Medical
To be considered for opportunities through Charles Foster Company, please click here to submit your resume in MS Word format to cfs@charlesfoster.net . If you have any questions, please call 843-572-8100.
RN’s…Are you tired working odd hours? Charleston client is looking for RN’s for their Medicare Finance Department. Position is M – F, Salary DOE
JOB SUMMARY: Coordinates preparation and collection of patient and billing information to forward to Medicare Part B for Air Fluidized Therapy. Responsible for process development and review.
ESSENTIAL DUTIES AND RESPONSIBILITIES
- Remain abreast of Medicare criteria for AFT.
- Shows understanding of what is required to show medical necessity for each patient.
- Initiate and develop relationships with case managers, physicians, and HHA to obtain appropriate documentation to support Medicare criteria for AFT.
- Communicate with all medical personnel to ensure their understanding of documentation requirements Clinical review of all medical documentation received to ensure compliance with medical guidelines Minimize time to place cycle time from order to placement.
- Manage and ensure billable placements Develop and monitor processes to ensure maximum reimbursement Prioritize workload based on availability of documentation that meets Medicare B criteria Partner with sales team in the development of strategies to ensure customer satisfaction.
- Maintain data integrity in all appropriate systems.
- Adhere to company policies and procedures including but not limited to safety, anti-sexual harassment and drug-free workplace.
- Works as a team player with Medicare Part B Appeals group and assist with Medicare Audits as necessary.
QUALIFICATIONS:
- Knowledge of Medicare criteria for DME. Computer experience to include the following: MS Word, Excel, AS400 Proven ability in organization, problem solving (analysis), and project management skills Excellent written, verbal and interpersonal communication skills Ability to work well in a team environment Reliable attendance record Performance Review of good or better
EDUCATION AND/OR EXPERIENCE:
- RN required.
- Proven ability to effectively present information and respond to questions from coworkers, managers, clients and customers.
- Ability to write reports, business correspondence, and procedure manuals. Ability to read, analyze and interpret general business periodicals, professional journals, technical procedures or governmental regulations.
To apply, please email your resume and salary requirements to carley@charlesfoster.net 572-8100 No fees. EOE
CERTIFIED OPHTHALMIC TECH.
Position summary:
- Perform initial patient screening, history taking, education and technical support consistent with qualifications and scope of practice to ensure adequate and complete
information for the medical staff.
Minimum Education & Training:
- High school diploma or equivalent and two years of specialized ophthalmic experience.
- Certified as an Ophthalmic Technician (COT) through Joint Commission on Allied Health Personnel
in Ophthalmology (JCAHPO). - BLS required
To be considered, please email resumes to carley@charlesfoster.net
CLINICAL PRE – CERTIFICATION SUPERVISOR
Job Purpose
Responsible for managing functions related to the Precertification of Insurance for Patient Support Services; plans, directs and monitors the actions of all assigned Precertification Specialist. The responsibility of this manager pre-certification is to ensure that all services requiring carrier authorizations are approved.
Responsible for managing functions related to the Precertification of Insurance for Patient Support Services; plans, directs and monitors the actions of all assigned Precertification Specialist. The responsibility of this manager pre-certification is to ensure that all services requiring carrier authorizations are approved.
Education and Work Experience
High School diploma or equivalent with five years of medical insurance experience or Bachelor’s degree with three years of medical insurance experience; one year of supervisory experience required. Current SC licensure as an LPN or RN with one year of clinical experience required. Utilization management experience with managed care payors preferred. Proficiency in the use of computer systems including Microsoft Excel, Word, and report analysis. Ability to demonstrate excellent written and verbal communication and interpersonal skills, professional demeanor, and guest relations.
Degree of Supervision
Must work independently. Leads and directs others.
Licensures, Registrations, Certifications
Current SC Licensure as an LPN or RN.
Job Duties
- Organize and monitor work flow. Ensures workflows are developed, implemented and utilized by all Precertification Specialist staff.
- Oversees the hiring and disciplinary actions for employees and reviews/evaluates employee performance.
- Ensures that training promotes and enforces a professional and knowledgeable staff member.
- Directly supervises the day to day precertification functions of the assigned Precertification Staff that is aligned with the mission and values of the Physicians and Medical Center identified as critical to the success of both entities.
- Maintains advance knowledge of insurance contracts; service locations, specialties and services provided; collection goals; and precertification and authorization requirements.
- Develops, maintains and updates policies and procedures related to Precertification Specialist activities and ensures training and compliance to the same.
- Acts as a liaison to MUSC/MUHA/UMA departments, including the promotion of strong teamwork with all financial teams and serves as a resource to regarding patient insurance benefits and coding.
- Obtains Pre-certification/authorization for outpatient procedures from carriers as required and documents the information in appropriate systems in designated fields to include but not limited to obtaining or verifying claim address, group#, policy # subscriber information and any copayment or out of pocket expenses owed by the patient.
To be considered, please email resumes to Carley@charlesfoster.net
EMG TECHOLOGIST
Area: West Ashley, Mt. Pleasant
Education: Two years of technical training. Board Registered by examination by the American Association Electrodiagnostic Technologists.
Experience: 1 year of work experience in EMG technology
Experience: 1 year of work experience in EMG technology
Certificate/License: Board Registered by examination by the American Association Electrodiagnostic Technologists.
General Statement of Duties: Responsible for the operation of electromyographic equipment while independently performing nerve conduction studies using technical expertise to obtain studies.
Essential Job Duties:
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Performs all Nerve Conduction Studies/EMG procedures efficiently using technical knowledge in determining appropriate tests.
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Preparation of procedures rooms for studies. Thoroughly explains to patient the procedure about to be performed; relaxes and assures patient for cooperation and compliance. Preps patient’s skin for study for application of surface electrodes. Observation of patient during exam.
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Responsible for the smooth technical operation of EMG equipment while performing nerve conduction studies. Prepares supplies and equipment.
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Ability to make independent decisions regarding appropriate nerves to test, based on patients complaints. Responsible for independently obtaining nerve conduction studies, interpreting waveforms, recognizing abnormalities, and abnormalities by means of technical expertise.
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Calculates study data; recognizes and eliminates causes of electrical interference and how to trouble shoot common machine problems.
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Prepares exam room for physician and assists physician with any problems that may occur during the exam.
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Collects, records and compiles Nerve Conduction Study data and statistics to incorporate into a formal report from the physician. Ensures reports in patient charts recorded accurately.
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Cleans and maintains the equipment and supplies. Maintains an ongoing communication with the EMG machine vendor ensuring updated software.
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Responsible for overall functioning of the EMG/NCS procedures performed in the office and at satellite offices, including transportation.
To be considered for this position you must e-mail your resume in a Word document to carley@charlesfoster.net
MEDICAL OFFICE ADMIN
Ideal candidate will be experienced in medical office procedures including billing, insurance & medical terminology. Must have excellent customer service skills and be proficient in MS Office. Comfortable work environment and competitive pay. Drug screen & Background check required. Please email resumes in a WORD document to carley@charlesfoster.net
Ideal candidate will be experienced in medical office procedures including billing, insurance & medical terminology. Must have excellent customer service skills and be proficient in MS Office. Comfortable work environment and competitive pay. Drug screen & Background check required. Please email resumes in a WORD document to carley@charlesfoster.net