20 Clinics jobs in Montgomery

Medical Director, Clinical Services

36107 Montgomery, Alabama Highmark Health

Posted 6 days ago

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**Company :**
Highmark Inc.
**Job Description :**
**JOB SUMMARY**
This job, as part of a physician team, ensures that utilization management responsibilities are performed in accordance with the highest and most current clinical standards. The incumbent reviews escalated cases electronically and using Medical Policy criteria sets to evaluate the medical necessity and appropriateness of the requested treatment of service. Depending on the nature of the case, telephonic peer to peer discussions may be required. The incumbent ensures compliance to NCQA, URAC, CMS, DOH, and DOL regulations at all times. In addition to utilization review, the incumbent participates as the physician member of the multidisciplinary team for case and disease management. They will advise the multidisciplinary team on cases, particularly high-risk cases, through the team structure. Additionally, the incumbent may be assigned special projects to help support and improve the care of our members
**ESSENTIAL RESPONSIBILITIES**
+ Conduct electronic review of escalated cases against medical policy criteria, which may include telephonic peer to peer discussions, to determine medical necessity and appropriateness. Complete initial determination of cases, review of appeals and grievances, and other reviews as assigned. Compose clear and concise rationales for member and provider determination notifications all while adhering to required compliance standards (NCQA, URAC, CMS, DOH, and DOL regulations, etc.). Ensure that all aspects of the medical management process are consistent with community standards of care.
+ Participate as a member of the CMDM multidisciplinary team. Attend huddles and grand rounds. Advise multidisciplinary team on cases that require physician expertise.
+ Participate in protocol and guidelines development to ensure consistency in the review process.
+ Actively manage projects and/or participate on project teams that require a physician subject matter expert.
+ Other duties as assigned.
**EDUCATION**
**Required**
+ Medical Doctor (MD) or Doctor of Osteopathic Medicine (DO)
**Substitutions**
+ None
**Preferred**
+ Master's Degree in Business Administration/Management or Public Health
**EXPERIENCE**
**Required**
+ 5 years in Clinical, Direct Patient care (hospital, outpatient, or private practice)
**Preferred**
+ 1 year in Medical Management in a Health Insurance Plan; strong knowledge of managed care industry
**LICENSES AND CERTIFICATION**
**Required**
+ Medical Doctor or Doctor of Osteopathic Medicine (DO)
+ Awarded Board Certification at least once in specialty recognized by the American Board of Medical Specialties or the American Osteopathic Association Specialty Certifying Boards
+ Active medical state licensure required. Additional specific state licensure(s) may be required based on business need.
**Preferred**
+ None
**SKILLS**
+ Critical Thinking
+ Case Management
+ Customer Service
+ Oral & Written Communication Skills
+ Collaboration
+ Listening
+ Telephone Skills
+ General Computer Skills
+ Clinical Software
+ Managed Care
**Language (Other than English)**
None
**Travel Required**
0% - 25%
**PHYSICAL, MENTAL DEMANDS and WORKING CONDITIONS**
Position Type
Office-Based
Teaches / trains others regularly
Occasionally
Travel regularly from the office to various work sites or from site-to-site
Rarely
Works primarily out-of-the office selling products/services (sales employees)
Never
Physical work site required
No
Lifting: up to 10 pounds
Constantly
Lifting: 10 to 25 pounds
Rarely
Lifting: 25 to 50 pounds
Rarely
**_Disclaimer:_** _The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties, responsibilities, and qualifications required of employees to do this job._
**_Compliance Requirement_** _: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies._
_As a component of job responsibilities, employees may have access to covered information, cardholder data, or other confidential customer information that must be protected at all times. In connection with this, all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Company's Handbook of Privacy Policies and Practices and Information Security Policy._
_Furthermore, it is every employee's responsibility to comply with the company's Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws, rules, and regulations as well as company policies and training requirements._
**Pay Range Minimum:**
$170,000.00
**Pay Range Maximum:**
$352,500.00
_Base pay is determined by a variety of factors including a candidate's qualifications, experience, and expected contributions, as well as internal peer equity, market, and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets._
Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal, state, or local law.
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Patient Care Technician

36025 Emerald Mountain, Alabama DaVita

Posted today

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Posting Date05/20/ Hospital Drive, Wetumpka, Alabama, 36092, United States of AmericaDaVita is seeking a Patient Care Technician who is looking to give life in an outpatient dialysis center. You can make an exceptional difference in the lives of our patients and their families dealing with end-stage renal failure or chronic kidney disease. Do you desire to deliver care in an empathetic, compassionate way - the way you'd want your own care to be?If you haven't considered Nephrology before, read on as we think that you should.Joining DaVita as Patient Care Technician (PCT) is an exciting opportunity to jump start your career in the health care industry! With paid, extensive training, you will gain the skills needed to care for our patients and build a network of other health care professionals across the geography where you live. Once you have successfully completed training, you will join a holistic team of care professionals - including nurses, dietitian, social workers, and other experienced PCTs - to care for our patients. It's not a job, it's giving life and a career based on passion and purpose.DaVita - which is Italian for "giving life" - is working to provide quality service to patients, partners, and teammates. Our mission is to be the Provider, Partner, and Employer of Choice.Our PCTs also find DaVita professionally fulfilling. To help advance your career, we offer clear paths to higher levels of responsibility and compensation through our Clinical Ladders program. Through DaVita's Bridge to your Dreams program, teammates who have been in their role for six consecutive months and in good standing, are eligible to receive tuition assistance up front to pursue their dream of becoming a DaVita RN and getting their Associates Degree in Nursing. We also have dedicated training to become a Facility Administrator, and training to become a Regional Operations Director. Your success is driven by your performance and desire.Some details about this position:No Dialysis experience is required.Training may take place in a facility or a training clinic other than your assigned home clinicPotential to float to various clinics during and after your trainingYou must have a flexible schedule and be able to work mornings, evenings, weekends, and holidaysWhat you can expect:Direct Patient Care. Spend the majority of your day in direct one-on-one patient care to provide safe, comfortable and hygienic dialysis treatment.Our PCTs care for multiple patients.Technician Duties. To monitor patients before, during and after dialysis treatment including measuring and recording stats, patient observations, and hemodialysis machine setup. Please note you will have exposure to blood and needles.Building long-term relationships with your patients who are suffering from end stage renal disease and are receiving treatment on average 3 times/week. You will also be responsible for educating patients on Kidney Dialysis related topics.Team. Cross functional team of clinicians including technicians, nurses, dietitians, social workers and leadership. PCTs work under the supervision of a RN.What we'll provide:DaVita Rewards package connects teammates to what matters most including:Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash outSupport for you and your family: family resources, EAP counseling sessions, access Headspace®, backup child and elder care, maternity/paternity leave, pet insurance, and morePaid trainingRequirements:Desire to enter the health care field to care for other people in needHigh school diploma or equivalentMust be comfortable working around blood and needlesMust be comfortable mixing acid or bicarbPhysical and mental ability to work long hours (some shifts are 12+ hours) on your feet so wear comfortable shoes! Our work ends when it's safe for our patients.Willingness to train and work across multiple clinics within the territory as needed.Health care experience a plus including: BONENT Certified, Certified Hemodialysis Technician (CHT), Certified Nursing Assistant (CNA), Certified Medical Assistant (CMA), or Phlebotomy certification.DaVita is a clinical leader! We have the highest percentage of facilities meeting or exceeding CMS's standards in the government's two key performance programs. We expect our teammates to commit to improving patient health through clinical goal setting and quality improvement initiatives.Ready to make a difference in the lives of patients? Take the first step and apply now.At DaVita, we strive to be a community first and a company second. We want all teammates to experience DaVita as "a place where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and comply with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national origin, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic.This position will be open for a minimum of three days.Salary/ Wage RangeFor location-specific minimum wage details, see the following link: for the role will depend on a number of factors, including a candidate's qualifications, skills, competencies and experience. DaVita offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information.

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Patient Care Coordinator

36136 Montgomery, Alabama RIVER REGION PSYCHIATRY ASSOCIATES

Posted 1 day ago

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Job SummaryWe are looking for a Patient Care Coordinator (PCC) to join our team! This role is perfect for someone who enjoys helping people. As a PCC, you will be in a pivotal role in our patient journey as you will be the first point of contact for helping patients in their journey to get better by helping them schedule appointments, update information, and answer any questions they may have. Your goal is to provide the best patient experience and satisfaction, by ensuring seamless interaction and connection between your assigned providers and their patients.Roles & ResponsibilitiesPatient Support & Scheduling Greet patients warmly and assist with check-in and check-out. Schedule, confirm, and reschedule appointments as needed. Verify insurance coverage and explain patient financial responsibilities. Collect co-pays, deductibles, and outstanding balances. Answer incoming calls and assist with patient inquiries. Obtaining vitals and lab specimens as required.Assist with prior authorizations, referrals, and prescription requests.Administrative Duties Maintain and update patient records while following HIPAA and organizational guidelines. Work closely with peers, providers, managers, and billing teams to foster a culture of quality care and operational efficiency in the clinic.Process paperwork, including letters, forms, and medical documentation.Additional Responsibilities Ensure all patient information is accurate and up to date. Maintain a clean and organized work area. Educate patients about clinic policies.Be an Ally to efficiently and effortlessly close the loop on the patient journey by coordinating between the patient, provider, and clinic.Responsible for other duties as assigned by leadership.RequirementsQualification and EducationRequiredHigh School Diploma or Equivalent.Customer service experience (any industry), Excellent organizational skills, and ability to treat people in a non-judgmental manner exuding kindness and friendliness.Preferred12+ months of medical office experience. Experience with EMR systems, medical terminology, and health care procedures.Completion of a medical assistance program from an accredited institution.Personal attributesDependable, professional, empathetic, and genuinely wanting to help people in a caring way.

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Patient Care Coordinator II

36066 Prattville, Alabama Phoenix Physical Therapy

Posted 1 day ago

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Job DetailsJob LocationPrattville AL - Prattville, ALPosition TypeCasual Part TimeDescriptionPOSITION SUMMARY:The Patient Care Coordinator II supports the clinic by helping to achieve revenue goals by attracting new patients, managing the administrative and operational functions, and coordinating patient interactions and needs. The PCC II will be responsible for managing daily, weekly and monthly operations as outlined in the PCC II Front Office Manual and adhering to policies and procedures, scheduling, accuracy of entering patient demographics, verification of insurance, collection of monies, charge entry and proper documentation of accounts. The PCC II will need to be flexible, adaptable to change and able to learn new skills.KEY RESPONSIBILITIES: Will learn and understand the front office operations and performs these operations as presented in the PCC II manual, Scheduling/Billing/EMR manual or any other manuals developed.Greets and registers patients or other visitors, informs staff of patients' arrival, and directs patients to appropriate department or examination room. Fills out patient forms where applicable and competently explains the details surrounding the paperwork presented to the patient. Gathers and updates patient information, including patient demographics, insurance and case informationCollects and inputs patient insurance information and verifies active coverage or eligibility. Responsible for all components of scheduling appointments and properly documenting accounts as needed; will maintain continuity of care when scheduling patient appointmentsUnderstands the importance of productivity; Will schedule and recapture appointments, missing in action patients, and pro-actively rescheduling appointments in the current week as well as the duration of the prescriptionCollect all monies that are due prior to each visit including, but not limited to co-payments, deductibles, co-insurance, payments on statements, supplies, gym memberships, self pays, attorney checks. Documents all monies in the system appropriately and provides system receipt Audits each visit to ensure there is a valid prescription, proper authorization / referral / precertification, and collects monies due each visit.Answers and transfers phone calls, arranges for referrals, or relays messages. Follows up and reviews daily reports and proactively follows up and communicates the need for a prescription, authorization / referral / precertification to ensure there are no delays with patient care Reconciles all over-the-counter collections daily and drop off deposit cash and checks at the designated bank within an appropriate time frameAccurately verifies benefits via phone, ask detailed questions outside of what is provided, and sets up accounts accurately Ensures that all visits performed are properly authorized and makes efforts to minimize the occurrence of any unauthorized visits Ensures that all "Plan of Cares" for Medicare are signed and returned by the physician within 30 days of the patient's Initial Evaluation Utilizes websites only in instances in which the websites are relevant and approved by Phoenix Physical Therapy. (ex: insurance websites for authorization, National Provider Identifier (NPI) websites, etc.) May perform occasional clerical duties, such as data entry, filing, or photocopying; clerical duties may require experience with medical records or electronic health record systems.May assist in the clinic to; clean, disinfect, and general cleanliness.Maintains safe, secure, and healthy work environment by establishing, following, and enforcing standards and procedures and complying with legal regulations. Other duties as assigned. QualificationsMINIMUM JOB REQUIREMENTS:Education / Training:High School Diploma or GED required; Associates Degree or college level business courses preferred. 2 years of previous experience in a medical billing practice and medical terminology ( HCFA 1500, CPT and ICD 9 codes) preferredCurrent CPR CertificateSpecialized Knowledge/Skills:Excellent Customer ServicePerforms work under direct supervision. Handles basic issues and problems and refers more complex issues to higher-level staff.Ability to communicate effectively and professionally with a wide variety of people. Strong organizational skills with attention to detail and accuracy. Proficient with Microsoft word, strong data entry skills with EMR systems Ability to handle multiple tasks in a very busy environment.Physical Requirements:Consistent and regular use of phone required. Must be able to keep numbers in correct order on a very consistent and regular basis.Regular and consistent use of keyboard and mouse.Ability to climb stairs on occasion.Must be able to occasionally lift up to 25 pounds.Consistent sitting for many hours at one time. Majority of day (75%+) is spent sitting at a desk.Additional challenges may arise, at which time Phoenix may revise this job description.***Phoenix Physical Therapy is committed to having a workforce that reflects diversity at all levels and is an equal opportunity employer. Qualified applicants are considered for employment, and employees are treated during employment without regard to race, color, religion, national origin, citizenship, age, sex, sexual orientation, gender identity, marital status, ancestry, physical or mental disability, veteran status, or any other characteristic protected under applicable law.

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Patient Care Coordinator II

36136 Montgomery, Alabama Phoenix Physical Therapy

Posted 1 day ago

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Job DetailsJob LocationMontgomery AL - Montgomery, ALPosition TypeFull TimeDescriptionPOSITION SUMMARY:The Patient Care Coordinator II supports the clinic by helping to achieve revenue goals by attracting new patients, managing the administrative and operational functions, and coordinating patient interactions and needs. The PCC II will be responsible for managing daily, weekly and monthly operations as outlined in the PCC II Front Office Manual and adhering to policies and procedures, scheduling, accuracy of entering patient demographics, verification of insurance, collection of monies, charge entry and proper documentation of accounts. The PCC II will need to be flexible, adaptable to change and able to learn new skills.KEY RESPONSIBILITIES: Will learn and understand the front office operations and performs these operations as presented in the PCC II manual, Scheduling/Billing/EMR manual or any other manuals developed.Greets and registers patients or other visitors, informs staff of patients' arrival, and directs patients to appropriate department or examination room. Fills out patient forms where applicable and competently explains the details surrounding the paperwork presented to the patient. Gathers and updates patient information, including patient demographics, insurance and case informationCollects and inputs patient insurance information and verifies active coverage or eligibility. Responsible for all components of scheduling appointments and properly documenting accounts as needed; will maintain continuity of care when scheduling patient appointmentsUnderstands the importance of productivity; Will schedule and recapture appointments, missing in action patients, and pro-actively rescheduling appointments in the current week as well as the duration of the prescriptionCollect all monies that are due prior to each visit including, but not limited to co-payments, deductibles, co-insurance, payments on statements, supplies, gym memberships, self pays, attorney checks. Documents all monies in the system appropriately and provides system receipt Audits each visit to ensure there is a valid prescription, proper authorization / referral / precertification, and collects monies due each visit.Answers and transfers phone calls, arranges for referrals, or relays messages. Follows up and reviews daily reports and proactively follows up and communicates the need for a prescription, authorization / referral / precertification to ensure there are no delays with patient care Reconciles all over-the-counter collections daily and drop off deposit cash and checks at the designated bank within an appropriate time frameAccurately verifies benefits via phone, ask detailed questions outside of what is provided, and sets up accounts accurately Ensures that all visits performed are properly authorized and makes efforts to minimize the occurrence of any unauthorized visits Ensures that all "Plan of Cares" for Medicare are signed and returned by the physician within 30 days of the patient's Initial Evaluation Utilizes websites only in instances in which the websites are relevant and approved by Phoenix Physical Therapy. (ex: insurance websites for authorization, National Provider Identifier (NPI) websites, etc.) May perform occasional clerical duties, such as data entry, filing, or photocopying; clerical duties may require experience with medical records or electronic health record systems.May assist in the clinic to; clean, disinfect, and general cleanliness.Maintains safe, secure, and healthy work environment by establishing, following, and enforcing standards and procedures and complying with legal regulations. Other duties as assigned. QualificationsMINIMUM JOB REQUIREMENTS:Education / Training:High School Diploma or GED required; Associates Degree or college level business courses preferred. 2 years of previous experience in a medical billing practice and medical terminology ( HCFA 1500, CPT and ICD 9 codes) preferredCurrent CPR CertificateSpecialized Knowledge/Skills:Excellent Customer ServicePerforms work under direct supervision. Handles basic issues and problems and refers more complex issues to higher-level staff.Ability to communicate effectively and professionally with a wide variety of people. Strong organizational skills with attention to detail and accuracy. Proficient with Microsoft word, strong data entry skills with EMR systems Ability to handle multiple tasks in a very busy environment.Physical Requirements:Consistent and regular use of phone required. Must be able to keep numbers in correct order on a very consistent and regular basis.Regular and consistent use of keyboard and mouse.Ability to climb stairs on occasion.Must be able to occasionally lift up to 25 pounds.Consistent sitting for many hours at one time. Majority of day (75%+) is spent sitting at a desk.Additional challenges may arise, at which time Phoenix may revise this job description.***Phoenix Physical Therapy is committed to having a workforce that reflects diversity at all levels and is an equal opportunity employer. Qualified applicants are considered for employment, and employees are treated during employment without regard to race, color, religion, national origin, citizenship, age, sex, sexual orientation, gender identity, marital status, ancestry, physical or mental disability, veteran status, or any other characteristic protected under applicable law.

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Patient Care Coordinator-Jackson Cardiology-FT

36136 Montgomery, Alabama Jackson Hospital

Posted 1 day ago

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The Patient Care Coordinator - MA performs routine nursing functions and diagnostic procedures to support medical plans of care. Participates in various other assignments as requested by the physician and clinic administrator. Escorts patients to the exam rooms to collect vital signs, temperature, weight and other health maintenance data. Draws blood for various lab procedures. Performs EKG's and x-rays as ordered by the physician. Gives injections and prepares patients for examinations such as pap smears. Assists with minor surgery and laceration repairs. Records and reviews all prescribed medications on each patient visit. Assists in administering prescribed medications and fulfilling prescription refill requests electronically when permitted by license. Maintains open communication with nurses, physician, and supervisor. Performs all skills on competency skill checklist and attends all updates and in-service education sessions. Initiating, maintaining, and performing patient education. Attains all clinical documentation for referrals, prior authorizations, etc. ensuring continuity of care for patients. Completes all required documentation in electronic medical record to meet Meaningful Use guidelines. Receives clinical messages and responds to patient's needs, escalates messages to physician's attention when appropriate. Assists primary physician with all relevant aspects of patient care and fills in helping other providers and performing front office duties when necessary. Screens patient calls to physicians; handling all calls that do not require a physician. Call patients to relay advice and instructions from the physician. Keeps exam rooms clean, well-stocked and maintained, properly disposing of contaminated and disposable items. Ensures instruments, supplies and equipment are ready for use. Assists and takes initiative in handling issues of a non-routine nature and performs other duties as assigned.High School Diploma or Equivalent, certification from accredited Medical Assistant program preferred. Previous work experience in a physician's office. Certification from an accredited Medical Assistant program preferred. Experience with multi-line telephones, fax, computer, printer, copier, credit card equipment, calculator, billing and coding reference materials, equipment used in the delivery of health care. Excellent verbal and written communication required. Good telephone etiquette and customer relations skills. CPT and ICD-Coding, computer. Electronic medical record and practice management software. X-ray. Venipuncture. EKG, Laboratory equipment and CLIA waived tests. Manual dexterity and visual acuity necessary to utilize the PC and calculator; ability to sit for prolonged periods of time; verbal communication and hearing ability to communicate with a multitude of patients and visitors. Must be able to meet department attendance requirements.

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