IMA Medical Group

Description We are excited to announce an opening for a Patient Outreach Representative. As a Patient Outreach Representative, you will be responsible for conducting outbound calls to our patients informing them of their upcoming appointments and referrals, working along with our customer service team. This role is perfect for someone who can offer exceptional support to our patients by answering, greeting, and assisting. If you have a welcoming demeanor and the desire to help others, read on! Key Responsibilities - Maintains patient privacy in accordance with company protocol. - Assists with maintaining and updating provider panels, schedules, and clinic locations. - Verifies patient insurance. - Creates new patient record in electronic medical record system. - Schedules and confirms appointments for new patients without an existing appointment, patients who have not followed up with their provider, and patient referral appointments with specialist clinics. - Follows up with specialty clinics on status of referral appointments. - Actively listens to patients and recognize needs identified during outreach call. - Assists patients with issues and/or inquiries during an outreach call. - Arranges for transportation to and from appointments as requested by patient. - Documents and maintains accurate patient records and tracking/reporting spreadsheets. - Provides excellent customer service during every patient interaction. - Collaborates and corresponds with clinical and Patient Services team members to improve interdepartmental communication and workflows. - Meets all productivity standards, deadlines, and adheres to work schedule. - Strong problem-solving and troubleshooting skills with precise attention to detail. Requirements Required - High school diploma required. - Possess at least 1 year of customer interaction experience. - Bilingual (English/Spanish). - Call center or medical office experience. - Strong customer service skills and enjoy working with people. - Efficient time management skills. - Highly dependable. - Able to follow instructions, policies, and procedures. Preferred - Electronic Medical Record (EMR) Experience ECW- eClinicalWorks (Preferred) About IMA Medical Group IMA Medical Group is a visionary and dynamic company focused on high-quality primary care services, with doctors and professionals dedicated to the health and well-being of the elderly. With multiple locations throughout Central Florida, we reiterate our commitment to providing quality medical care and an exceptional experience on each visit. That is the peace of mind and convenience that our patients deserve. What We Offer - A welcoming and inclusive work environment - Opportunities for professional growth and development - Competitive salary and benefits package - Health, Dental, and Vision Insurance - 401(K) Retirement Plan with Matching - Voluntary Short & Long-Term Disability - Employer-Paid Life Insurance - Paid Time Off, Floating Holidays, and Paid Major Holidays - Employee Assistance Program (EAP) How to Apply ARE YOU READY TO JOIN OUR TEAM? We understand your time is valuable, and that is why we have a very quick and easy application process. If you feel that you are right for this position, please fill out our initial 3-minute, mobile-friendly application so that we can review your information. We look forward to meeting you! IMA Medical Group is an Equal Opportunity Employer (EOE) and we comply with all federal, state, and local anti-discrimination laws, regulations, and ordinances. IMA Medical Group participates in E-Verify, as required by the Florida Medicaid program. IMA maintains a drug-free workplace in accordance with applicable Federal and State laws.

Description We are excited to announce an opening for a ERA Denials/Billing Specialist. As a ERA Denials/Billing Specialist you will be responsible for managing the electronic remittance advice (ERA) process and resolving denied claims. This position requires a keen understanding of healthcare billing processes, proficiency in navigating electronic billing systems, and the ability to effectively analyze and address denial reasons. - ERA Management: Review electronic remittance advice (ERA) files received from payers to ensure accuracy and completeness. Identify and reconcile discrepancies between claims and corresponding payment information. - Denial Analysis: Analyze claim denials to determine root causes and reasons for rejection. - Collaborate with relevant departments to address and rectify issues leading to denials. - Claim Resubmission: Develop and implement strategies to correct denied claims for resubmission. Ensure timely and accurate resubmission of corrected claims to maximize reimbursement. - Communication: Liaise with payers to resolve ERA discrepancies and denial-related inquiries. - Communicate effectively with internal teams to provide insights into denial trends and solutions. - Documentation: Maintain detailed records of denial reasons, resolutions, and follow-up actions. - Generate reports on denial trends and share findings with management. - Process Improvement: Identify opportunities for process improvement to minimize future denials. - Collaborate with cross-functional teams to implement enhancements in billing and claims processes. - Training and Education: Provide training to billing and coding staff on best practices to prevent denials. Stay informed about changes in payer policies and regulations affecting claims processing. Requirements Required - Minimum of 2 years experience in healthcare billing and claims management. - Proficiency in working with electronic health records (EHR) and billing software. - Strong analytical skills with the ability to interpret ERA files and analyze denial trends. - Excellent verbal and written communication skills. - Ability to communicate effectively with payers, internal teams, and other stakeholders. - Keen attention to detail in reviewing and reconciling claims and payment information. - Proven ability to identify and address root causes of claim denials. Preferred - Fully Bilingual (ENGLISH/SPANISH). - Athena experience. - TriZetto/Gateway preferred - Bachelor's degree in Healthcare Administration, Business, or a related field. About IMA Medical Group: IMA Medical Group is a visionary and dynamic company focused on high-quality primary care services, with doctors and professionals dedicated to the health and well-being of the elderly. With many locations throughout Central Florida, we reiterate our commitment to providing quality medical care and an exceptional experience on each visit. That is the peace of mind and convenience that our patients deserve. What We Offer: - A welcoming and inclusive work environment - Opportunities for professional growth and development - Competitive salary and benefits package - Health, Dental, and Vision Insurance - 401(K) Retirement Plan with Matching - Voluntary Short & Long-Term Disability - Employer-Paid Life Insurance - Paid Time Off, Floating Holidays, and Paid Major Holidays - Employee Assistance Program (EAP) How to Apply: ARE YOU READY TO JOIN OUR TEAM? We understand your time is valuable and that is why we have a very quick and easy application process. If you feel that you are right for this position, please fill out our initial 3-minute, mobile-friendly application so that we can review your information. We look forward to meeting you! IMA Medical Group is an Equal Opportunity Employer (EOE) and we comply with all federal, state, and local anti-discrimination laws, regulations, and ordinances. IMA Medical Group participates in E-Verify, as required by the Florida Medicaid program IMA maintains a drug-free workplace in accordance with applicable Federal and State laws