With 100+ physicians in 20 specialties, Collom & Carney Clinic serves the healthcare needs of more than 200,000 active patients. This "Physician Owned" group has been a staple in East Texas for the past 70 years. Medical Group Management Association (MGMA) has recognized Collom & Carney as a better performer in the "Performance and Practices of Successful Medical Groups." The clinic has received this distinction since 1998, the first year criteria was developed for this award. The clinic has always maintained a standard of professionalism and excellence, yet within a friendly working environment. All of our physicians are provided with the best resources available, including state-of-the-art equipment, superior staff support, and administrative assistance.
Must be a licensed LPN/LVN or a Certified Medical Assistant.
To assist patients in a courteous professional manner with the
filing of their Workers' Compensation/FMLA/Disability forms. Obtaining necessary
information and completing the form accurately to obtain payment for
services rendered.
Assist patients with Workers' Compensation/FMLA/Disability forms in a courteous manner.
• Verifies worker's compensation with employer or insurance company.
• Sets up worker's compensation account.
• Completes State required forms.
• Obtains and sends dictation regarding injury to appropriate place.
• Calls for claims and bills for services rendered.
• Conducts all worker's compensation insurance correspondence and disabilities.
• Posts payments on accounts and follows up on past due accounts.
• Prepares worker's compensation refunds.
• Makes corrections to worker's compensation accounts.
• Pre-certifies MRI’s, CT’s, general surgeries, ESI’s, NCV/EMG’s
• Set up appointments for final exams (impairment ratings)
1. Pleasant, friendly disposition with the ability to work with patients, physicians and co-workers.
2. Awareness of need for discretion and for keeping confidential all matters relating to the clinic, the employees and the patients.
3. Intelligence to use judgement and initiative determining the course of action with workman's compensation claims.
4. Ability to handle stressful situations while remaining calm.
5. Tact and diplomacy in dealing with staff.
1. High School Graduate or equivalent.
2. Background and knowledge of computers.
Communicates with nursing staff and patients' insurance company to obtain authorization/pre-certifications for outpatient/in-patient procedures and medication infusions/injections as ordered by physician. Pleasant, courteous disposition with the ability to communicate effectively with insurance representatives as well as patients, employees and physicians. Professional in conduct and appearance.
1. Obtains pre-certification form for outpatient and/or in-patient
procedure from nursing staff with patients' demographic, diagnosis,
type of procedure and insurance information.
2. Contacts patients' insurance companies by phone or use of internet
to acquire the pre-cert number.
3. Documents on the pre-cert form the date, person spoken to and
authorized pre-cert number.
4. Completes information in the EHR "Incoming Referrals" tab for
attachment to claim.
5. Completes referral requests and files referral forms.
6. Keeps a record on each contact with insurance companies by
computer and file notes.
7. Faxes pre-cert information to hospital admissions as needed.
8. Answers telephone identifying self.
9. Returns phone calls in timely manner.
10.Floats to other areas as needed.
11.Follows approved Electronic Medical Record Security standards as
outlined by Information Systems department.
12.Keeps workstation neat and clean.
13.Completes OSHA and Fire Safety training annually.
1. High school education or equivalent.
2. Computer knowledge.
3. Good interpersonal skills.
Represents the clinic in a courteous, efficient and professional manner
by answering and making all necessary telephone calls, scheduling
appointments, greeting and assisting patients for medical care in
the Family Practice setting.
1. High School Graduate or equivalent.
2. Previous reception experience or background
3. Previous public contact work and telephone work
4. Background and knowledge of computers and medical terminology.
Must have current LPN/LVN License or be a Certified Medical Assistant.
