Careers

Overview

Rennova Health is a leading provider of medically-managed services specializing in providing urine drug toxicology and comprehensive pain medication monitoring programs to physicians, clinics and rehabilitation facilities in the USA.

Current Corporate Openings

West Palm Beach, FL

Billing Manager, Laboratory Services

The Billing Manager for Laboratory services is responsible for timely and accurate completion and submission of all laboratory billing, including, but not limited to: ensuring departmental regulatory compliance, providing guidance and counsel to supervisor(s) and staff and monitoring collections and other internal indicators. The Lab Billing Manager will work closely with the Accounting Department in preparing and presenting financial reports and will develop expertise with existing practice management systems to lead/manage the implementation and set-up of new billing codes/procedures.

DUTIES AND RESPONSIBILITIES:

  • Oversees the lab billing department and works closely with senior management to evaluate department's productivity and performance to ensure revenue and cash flow maximization;
  • Meets billing operational standards by implementing production, productivity, quality, and customer-service standards; resolving problems; auditing; quality control; and identifying billing system improvements;
  • Develops an effective team to ensure reimbursement through timely and accurate submission and follow up of claims and appeals, post payments, research and resolve refunds and credit inquiries and research claims eligible for write offs;
  • Ability to report on payment and rejection trends while addressing cash collections and denial processing issues;
  • Monitors, develops, and collects data for key performance indicators (KPI's) to measure activity within the department; leads projects related to revenue cycle activities
  • Build relationships and work closely with key personnel to drive industry compliance, process improvement, and system enhancements/efficiencies;
  • Responsible for overseeing and supporting third party collections management;
  • Proactively identifies, resolves, and communicates solutions to management for issues and concerns involving problematic areas as they develop;
  • Responsible for implementing and documenting effective processes and procedures to improve AR turnover, revenue, cash flow and the month end close;
  • Ensures compliance with all federal, state, and local regulations and is conversant in key regulatory/compliance areas;
  • Perform other duties as assigned.

Education

  • Bachelor's Degree in Health Information Management, Healthcare Management or related field.

Experience:

  • At least 5 years of medical billing experience in a laboratory/diagnostic/ toxicology environment.
  • Demonstrates knowledge of insurance or managed care billing/coding and reimbursement principles for a diagnostic laboratory, specifically, UA toxicology:
  • A minimum of 3 years of supervisory experience.
  • Demonstrated ability in managing and mentoring staff through development of realistic action plans.
  • Proven ability to drive continuous process improvement
  • Thorough knowledge of laboratory billing and coding (ICD 9/10 and CPT), account follow-up and resolution processes, laboratory billing system processes, payment posting functions, OIG billing compliance guidelines, third-party payer and insurance company operating procedures, billing requirements and regulations, and government reimbursement programs.

Skills:

  • Ability to work in a team environment, lead and develop a team, issue clear instructions, effectively direct front and back-end work processes, and provide quality control of billing procedures.
  • Dependability is critical, must take responsibility for own action, keep commitments, commit to work goals.
  • Strong interpersonal and communication skills, and multitasking abilities.
  • Knowledgeable in the use of MS-Office (Word / Excel / Outlook)
  • Experience with billing software- Healthpac is plus.
  • Ability to learn new software, perform multiple tasks simultaneously, keep accurate records, and prepare statistical reports
  • Excellent communication and customer service skills

Work Environment and Physical Demand:

  • General office environment. No special physical demands required.
  • Willing to work a flexible schedule as needed.

West Palm Beach, FL

Customer Account Specialist

The Customer Account Specialist is responsible for making outbound calls as well as responding to inbound calls from customers regarding unsettled patient and client accounts. Additionally, the Customer Account Specialist is responsible for the accounts receivable process. The Customer Account Specialist will work closely with the accounting and laboratory billing departments.

DUTIES AND RESPONSIBILITIES:

  • Initiate outbound calls in a professional manner while keeping and improving customer relations.
  • Accounts receivable: posts customer payments by recording cash, checks, and credit card transactions.
  • Accounts receivable follow up; includes written and verbal correspondence with patients and clients.
  • Reviewing open accounts for collection efforts.
  • Resolves client-billing problems and rescues accounts receivable delinquency, applying good customer service in a timely manner.
  • Invoices clients in installments, based on company procedures, contractual agreements, and/or as directed by the manager.
  • Utilizes various systems and tools to assist and service customers.
  • Provides information by collecting, analyzing, and summarizing information; responding to requests.
  • Prepares reports by collecting and analyzing information.
  • Ensures compliance with appropriate industry regulations and State and Federal regulations.
  • Maintains working knowledge of applicable laws and regulations as they relate to assigned responsibilities.
  • Maintains confidentiality of all information related to patients, clients and finances.
  • Performs other duties as assigned.

Education:

  • High School or General Equivalency Diploma
  • Bachelors degree (preferred)

Experience:

  • 1+ year of customer service or call center experience preferred
  • 1+ year experience with accounts receivables Electronic Remittance Advice (ERA)

Skills:

  • Excellent speaking, listening, and customer service skills
  • Professional and personable demeanor over the phone
  • Excellent attention to detail
  • Great time management and prioritization skills Excellent customer service skills
  • Exceptional attention to detail and organization skills
  • Strong work ethic and desire to work effectively with external customers, co-workers and management
  • Good verbal and written communication skills
  • Knowledge of Microsoft applications (Word, Outlook, Excel required) as well as internet research and data entry

Work Environment and Physical Demand: General office environment

Current Laboratory Openings

Epinex Diagnostic Laboratory, Tustin, CA

Clinical Lab Scientists

Under the supervision of the General/Technical Supervisor, CLS is responsible for specimen processing, performing a full range of laboratory tests and reporting laboratory findings in a non-supervisory position. Performs only those high complexity tests that are authorized by the laboratory director and require a degree of skill commensurate with the individual's education, training or experience, and technical abilities.

DUTIES AND RESPONSIBLITIES:

  • Apply the principles, theory and techniques of the practice of laboratory medicine to produce and report appropriate; in human biological specimens such as oral saliva, urine, dried blood, plasma etc.
  • Identify and communicate abnormal patient conditions by alerting supervisory personnel, the lab director, the provider, and/or management; reporting mandated information to the public health department or other designated officials.
  • Identify the presence or quantity of drugs of abuse, therapeutic drugs and toxic substances by operating instrumentation used in toxicology chemical testing and performing manual methods for the performance of drug screens and neurotransmitter levels.
  • Sample extraction using automated and manual preparation techniques, sample loading onto LC-MS/MS instruments, building sample lists and starting runs.
  • Provide quality test results for patient diagnosis and treatment by operating general chemistry, immunochemistry, hematology, urinalysis, coagulation equipment; performing manual methods; or by operating other instrumentation as may be available in the laboratory area.
  • Specimen handling and processing duties includes, analyzing and organizing work by matching computer orders with specimen labeling, sorting specimens, checking labeling; logging specimens; arranging reports for delivery, keeping work surfaces clean and orderly.
  • Ensuring instrument availability by accessing and logging information pertaining to instrument status, maintenance performed on Microsoft SharePoint®.
  • Adhere to the laboratory’s quality control policies, document all quality control activities, instrument and procedural calibrations and maintenance performed.
  • Maintain quality results by running standards and controls, verifying equipment function through routine equipment maintenance and advanced troubleshooting, calibrating equipment utilizing approved testing procedures.
  • Perform, interpret and record quality control as appropriate and record corrective action(s) where appropriate.
  • Identify and communicate adverse instrument and/or data-related events by alerting supervisory personnel, the lab director, the provider, and/or management; reporting mandated information to the public health department or other designated officials.
  • Follow the laboratory’s established policies and procedures whenever test systems deviate or are not within the laboratory’s established acceptable levels of performance specifications.
  • Candidate must be capable of identifying problems that may adversely affect test performance or reporting of test results and either must correct the problems per SOP or immediately notify the general supervisor, technical supervisor and lab director.
  • Assure that patient test results are not reported until all corrective/remedial actions have been taken, documented and the test system is properly functioning.
  • Document all corrective actions taken when test systems deviate from the laboratory’s established performance specifications.
  • Maintain records that demonstrate that proficiency testing samples are tested in the same manner as patient specimens.
  • Participate in available continuing education and maintains licensure/certification as required by State law and accreditation agencies.
  • Provide an analytical approach to technical resolutions by participating in staff training; answering questions of other professionals; participating in educational opportunities; and maintaining licensure and certification as required by the company, State/local laws and accrediting bodies.
  • Contribute to a safe and secure environment for co-workers and all others by following established standards and procedures; complying with legal regulations and maintaining patient confidentiality.
  • Serve and protect the community by adhering to professional standards; policies and procedures; federal, state, and local requirements; and
  • Computer skills adequate for creation and maintenance of policies and procedures, spreadsheets, chart and graphs, and data management.
  • Knowledge of proper specimen collection procedures, including patient preparation, labeling, handling, preservation, processing, preparation, transportation and storage of specimens.
  • Maintain and verify the documents required for Laboratory Director’s visit, documentation and read and sign sheets.
  • By coordinating with the Technical Supervisor, maintain records per accreditation, state, local and federal guidelines. Such records include but are not limited to test logs, error logs, QC reports, proficiency testing, and discontinued procedures.
  • Manage cumulative quality assurance data.
  • Meets with Laboratory Manager (General/Technical Supervisor) and Laboratory Director at least twice a year for Quality Assurance updates, education and update and review of CLIA regulations.
  • Must be accessible to testing personnel at all times when testing is performed to provide on-site, telephone, or electronic consultation to document technical problems in accordance with policies and procedures established by the Laboratory Director or Technical Supervisor.
  • Review of quality control records, proficiency testing results and maintenance records.
  • Other duties may be assigned.
  • Inspection/Audit/Surveyor: Expectation is labs should be prepared and operate on a day to day basis to result in no deficiencies on any scheduled, random or unannounced inspection from any accrediting agency including but not limited to CLIA, COLA, OSHA, Department of Health, State, etc. Participate in required reciprocal Inspections as needed and/or requested by the Technical Supervisor.

Education:

  • Associates/Bachelor’s degree in Chemistry, Biological or Physical Sciences or Medical Technology.

Experience:

  • Minimum 3 months to 1-year of clinical laboratory experience including, rotations.

Professional License:

  • Possess or be able to obtain Clinical Laboratory Scientist (CLS), Medical Technologist (MT, Clinical Chemistry) or equivalent State license(s)/certification(s) for position as required by State Law and laboratory within four (4) months of hire..
  • Clinical Laboratory Scientist must at minimum meet the personnel responsibilities qualifications per CLIA Sec. 493.1495 1489 Standard: Testing Personnel Responsibilities Qualifications, as well as any and all State licensure/certification requirements for the position.

Skills:

  • Ability to communicate in English, written and verbally, with peers and management.
  • Ability to create and present presentations to small and large groups.
  • Advanced skill in Microsoft Office Products (Excel, Word, PowerPoint, Outlook) and Adobe Acrobat.
  • Ability to perform, create and interpret statistical data for validations, correlations, etc.
  • Basic math skills; Ability to create and work with statistical data.
  • Ability to quickly learn proprietary software programs.
  • High degree of confidentiality.

Work Environment and Physical Demand:

  • Potential exposure to blood and body fluid: Category I – Performs tasks which involve exposure to blood, body fluid, or tissue
  • General office and lab environment. No special physical demands required.
  • Willing to work a flexible schedule as needed.
  • Some travel to customer sites or partners may be required (<10%).

Epic Reference Laboratory- Riviera Beach, FL

Certifier 1

Under the supervision of the Technical or General Supervisor, responsible for specimen processing, performing a full range of laboratory tests and reporting laboratory findings in a non-supervisory position. Performs only those high complexity tests that are authorized by the laboratory director and require a degree of skill commensurate with the individual's education, training or experience, and technical abilities.

DUTIES AND RESPONSIBLITIES:

  • Apply the principles, theory and techniques of LC-MS/MS-based drug testing to identify the presence or quantity of drugs of abuse, therapeutic drugs and toxic substances; in human biological specimens such as oral saliva, urine, dried blood, plasma etc.
  • Reviewing TargetLynx data obtained from the LC-MS/MS instrumentation and monitoring test analyses to ensure that acceptable levels of analytic performance are maintained.
  • Perform results entry into Laboratory Information System (LIS) and approving the final results into Advantage Reporting UI after a comprehensive data review.
  • Adhere to the laboratory’s quality control policies, document all quality control activities, instrument and procedural calibrations and maintenance performed.
  • Maintain quality results by running standards and controls, verifying equipment function through routine equipment maintenance and advanced trouble shooting; calibrating equipment utilizing approved testing procedures.
  • Perform, interpret and record quality control as appropriate and record corrective action(s) where appropriate.
  • Identify and communicate adverse instrument and/or data-related events by alerting supervisory personnel, the lab director, the provider, and/or management; reporting mandated information to the public health department or other designated officials.
  • Follow the laboratory’s established policies and procedures whenever test systems deviate or are not within the laboratory’s established acceptable levels of performance specifications.
  • Candidate must be capable of identifying problems that may adversely affect test performance or reporting of test results and either must correct the problems per SOP or immediately notify the general supervisor, technical supervisor and lab director.
  • Assure that patient test results are not reported until all corrective/remedial actions have been taken, documented and the test system is properly functioning.
  • Document all corrective actions taken when test systems deviate from the laboratory’s established performance specifications.
  • Maintain records that demonstrate that proficiency testing samples are tested in the same manner as patient specimens.
  • Participate in available continuing education and maintains licensure/certification as required by State law and accreditation agencies.
  • Provide an analytical approach to technical resolutions by participating in staff training; answering questions of other professionals; participating in educational opportunities; and maintaining licensure and certification as required by the company, State/local laws and accrediting bodies.
  • Contribute to a safe and secure environment for co-workers and all others by following established standards and procedures; complying with legal regulations and maintaining patient confidentiality.
  • Serve and protect the community by adhering to professional standards; policies and procedures; federal, state, and local requirements; and
  • Other duties may include but are not limited to;
    • Specimen handling and processing- Analyze and organize work by matching computer orders with specimen labeling; sorting specimens; checking labeling; logging specimens; arranging reports for delivery; keeping work surfaces clean and orderly
    • Sample extraction, sample loading onto LC-MS/MS instruments, building sample lists and starting runs.
  • Ensuring instrument availability by accessing and logging information pertaining to instrument status, maintenance performed; on Microsoft Sharepoint.
  • Knowledge of proper specimen collection procedures, including patient preparation, labeling, handling, preservation, processing, preparation, transportation and storage of specimens.
  • Maintain and verify the documents required for Laboratory Director’s visit, documentation and read and sign sheets.
  • By coordinating with the Technical Supervisor, maintain records per accreditation, state, local and federal guidelines. Such records include but are not limited to test logs, error logs, QC reports, proficiency testing, and discontinued procedures.
  • Manage cumulative quality assurance data.
  • Meets with Laboratory Manager (General/Technical Supervisor) and Laboratory Director at least twice a year for Quality Assurance updates, education and update and review of CLIA regulations.
  • Must be accessible to testing personnel at all times when testing is performed to provide on-site, telephone, or electronic consultation to document technical problems in accordance with policies and procedures established by the Laboratory Director or Technical Supervisor.
  • Review of quality control records, proficiency testing results and maintenance records.
  • Other duties may be assigned.
  • Inspection/Audit/Surveyor: Expectation is labs should be prepared and operate on a day to day basis to result in no deficiencies on any scheduled, random or unannounced inspection from any accrediting agency including but not limited to CLIA, COLA, OSHA, Department of Health, State, etc. Participate in required reciprocal Inspections as needed and/or requested by the Technical Supervisor.

Education:

  • Bachelor’s/Master’s degree in Chemistry, Biological or Physical Sciences or Medical Technology.
  • Must possess chromatography experience with hyphenated instrumentation such as GC-MS, LC-MS and/or LC-MS/MS.

Experience:

  • Minimum 3 years of experience in clinical chemistry, toxicology with Bachelor’s degree.
  • Minimum 3 months to 1-year of experience in clinical chemistry, toxicology with Master’s degree.

Professional License:

  • Possess or be able to obtain Clinical Laboratory Scientist (CLS), Medical Technologist (MT, Clinical Chemistry) or equivalent State license(s)/certification(s) for position as required by State Law and laboratory within four (4) months of hire.
  • Certifier must at minimum meet the personnel responsibilities qualifications per CLIA Sec. 493.1495 1489 Standard: Testing Personnel Responsibilities Qualifications, as well as any and all State licensure/certification requirements for the position. 

Skills:

  • Ability to communicate in English, written and verbally, with peers and management.
  • Average computer skills for creation and maintenance of policies and procedures, spreadsheets, chart and graphs, and data management.
  • Ability to create and present presentations to small and large groups.
  • Advanced skill in Microsoft Office Products (Excel, Word, PowerPoint, Outlook) and Adobe Acrobat.
  • Ability to perform, create and interpret statistical data for validations, correlations, etc.
  • Basic math skills; Ability to create and work with statistical data.
  • Ability to quickly learn proprietary software programs.
  • High degree of confidentiality.

Work Environment and Physical Demand:

  • Potential exposure to blood and body fluid: Category I – Performs tasks which involve exposure to blood, body fluid, or tissue
  • General office and lab environment. No special physical demands required.
  • Willing to work a flexible schedule as needed.
  • Some travel to customer sites or partners may be required (<10%).

Epic Reference Laboratory, Riviera Beach, FL

Clinical Lab Scientist I

Under the supervision of the General/Technical Supervisor, CLS is responsible for specimen processing, performing a full range of laboratory tests and reporting laboratory findings in a non-supervisory position. Performs only those high complexity tests that are authorized by the laboratory director and require a degree of skill commensurate with the individual's education, training or experience, and technical abilities.

DUTIES AND RESPONSIBLITIES:

  • Apply the principles, theory and techniques of the practice of laboratory medicine to produce and report appropriate; in human biological specimens such as oral saliva, urine, dried blood, plasma etc.
  • Identify and communicate abnormal patient conditions by alerting supervisory personnel, the lab director, the provider, and/or management; reporting mandated information to the public health department or other designated officials.
  • Identify the presence or quantity of drugs of abuse, therapeutic drugs and toxic substances by operating instrumentation used in toxicology chemical testing and performing manual methods for the performance of drug screens and neurotransmitter levels.
  • Sample extraction using automated and manual preparation techniques, sample loading onto LC-MS/MS instruments, building sample lists and starting runs.
  • Provide quality test results for patient diagnosis and treatment by operating general chemistry, immunochemistry, hematology, urinalysis, coagulation equipment; performing manual methods; or by operating other instrumentation as may be available in the laboratory area.
  • Specimen handling and processing duties includes, analyzing and organizing work by matching computer orders with specimen labeling, sorting specimens, checking labeling; logging specimens; arranging reports for delivery, keeping work surfaces clean and orderly.
  • Ensuring instrument availability by accessing and logging information pertaining to instrument status, maintenance performed on Microsoft SharePoint®.
  • Adhere to the laboratory’s quality control policies, document all quality control activities, instrument and procedural calibrations and maintenance performed.
  • Maintain quality results by running standards and controls, verifying equipment function through routine equipment maintenance and advanced troubleshooting, calibrating equipment utilizing approved testing procedures.
  • Perform, interpret and record quality control as appropriate and record corrective action(s) where appropriate.
  • Identify and communicate adverse instrument and/or data-related events by alerting supervisory personnel, the lab director, the provider, and/or management; reporting mandated information to the public health department or other designated officials.
  • Follow the laboratory’s established policies and procedures whenever test systems deviate or are not within the laboratory’s established acceptable levels of performance specifications.
  • Candidate must be capable of identifying problems that may adversely affect test performance or reporting of test results and either must correct the problems per SOP or immediately notify the general supervisor, technical supervisor and lab director.
  • Assure that patient test results are not reported until all corrective/remedial actions have been taken, documented and the test system is properly functioning.
  • Document all corrective actions taken when test systems deviate from the laboratory’s established performance specifications.
  • Maintain records that demonstrate that proficiency testing samples are tested in the same manner as patient specimens.
  • Participate in available continuing education and maintains licensure/certification as required by State law and accreditation agencies.
  • Provide an analytical approach to technical resolutions by participating in staff training; answering questions of other professionals; participating in educational opportunities; and maintaining licensure and certification as required by the company, State/local laws and accrediting bodies.
  • Contribute to a safe and secure environment for co-workers and all others by following established standards and procedures; complying with legal regulations and maintaining patient confidentiality.
  • Serve and protect the community by adhering to professional standards; policies and procedures; federal, state, and local requirements; and
  • Computer skills adequate for creation and maintenance of policies and procedures, spreadsheets, chart and graphs, and data management.
  • Knowledge of proper specimen collection procedures, including patient preparation, labeling, handling, preservation, processing, preparation, transportation and storage of specimens.
  • Maintain and verify the documents required for Laboratory Director’s visit, documentation and read and sign sheets.
  • By coordinating with the Technical Supervisor, maintain records per accreditation, state, local and federal guidelines. Such records include but are not limited to test logs, error logs, QC reports, proficiency testing, and discontinued procedures.
  • Manage cumulative quality assurance data.
  • Meets with Laboratory Manager (General/Technical Supervisor) and Laboratory Director at least twice a year for Quality Assurance updates, education and update and review of CLIA regulations.
  • Must be accessible to testing personnel at all times when testing is performed to provide on-site, telephone, or electronic consultation to document technical problems in accordance with policies and procedures established by the Laboratory Director or Technical Supervisor.
  • Review of quality control records, proficiency testing results and maintenance records.
  • Other duties may be assigned.
  • Inspection/Audit/Surveyor: Expectation is labs should be prepared and operate on a day to day basis to result in no deficiencies on any scheduled, random or unannounced inspection from any accrediting agency including but not limited to CLIA, COLA, OSHA, Department of Health, State, etc. Participate in required reciprocal Inspections as needed and/or requested by the Technical Supervisor.

Education:

  • Associates/Bachelor’s degree in Chemistry, Biological or Physical Sciences or Medical Technology.

Experience:

  • Minimum 3 months to 1-year of clinical laboratory experience including, rotations.

Professional License:

  • Possess or be able to obtain Clinical Laboratory Scientist (CLS), Medical Technologist (MT, Clinical Chemistry) or equivalent State license(s)/certification(s) for position as required by State Law and laboratory within four (4) months of hire..
  • Clinical Laboratory Scientist must at minimum meet the personnel responsibilities qualifications per CLIA Sec. 493.1495 1489 Standard: Testing Personnel Responsibilities Qualifications, as well as any and all State licensure/certification requirements for the position. 

Skills:

  • Ability to communicate in English, written and verbally, with peers and management.
  • Ability to create and present presentations to small and large groups.
  • Advanced skill in Microsoft Office Products (Excel, Word, PowerPoint, Outlook) and Adobe Acrobat.
  • Ability to perform, create and interpret statistical data for validations, correlations, etc.
  • Basic math skills; Ability to create and work with statistical data.
  • Ability to quickly learn proprietary software programs.
  • High degree of confidentiality.

Work Environment and Physical Demand:

  • Potential exposure to blood and body fluid: Category I – Performs tasks which involve exposure to blood, body fluid, or tissue
  • General office and lab environment. No special physical demands required.
  • Willing to work a flexible schedule as needed.
  • Some travel to customer sites or partners may be required (<10%).

Current Medical Billing Openings

Medical Billing Choice (MBC), West Palm Beach, FL

Facility Medical Biller

The Facility Medical Biller is responsible for the posting, submission, collection and management of Facility/Rehab claims for reimbursement.

DUTIES AND RESPONSIBILITIES:

  • Responsible for Explanation of Benefits (EOB) interpretation, balancing insurance and patient payments.
  • Conducts verification and benefit eligibility.
  • Performs utilization review according to the Company’s policies and procedures.
  • Ensure proper balancing of outstanding account balances together with appeals and denials.
  • Prepares adjustments and credits according to Company’s policies and procedures.
  • Facilitate timely and accurate posting of charges and the submission of manual and electronic claims.
  • Identify and resolve insurance concerns.
  • Timely review and follow up of accounts receivables.
  • Identify trends impacting charges, collection and accounts receivable and escalate to management.
  • Review and appeal unpaid or denied claims.
  • Responsible for obtaining and analyzing daily balancing reports and identify accurate charge and payment posting.
  • Responsible for achieving billing company’s weekly/monthly/ quarterly/annual goals.
  • Maintains confidentiality of compliance with all company and patient information in accordance with federal, state and local regulations, HIPAA regulations and Company policies.
  • Performs other duties as assigned.

Education:

  • High School or General Equivalency Diploma
  • Degree or Certificate in Medical Records, Healthcare Billing, or related major (preferred) 

Experience:

  • Minimum 3 years’ experience with medical billing in healthcare reimbursement or medical insurance/billing related work
  • Demonstrate strong knowledge of rehab treatment and pain management billing required
  • Demonstrate knowledge and understanding of Explanation of Benefits (EOB’s) or Electronic Remittance Advice (ERA)
  • Experience with Electronic Health Record (EHR) and medical billing software (e.g. Practice Admin, CollaborateMD, Medical Mime or Practice Fusion)

Skills:

  • Familiarity with medical terminology
  • Excellent customer service skills
  • Exceptional attention to detail and organization skills
  • Strong work ethic and desire to work effectively with external customers, co-workers and management
  • Ability to read, understand and follow oral and written instructions
  • Good verbal and written communication skills

Work Environment and Physical Demand: General office environment

West Palm Beach, FL

Billing Manager, Laboratory Services

The Billing Manager for Laboratory services is responsible for timely and accurate completion and submission of all laboratory billing, including, but not limited to: ensuring departmental regulatory compliance, providing guidance and counsel to supervisor(s) and staff and monitoring collections and other internal indicators. The Lab Billing Manager will work closely with the Accounting Department in preparing and presenting financial reports and will develop expertise with existing practice management systems to lead/manage the implementation and set-up of new billing codes/procedures.

DUTIES AND RESPONSIBILITIES:

  • Oversees the lab billing department and works closely with senior management to evaluate department's productivity and performance to ensure revenue and cash flow maximization;
  • Meets billing operational standards by implementing production, productivity, quality, and customer-service standards; resolving problems; auditing; quality control; and identifying billing system improvements;
  • Develops an effective team to ensure reimbursement through timely and accurate submission and follow up of claims and appeals, post payments, research and resolve refunds and credit inquiries and research claims eligible for write offs;
  • Ability to report on payment and rejection trends while addressing cash collections and denial processing issues;
  • Monitors, develops, and collects data for key performance indicators (KPI's) to measure activity within the department; leads projects related to revenue cycle activities
  • Build relationships and work closely with key personnel to drive industry compliance, process improvement, and system enhancements/efficiencies;
  • Responsible for overseeing and supporting third party collections management;
  • Proactively identifies, resolves, and communicates solutions to management for issues and concerns involving problematic areas as they develop;
  • Responsible for implementing and documenting effective processes and procedures to improve AR turnover, revenue, cash flow and the month end close;
  • Ensures compliance with all federal, state, and local regulations and is conversant in key regulatory/compliance areas;
  • Perform other duties as assigned.

Education

  • Bachelor's Degree in Health Information Management, Healthcare Management or related field.

Experience:

  • At least 5 years of medical billing experience in a laboratory/diagnostic/ toxicology environment.
  • Demonstrates knowledge of insurance or managed care billing/coding and reimbursement principles for a diagnostic laboratory, specifically, UA toxicology:
  • A minimum of 3 years of supervisory experience.
  • Demonstrated ability in managing and mentoring staff through development of realistic action plans.
  • Proven ability to drive continuous process improvement
  • Thorough knowledge of laboratory billing and coding (ICD 9/10 and CPT), account follow-up and resolution processes, laboratory billing system processes, payment posting functions, OIG billing compliance guidelines, third-party payer and insurance company operating procedures, billing requirements and regulations, and government reimbursement programs.

Skills:

  • Ability to work in a team environment, lead and develop a team, issue clear instructions, effectively direct front and back-end work processes, and provide quality control of billing procedures.
  • Dependability is critical, must take responsibility for own action, keep commitments, commit to work goals.
  • Strong interpersonal and communication skills, and multitasking abilities.
  • Knowledgeable in the use of MS-Office (Word / Excel / Outlook)
  • Experience with billing software- Healthpac is plus.
  • Ability to learn new software, perform multiple tasks simultaneously, keep accurate records, and prepare statistical reports
  • Excellent communication and customer service skills

Work Environment and Physical Demand:

  • General office environment. No special physical demands required.
  • Willing to work a flexible schedule as needed.

Current Sales Openings

Corporate Office, West Palm Beach, FL & Tustin, CA

Current IT Openings

Corporate Office, West Palm Beach, FL

Technical Business Analyst (EHR and Billing)

The Technical Business Analyst role is to collaborate with all business units and related third parties to define and document business processes and requirements for the Electronic Health Record (EHR) and billing products. This role will be responsible for understanding the clinical workflows of the EHR and billing systems and communicating their requirements to the IT engineering teams to develop and enhance system functionality.

DUTIES AND RESPONSIBLITIES:

  • Meet with internal and external business partners to obtain business requirements, as it relates to EHR and billing, and document in clear language, (without use of technical jargon).
  • Understand the existing systems and software implementation of the current internal and external business process.
  • Partner with subject matter experts to identify requirements and opportunities to enhance billing functionality and workflows.
  • Produce agile requirement documentation including objects such as use cases, story boards, or functional specifications.
  • Analyze business process data to identify pertinent process flow metrics and bottlenecks.
  • Identify opportunities to improve / automate the current EHR model, including the use of mobile applications in a clinical workflow.
  • Diagram the workflow of business processes as it relates to the billing and medical charge capture, both current and future enhancement.
  • Work with business partners to understand the vision of future enhancements of business process.
  • Interact with Quality Assurance to ensure that products and services are tested against the documented requirements.
  • Collaborate with Software Architect on specification of enhancements to existing EHR and billing functions through the use of documented processes, story boards etc.
  • Partner with Project Manager in developing project plans and prioritizing deliverables.
  • Evaluate competitive market EHR and billing products to compare and/or identify gaps, strengths and weaknesses of current internal products.
  • Participate in cross-functional business process re-engineering workshops and continuous improvement efforts.
  • Other duties may be assigned.

Education:

Associates Degree in Computer Science, Information Systems or Business Administration.

Experience:

  • 5+ years of experience as a Business Analyst and/or related IT experience.
  • 3+ years of experience in the Healthcare Industry, especially billing systems and medical charge capture, clinical workflows and system interoperability.
  • Prior experience with medical billing systems is required.
  • Experience with workflow metrics and documentation methods and tools is a must.
  • Familiarity with business process documentation standards (such as UML) and tools (such as Visio).
  • Experience with EHR systems and medical interoperability standards (HL7) a plus.
  • Experience with development and use of mobile apps in medical environments a plus.
  • Familiarity with requirements management software (ideally Jira plug-in) a plus.
  • Familiarity with traditional and/or agile project management methodologies a plus.
  • Experience in standard project management (such as MS Project) and work tracking tools (such as Jira) a plus.
  • Experience with data analysis tools (Excel) a plus.
  • Experience with data visualization tools (Tableau, Power BI) a plus.

Skills:

  • Excellent communication skills (both active listening and confident communication with stakeholders at all managerial levels).
  • Must be detail oriented, reliable and have the ability to work both in a team environment and alone with minimal direction and supervision.
  • Ability to integrate multiple specific customer requests into a coherent product vision for the general healthcare market.
  • High degree of confidentiality concerning HTS and customer information.

Work Environment and Physical Demand:

  • General office environment. No special physical demands required.
  • Willing to work a flexible schedule as needed.
  • Moderate travel to customer sites or partners may be required (25%-50%).