Careers

Department: Clinical
Job Status: Active
FLSA Status: Non-Exempt Work Schedule: Monday-Friday 7:45am-6pm

POSITION SUMMARY

Job Status: Full-Time
Reports To: Clinical Manager

Amount of Travel Required: Occasionally to other onsite PEC offices

Positions Supervised: None

Ophthalmic Assistant

The Ophthalmic Assistant is responsible for daily patient care and clinical flow. Requires good understanding of the ophthalmic practice while working directly with the patient and physician. Performs screening and diagnostic testing. Requires knowledge of medical instrumentation and its proper care and usage needed. Accurately gathers and records information in EMR.

ESSENTIAL FUNCTIONS

Reasonable Accommodations Statement
To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.

Essential Functions Statement(s)

• Maintains punctual and consistent patient work up to assure patients are seen on time. (minimum of 3 patient work ups per hour)
• Efficiently and accurately interview patients and document histories.
• Demonstrate accuracy and working knowledge of eye anatomy, disease, symptoms, and ocular medications.

• Accurately perform Lensometry, Visual Acuity, Refractions, Confrontational Visual Fields, Evaluation of Motility, Pupillary function test, Pachymetry, Angle Assessment, Applanation Tonometry, Stereo testing, Color Plates, Axial Length measurement, Corneal Topography, Contact Lens Evaluation.
• Has a working understanding of Lenstar, IOL Master, Argos Automated Visual Fields, fundus photos, OCT, and Nidek refraction system.
• Has basic knowledge of contact lenses.
• Utilize proper eye drop technique and sterility.
• Understands and uses proper sterile techniques.
• Utilizes proper universal precaution and adheres to office policies for occupational safety.
• Understands characteristics of common anterior segment disorders and lid conditions.
• Understands and communicates well to patients about common surgical procedures.
• Understands and follows procedures for surgical and procedural consents.
• Displays consistent professionalism and positive rapport with fellow employees, patients, and cooperates with supervisory staff and physicians.
• Knowledge of EMR system and how to properly record the exam.
• Scribes readily when physician desires and available to physician when needed.
• Demonstrates flexibility in job assignment.
• Takes pride and ownership in success and image of PEC, Inc.
• Reviews physician generated instructions with patients.
• Maintains job required certifications.
• Understands and demonstrates care and maintenance of ophthalmic instruments and equipment including reporting and documenting all equipment maintenance problems.
• Patient is highly interactive and requires extensive interaction during screening processes.
• Must have knowledge of medical terminology.
• Maintaining patient confidentiality.
• Ability to attend required meetings.
• Demonstrate flexibility in job assignment.
• Assist with Research Department as needed/as directed by Clinical Management.
• Perform additional duties as assigned.

POSITION QUALIFICATIONS Competency Statement(s)

• Adaptability – Ability to adapt to change in the workplace.
• Assertiveness – Ability to act in a self-confident manner to facilitate completion of a work assignment or to defend a position or idea.
• Autonomy – Ability to work independently with minimal supervision.
• Communication, Oral – Ability to communicate effectively with others using the spoken word.
• Communication, Written – Ability to communicate in writing clearly and concisely.
• Customer Oriented – Ability to take care of the customers’ needs while following company procedures.
• Decision Making – Ability to make critical decisions while following company procedures.
• Detail Oriented – Ability to pay attention to the minute details of a project or task.
• Energetic – Ability to work at a sustained pace and produce quality work.
• Empathetic – Ability to appreciate and be sensitive to the feelings of others.
• Initiative – Ability to make decisions or take actions to solve a problem or reach a goal.
• Resource Management (People & Equipment) – Ability to obtain and appropriate the proper usage of equipment, facilities, materials, as well as personnel.
• Working Under Pressure – Ability to complete assigned tasks under stressful situations.

SKILLS & ABILITIES
Education: High School Diploma or Equivalent

Experience: Prior experience in a healthcare or customer service related setting preferred.

Computer Skills: Ability to efficiently operate computers and research, as needed. Comfortable with Microsoft Office

Certifications & Licenses: N/A

Other Requirements:

• Excellent attendance required to maintain efficient clinical processes.
• Highly motivated and willing to work extra as needed.
• Ability to learn how to operate ophthalmic equipment.
• Ability to obtain knowledge and skills in clinic and through educations courses.

Department: Billing
Job Status: Active
FLSA Status: Non-Exempt
Work Schedule: Monday-Friday 8am- 5pm

Job Status: Full-Time
 
Billing and Benefit Coordinator

The Billing and Benefit Coordinator is responsible for managing patient benefit claim coordination. Assists front desk and switchboard regarding patient insurance coverage. Assists patients with payments, billing questions.

ESSENTIAL FUNCTIONS

Reasonable Accommodations Statement
To accomplish this job successfully, an individual must be able to perform, with or without reasonable accommodation, each essential function satisfactorily. Reasonable accommodations may be made to help enable qualified individuals with disabilities to perform the essential functions.

Essential Functions Statement(s)

● Collect all the information necessary to prepare insurance claims and bill patients.

● Understand CPT, HCPCs and ICD-10 coding requirements and payer-specific billing guidelines.

● Review submitted charges for accuracy and post for claims submission.

● Understand Insurance Copays, Coinsurance, & Deductibles.

● Investigate insurance coverage and verify prior authorization on claims.

● Interpret and process (post) Explanation of Benefits (EOB’s).

● Research, correct, re-submit and/or appeal rejected and denied claims for all payers – Medicare plans, Medicaid plans, Commercial and WC (as assigned to individual).

● Prepare and review reports on: Unpaid Claims, Unbilled Charges, Past Due Patient Balances, Overpayments, Monthly Drug Audits etc. (as assigned to individual).

● Assist patients with billing questions.

● Assist front desk and switchboard regarding patient insurance.

● Provide support for clinical staff regarding billing guidelines.

● Generate files for Pre-Collections and Collections accounts for review and submission to outside collection agency.

● Answer incoming/make outgoing phone calls.

● Take patient payments via mail and telephone.

● Bill patients for their financial responsibility.

● Initiate Benefits Investigations through various pharmaceutical companies.

● Maintain patient confidentiality.

● Attend required meetings.

● Demonstrate flexibility in job assignment.

● Perform additional duties as assigned.