly BELIEVE in what they're doing!
We're committed to bringing passion and customer focus to the business.
Job Title: Patient Care Coordinator
Report to: Practice Administrator
FLSA Status: Non-Exempt
Job Summary: The role of the Patient Care Coordinator is to collaborate with clients by assessing, facilitating, planning and advocating for health needs on an individual basis. Successful outcomes cannot be achieved without specialized skills and knowledge applied throughout the process. These skills include, but are not limited to, positive relationship building, effective written/verbal communication, ability to affect change, perform critical analysis, plan and organize effectively and promote client/family autonomy. It is crucial for the Patient Care Coordinator to have knowledge of funding resources, services and clinical standards and outcomes.
Responsibilities:
1. Maintain ongoing tracking and appropriate documentation on referrals to promote Team awareness and ensure patient safety. This tracking may use an IT database.
2. Ensure complete and accurate registration, including patient demographic and current insurance information.
3. Assemble information concerning patient's clinical background and referral needs. Per referral guidelines, provide appropriate clinical information to specialist.
4. Contact review organizations and insurance companies to ensure prior approval requirements are met. Present necessary medical information such as history, diagnosis and prognosis. Provide specific medical information to financial services to maximize reimbursement to the hospital and physicians.
5. Review details and expectations about the referral with patients.
6. Assist patients in problem solving potential issues related to the health care system, financial or social barriers (e.g., request interpreters as appropriate, transportation services or prescription assistance).
7. Be the system navigator and point of contact for patients and families, with patients and families having direct access for asking questions and raising concerns. May assume advocate role on the patient's behalf with the carrier to ensure approval of the necessary supplies/services for the patient in a timely fashion.
8. Identify and utilize cultural and community resources. Establish and maintain relationships with identified service providers.
9. Ensure that referrals are addressed in a timely manner.
10. Remind patients of scheduled appointments via mail or phone.
11. •Ensure that patient's primary care chart is up to date with information on specialist consults, hospitalizations, ER visits and community organization related to their health.
Skills and Specifications
• High school diploma, sometimes combined with medical assistant certification
• Strong customer service focus
• Effective verbal and written communication skills
• Teamwork orientation
• Organized and able to manage competing priorities
• Good judgment
• Resourcefulness in problem solving
• Able to take and follow through with delegated tasks and accountability
• Bilingual skills preferred (English/Spanish)
ACKNOWLEDGMENT FORM
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed.
Printed Name: _____________________________________
Signature: _________________________________________
Date: _____________________________________________
If you like wild growth and working with happy, enthusiastic over-achievers, you'll enjoy your career with us!
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