Non-Provider Careers

Position Summary: The credentialing coordinator will be actively involved in securing privileges for our providers in hospitals and emergency departments and sometimes in multiple states.

Position Requirements: 

• Education:  
  • High school diploma
• Experience:  
  • Three years or more of prior credentialing experience
• Knowledge/Skills/Abilities:
  • Excellent attention to detail
  • Excellent phone and interpersonal skills
  • Strong Microsoft Office skills required
  • Ability to communicate professionally
  • Ability to effectively multi-task
• Job Responsibilities:
  • Ability to compile documents for hospital credentialing for our providers
  • Works closely with physicians and advanced practice providers through the credentialing process
  • Tracks documents and timeframes associated with credentialing
  • Ability to meet short deadlines
  • Other duties as assigned

 

QUALIFICATIONS:
In order to perform this job successfully, individuals must be able to meet and perform each essential duty in a satisfactory manner. The requirements below are representative of the knowledge, skill, ability and/or experience required. Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions.

EDUCATION:
MA Degree/Certification preferred; High school diploma or GED required.

EXPERIENCE:
Minimum of 1 year MA experience in a busy physician office.

SKILLS:

• Strong attention to detail
• Excellent analytical and critical thinking skills
• Excellent verbal and written communication skills and the ability to communicate effectively with patients, providers and payors
• The ability to multitask
• Strong commitment to actively supporting an ethical open working environment
• Working knowledge of Word and Excel

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Taking medical histories and recording vital signs, preparing patients for examination.
• Arrange examining-room instruments and equipment
• Keep waiting and examine rooms neat and clean.
• Follow up with patients before and after surgery.
• Coordinates patient appointment/orders and records.
• Assist surgery scheduler with duties as needed.
• Scans patient information, puts patients data into computer.
• Sends letters to PCP, as needed i.e.: no-shows, record requests etc.
• Triage calls regarding medications, lab and rad results.
• Answers front desk incoming calls when needed.
• Pages physicians concerning hospital consults and files that information in database as needed.
• Attach relevant lab/rad results in ECW to specific doctors through fax inbox as needed.
• Obtains PreOp clearance and fax to facilities prior to surgery.
• Makes photocopies as needed.
• Sends faxes as needed.
• Assists physicians as needed.
• Assist with Front Desk Duties as needed.
• Maintain accurate medical supply inventory
• Submit medical supply and office supply orders
• Other duties as assigned.

All employees must adhere to Adherence to CarePoint’s Compliance Program, all Compliance, billing, coding, HIPAA/Security policies and procedures, and all other CarePoint policies

Compliance, HIPAA and Security: Employees acknowledge that compliance with CarePoint’s HIPAA, Security and Compliance Plan policies and procedures as well as all other CarePoint policies and procedures is a condition of employment and that any violation will result in sanctions up to and including termination based on the type and severity of the violation. Access to and use of Protected Health Information — security clearance which allows employees to review, investigate, and respond to questions from payors. Security access permitted using the Practice’s entrances for this job category is during core hours of building management, 5 days a week. Shift times will vary according to location and need.

Position Summary:
The clinical patient navigator facilitates excellent patient care by managing incoming referrals and patient scheduling. The position provides support for providers, clinical staff, and patients. The position requires an understanding of the referral/precertification process and provider scheduling requirements to ensure patients are scheduled with the most appropriate provider. Under the supervision of the Patient Navigation Supervisor, the clinical patient navigator helps to ensure a positive experience for Blue Sky Neurology patients, overcome barriers to establishing neurologic care, and actively works to promote access to quality neurologic care. Knowledge of HIPAA and pre-certification requirements from managed care and insurance companies are required.

Position Requirements:

• Education:
  • High school diploma or equivalent.
• Experience:
  • At least three years of experience, in a clinic setting preferred.
  • MA experience preferred.
• Knowledge/Skills/Abilities:
  • Must have excellent verbal and written communication skills.
  • Requires effective customer relation skills.
  • Ability to organize and interpret data.
  • Requires good judgment, tact, diplomacy and ability to problem solve.
  • Able to work effectively in a team environment.
  • Must be proficient with computer and related software programs.
• Job Responsibilities:
  • Process incoming referrals.

  • Verify appropriate referral for clinic.

  • Verify appropriate paperwork included.

  • Assign appropriate subspecialty.
  • 
Responsible for tracking, monitoring and reporting of all incoming referrals.

  • Ensure proper authorizations are in place for outpatient specialty referral.

  • Complete necessary paperwork, documentation, and data entry in a timely fashion.

  • Assist patients as they move through the service delivery system.
  • 
Assist with the elimination of barriers including, but not limited to, insurance, medical records, proper paperwork, and scheduling.

  • Act as a liaison between the patient and all relevant professionals, programs, and resources.

  • Participate and attend staff, department, and team meetings upon request.

  • Collaborate effectively within the organization and interpersonally with co-workers.

  • Develop positive working relationships with medical providers.

  • Assist supervisor with maintenance of provider specifications spreadsheet.

  • Demonstrate and apply knowledge of medical terminology, high proficiency of general medical office procedures including HIPAA regulations.

  • Communicate any insurance changes or trends with supervisor.

  • Maintains a level of productivity that meets expectations of the position.

  • Clearly documents all communications and contact with providers and personnel in standardized documentation requirements, including proper format.

  • Other duties as assigned.

Position Summary:  The Business Development Coordinator Blue Sky Telehealth (BST) is responsible for business development initiatives. The coordinator is responsible for identifying, screening, sourcing, and producing new opportunities to grow the footprint of BST. This includes identifying opportunities such as promotions, conferences, advertising, etc., and will collaborate closely with the marketing department to ensure BST’s digital presence is supporting the needs of business development. The coordinator will build rapport with clients, is efficient with their time, moves with a high sense of urgency, and seeks to make every interaction extremely positive. 
 
Position Requirements: 

• Education:  
  • Bachelor’s Degree.
• Experience: 
  • Experience in sales and business development required.  Telehealth experience preferred.
• Knowledge/Skills/Abilities:
  • Ability to work independently and function autonomously.
  • Work effectively with teammates to ensure tasks are completed quickly and efficiently.
  • Always display professional behavior.
  • Ability to effectively communicate, present and influence at all levels of the organization, including executive and C-level leadership.
  • Ability to deliver client-focused solutions based on customer needs.
  • Ability to manage multiple account projects at a time while paying strict attention to detail.
  • Strong proficiency with Google suite.
  • Excellent verbal and written communication skills.
  • Ability to thrive in a high-volume, deadline driven work environment.
  • Ability to develop, organize and execute significant business development and capture activities.
• Job Responsibilities:
  • Demonstrates the core values, culture, and philosophies of Blue Sky Telehealth.
  • Responsible for business development including sourcing, delivering leads, and getting information to legal for contracting needs.
  • Develops plans for securing knowledge and understanding of the hospital or health system’s requirements, issues, and needs. 
  • Works with division leadership to understand and identify steps to execute on the identified growth strategy.
  • Researches and identifies new business opportunities. 
  • Travels as needed to conduct new business initiatives.
  • Tracks outreach efforts, conversations, meetings, leads and progress for all new business initiatives.
  • Gives regularly updates to division leadership on the pipeline and progress.
  • Provides constant and consistent communication with clients to ensure client satisfaction is high.
  • Other duties as assigned.

Position Summary:  The Junior Data Analyst will assist with completing extracts and analyses for the business units to present findings and recommendations to business leaders.  The Junior Data Analyst will be responsible for creating and assisting with lower/entry level reporting needs.  The Junior Data Analyst will work with support from the Data Analyst.

Position Requirements: 

• Education:  
  • Bachelor’s Degree required.
• Experience:  
  • At least one year of experience analyzing data sets or previous internship experience required.
  • Healthcare and medical experience preferred.
• Knowledge/Skills/Abilities:
  • Advanced computer skills, including Microsoft SQL and Excel.
  • Ability to learn new systems/tools as necessary.
  • Experience with Tableau.
  • Strong database skills which may include solid grasp of Python and SQL data relationships and structures.
  • Experience with Git.
  • Ability to gather requirements from end-users.
  • Ability to troubleshooting and validate workflows.
  • Experience working with APIs.
  • Strong communication skills.
• Job Responsibilities:
  • Works with senior leadership and assists with design reporting.
  • Develops code, data tables, and automates reports to support internal custom analytics.
  • Identifies data sources needed to produce required data sets or reports and extracts appropriate subsets of data.
  • Optimizes queries for performance.
  • Identifies issues related to data, data sources and data processing.
  • Develops and deploys periodic operational, financial, and clinical quality reports to internal partners.
  • Reviews and documents data analysis methodology.
  • Conducts analysis and confirms results.
  • Documents quality assurance process and any variations in findings.
  • Documents and communicates findings and insights to business unit leaders, which may include physicians.
  • Writes SQL queries.
  • Automates processes for various internal partners.
  • Supports the Data Analyst as needed.
  • Other duties as assigned.