Careers

First State Orthopaedics is an industry leading, high performance team of medical professionals, serving patients from multiple locations around the Greater Delaware area. We offer a dynamic, fast-paced environment that encourages employees to grow professionally while serving. We encourage innovation, support individual development, and value excellence.

We recruit and hire highly capable, self-motivated professionals who thrive on change and challenge. Successful candidates have demonstrated leadership ability, excellent communication and teamwork skills, strong academic performance and/or relevant professional experience.

Current Opportunities

Patient Account Representative
Posted: 10/05/2020
Position Objective:  The AR representative is responsible for reconciling discrepancies and collecting on delinquent accounts.  Presents a positive image to supporting staff members and patients at all times.  

Position Requirements:  High School Diploma or Associates Degree in related field, previous experience in healthcare collection/billing preferred, excellent communication and computer skills, good working knowledge of medical terminology CPT and ICD-10 coding.   Ability to maintain good working relationships with all co-workers, patients and general public. Knowledge of state laws and statutes.  Understanding of legal process involving medical claims.  Understanding and react to developing trends in healthcare reimbursements.

Detailed Responsibilities:  

- Review patient’s past due statements, research and reconcile outstanding items.
- Maintain account receivable reports.
- Collection of pre-surgical fees.
- Maintain the account s receivable within company goals.
- Ability to communicate with employers, insurance companies, attorney offices and patients regarding delinquent accounts..
- Review EOB’s.
- Submit appeals to insurance carriers.
- Verify patients insurance.
- Independently compose correspondence.
- Send letter of protection when PIP is exhausted.
- Computer documentation on status of claim.
- Provides financial counseling to patients and their families regarding charges for health care services. Assist financially responsible person in arranging payment schedules.
-Ability to interface with support departments and articulate issues and concerns.
- Processing mail.
- Interact with a variety of personalities and situations that require tact, judgment, poise and professionalism.
- Maintaining patient confidentiality.
- Organizational responsibilities: promoting patient rights; responding appropriately to emergency situations; sharing problems relating  to patients or staff with immediate supervisor in a timely manner.

Physical/Mental Demands: High levels of mental concentration are required.  Must handle multiple tasks simultaneously and subject to interruptions.  Physical effort requires sitting for long periods of time and repetitive movements consisting of reaching with hands and arms; moderate typing on computer.  Manual dexterity, visual acuity, and the ability to speak and hear are required.


First State Orthopedics reserves the right to revise this job description at any time. 

EXPECTATIONS OF ALL EMPLOYEES 


- Provide exceptional service to all of our patients.
- Exhibit professionalism and ethical behavior at all times.
- Maintain strict confidentiality of patient information and business within the organization’s policies.
- Maintain OSHA and HIPAA regulations.
- Treat everyone with respect, courtesy and friendliness.
- Adhere to all policies and procedures for our organization.
- Communicate recommendations on improvements of policies and procedures to management.
- Participate in committees, discussions and other team functions.
- Provide additional duties as may be assigned.



NOTE:  This job description is not intended to be all-inclusive.  The above statements are not to be construed as an exhaustive list of all responsibilities, skills or duties, requirements, efforts or working conditions associated with the job.  While this is intended  to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, workload, rush jobs, or technological developments).  This document does no create an employment contract  and employment is “at-will”.


HR Assistant
Posted: 10/05/2020
Education and Experience Requirements:  Associate or Bachelor’s degree in Human Resources or related business field.  1 years’ experience in a human resources position required.

Job Summary:   HR Assistant to support busy HR department. Will be responsible for providing administrative support for the department, assisting with the hiring process, scheduling new employee orientations and training and entering of a high volume of employment records into our HR database. 

Detailed Responsibilities:  

- Enter employment data into ADP Workforce Now database
- Assist HR supervisor with the hiring process, disciplinary actions, online job postings and candidate interviews
- Coordinate logistics for new hire orientations and employee training sessions
- Comprehensive understanding of local, state and federal employment leaves
- Helping to develop programs to enhance employee relations and offer employee support to each staff member
- Exceptional interpersonal communication and relationship-building skills
- Ensuring new hire paperwork is completed and processed
- Explaining human resources policies, procedures, laws, and standards to new and existing employees
- Administer programs, procedures, and guidelines to help align the workforce with strategic goals of the company
- Participate in developing department goals, objectives and systems.
- Assist with tracking of departmental and company measurements that support the accomplishment of the company’s strategic goals.  
- Prepares and maintains reports that are necessary to carry out the functions of the Human Resources department.  As required, prepares periodic reports for management.
- Maintain HRIS database, generate reports to assist management.
- Maintain and update database of employee information, status changes, benefits, etc.
- Maintain personnel files in compliance with applicable legal requirements.
- Process enrollments, changes, and termination of participants in all benefit plans and programs.
- Assist employees with any benefit/claim issues.
-Provide additional H.R. duties as assigned.

Physical Demands:   Intermittent standing, sitting for long periods of time, Finger dexterity to perform duties such as typing and writing. 

First State Orthopaedics reserves the right to revise this job description at any time. 

EXPECTATION OF ALL EMPLOYEES


- Provide exceptional service to all of our patients.
- Exhibit professionalism and ethical behavior at all times.
- Maintain strict confidentiality of patient information and business within the organization’s policies.
- Maintain OSHA and HIPAA regulations.
- Treat everyone with respect, courtesy and friendliness.
- Adhere to all policies and procedures for our organization.
- Communicate recommendations on improvements of policies and procedures to management.
- Participate in committees, discussions and other team functions.
- Provide additional duties as may be assigned.


NOTE:  This job description is not intended to be all-inclusive.  The above statements are not to be construed as an exhaustive list of all responsibilities, skills or duties, requirements, efforts or working conditions associated with the job.  While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, workload, rush jobs, or technological developments).  This document does no create an employment contract and employment is “at-will”.


Billing Coordinator
Posted: 12/31/2020
Position Objective: 

The billing coordinator processes fees for services and bills in an
accurate and timely manner in accordance with the established guidelines and
procedures of First State Orthopaedics and HCFA.
Position Requirements: High School Diploma. Previous experience in healthcare
collection/billing. Good communication and computer skills, good working knowledge of
medical terminology CPT and ICD-10 coding.

Detailed Responsibilities:

• Maintain a working knowledge of the NextGen EPM (operating system) payment
system

• Batch incoming remittances received via U.S.P.S.

• Reconcile remittances by batch with associated supporting documentation

• Retrieve remittance batches from bank lockbox website

• Locate and record 835 files associated with ERA (electronic remittance advice)
payers from clearing house (Navicure)

• Redirect misdirected documentation to the appropriate department for handling

• Open, review, sort and process “no remittance” U.S.P.S mail in the operating
system

• Create and enter manual remittance batches into the operating system

• Download 835 files and review resulting transactions for ERA (electronic
remittance advice) payers in the operating system

• Verify receipt and monetary contents of the various office locations courier bags

• Distribute office location charge journals/fee slips to the appropriate charge
processing for entry

• Perform batch process on all manual and ERA transactions entered into
operating system to ensure reconciliation with the appropriate remittance batch

• Initiate post/lock function on all reconciled batch in the operating system

• Produces and files a payment journal for each processed batch

• Separates and batches supporting documentation and forward for optical
scanning

• Retrieve, identify and record pre-deposit / pending transactions ACH/EFT items
from online bank report

• Identify for handling any confirmed ACH/EFT deposits associated with paid
claims 

• Retrieve all supporting documentation for confirmed ACH/EFT deposits via the
clearing house (Navicure) or various payer websites

• Download 835 file, Payers Response and RA Data reports into the appropriate
files on the company shared documents drive

• Monitor and retrieve from various payers websites “no remittance” files
• Process “no remittance” files in the operating system

• Reconcile co-pay remittance types (ie credit card, cash and checks) with “End of
Day” register received from each location to ensure accuracy

• Enter and reconcile co-pays associated with each locations office visits into the
operating system

• Verify and maintain sequential record of all completed “cash receipts” issued by
each location

• Review, process and reconcile refund requests in the operating system

• Process and reconcile returned items received from Accounting in the operating
system

• Enter return check fees associated with return item in the operating system

• Update the system reconciliation log with various information (i.e. refund, return
item, adjustments, charges and payments) totals

• Review parameters and initiate production of monthly statement file

• Update daily summary log with ACH/EFT and deposit information

• Create new daily/monthly folders for various files within the shared documents
drive

• Research and coordinate the conversation of payers from paper to electronic
files

• Troubleshoot and resolve payer website issues

• Research NextGen enhancements available to payment process

• Troubleshoot EPM issues and key contact for NextGen help desk tickets

• Attend meetings relating to NextGen or banking issues associated with payment
processing

• Key contact to Accounting department relating to monetary discrepancies

• Coordinates the archival of payment journals for off site storage


Physical/Mental Demands: 

High levels of mental concentration are required. Must
handle multiple tasks simultaneously and subject to interruptions. Physical effort
requires sitting for long periods of time and repetitive movements consisting of
reaching with hands and arms. Manual dexterity, visual acuity, and the ability to
speak and hear are required. 
First State Orthopaedics reserves the right to revise this job description at any time.

EXPECTATIONS OF ALL EMPLOYEES

• Provide exceptional service to all of our patients.
• Exhibit professionalism and ethical behavior at all times.
• Maintain strict confidentiality of patient information and business within the
organization’s policies.
• Maintain OSHA and HIPPA regulations.
• Treat everyone with respect, courtesy and friendliness.
• Adhere to all policies and procedures for our organization.
• Communicate recommendations on improvements of policies and procedures
to management.
• Participate in committees, discussions and other team functions.
• Provide additional duties as may be assigned.

NOTE: This job description is not intended to be all-inclusive. The above statements
are not to be construed as an exhaustive list of all responsibilities, skills or duties,
requirements, efforts or working conditions associated with the job. While this is
intended to be an accurate reflection of the current job, management reserves the right
to revise the job or to require that other or different tasks be performed when
circumstances change (e.g., emergencies, changes in personnel, workload, rush jobs,
or technological developments). This document does no create an employment contract and employment is “at-will”.
Medical Biller
Posted: 01/14/2021

First State Orthopaedics is looking for a Full-Time Certified Medical Coder for the Newark, DE office to assist with audits and patient account job duties.


Responsibilities for Medical Coder include:

· Assign codes to diagnoses and procedures, using ICD (International Classification of Diseases) and CPT (Current Procedural Terminology) codes

· Ensure codes are accurate and sequenced correctly in accordance with government and insurance regulations

· Follow up with the provider on any documentation that is insufficient or unclear

· Communicate with other clinical staff regarding documentation

· Search for information in cases where the coding is complex or unusual

· Receive and review patient charts and documents for accuracy

· Review the previous day's batch of patient notes for evaluation and coding

· Ensure that all codes are current and active


Qualifications for Medical Coder include:

· Associate's Degree in Medical coding or successful completion of a certification program

· Strong knowledge of anatomy, physiology and medical terminology

· Excellent typing and 10-key speed and accuracy

· Commitment to a high level of customer service

· Familiarity with ICD-10 codes and procedures

· Solid oral and written communication skills

· Working knowledge of medical jargon and anatomy preferred

· Able to work independently

Business Office Lead
Posted: 01/10/2020

First State Surgery Center – Business Office Lead

 

First State Surgery Center is searching for a qualified candidate to successfully take on a Business Office Lead role. This position is full time, and requires flexible availability starting in the early morning hours.

 

A desired candidate will have excellent communication skills, clerical organizational skills, front desk and scheduling experience, office experience, excellent problem solving abilities, strong leadership, and is extremely reliable.

 

If you have any interest in this position and feel like you meet the qualifications listed, or if you have any family/friend referrals who meet the qualifications, please send resumes to [email protected]

 


Front Desk Receptionist
Posted: 06/17/2020
The medical receptionist helps run, organize and maintain the front desk by answering phones, greeting patients and visitors, collecting  and entering patient demographics and insurance information into computer, collecting co-pays, document and send messages in EMR system, manage petty cash account and scheduling appointments in a professional and timely manner. 

Preferred Skills:  High School Diploma required.  A minimum of one year work experience in a medical office setting.  Excellent communication and interpersonal skills, patient service focus.  Ability to multi-task and handle a high volume of calls.  Efficient and accurate data entry skills.  Must be punctual, reliable and capable of working flexible hours. Experience with Next Gen EMR/EPM system a plus.   Please send your resume to [email protected].
IT Support Specialist
Posted: 07/02/2020

Job Location: Newark, DE, USA

Position Type: Full time permanent position

Work Experience: Minimum of 2 years of current desktop support experience.

Required Skills: Experience supporting Windows 7 and Windows 10, and Microsoft Office 2010 and above. Ability to troubleshoot hardware and software related desktop issues. Knowledge of Microsoft networking principles, capable of multi-tasking and working with minimal supervision.

Other Nice Skills to have: Knowledge of Next Gen software, Citrix, thin clients, SQL and Database servers, Right fax, wireless networks and experience in a medical facility.

Job description / Duties: First State Orthopaedics is looking for a professional, skilled individual to provide advice and support to our employees to help them effectively use computer software/hardware. Duties include but not limited to: providing telephone, e-mail and in-person support, identifying hardware/software problems and solutions, installing and downloading approved software, ensuring users’ efficient and effective utilization of applications and equipment by providing guidelines for use and self-help instructions. Maintain desktop and laptop standards for all locations. Working with Next Gen programmer and IT support staff, undertaking various housekeeping and reporting functions for the areas of responsibility. Maintain work records through ticket based tracking system and inform users about the status of open problems.

Essential qualities: Exceptional interpersonal skills, energetic individual with a positive attitude, above average ability to communicate with end user’s, attention to detail, strong multi tasking and follow through and the ability to safeguard confidential data. To be considered, you must have the ability to lift 35 pounds, work 8:00am. – 5:00 p.m. Monday thru Friday with occasional late nights and weekends. Must have reliable transportation to drive to satellite offices.

First State Orthopaedics offers excellent benefits, pleasant working conditions with the opportunity to bring your talents and professional expertise to work with a rapidly growing, dynamic and progressive Orthopaedic group. For prompt consideration, please submit your cover letter and resume to: [email protected] or fax it to (302) 368-0103. Verifiable references are required along with of our company standard background checks.

Minimum Immigration status: US Citizen / Permanent Resident

Job Starting date: Position available now

Wage/Salary: Hourly: 40 to 50 hours per week / salary negotiable

Patient Screening Medical Assistant
Posted: 07/13/2020
Reports To: Clinical Director

Position Objective: Manage and perform patient screening tasks as assigned by the clinical supervisor/director.

Position Requirements: High School Diploma or Associates Degree in related field, excellent communication skills, reliability, patient service focus and professional appearance. Required to work flexible hours and potentially travel in between offices. Ability to work early morning starting at 7:00 a.m. and late night until 6:00 pm.

Detailed Responsibilities:

  • Screen patients upon their entry into our office
  • Ask appropriate screening questions for each patient and document answers
  • Accurately take each patient’s temperature and document the thermometer reading
  • Notify Clinical Supervisor/Director of any indication the patient does not qualify to be seen in our office at that time
  • Perform all other assigned duties per Clinical Supervisor/Director

Physical/Mental Demands: Physical effort requires sitting for long periods of time, frequent reaching and bending, occasional kneeling and squatting, manual dexterity, visual acuity, and the ability to speak and hear are required.

First State Orthopaedics reserves the right to revise this job description at any time.

EXPECTATIONS OF ALL EMPLOYEES

  • Provide exceptional service to all of our patients.
  • Exhibit professionalism and ethical behavior at all times.
  • Maintain strict confidentiality of patient information and business within the organization’s policies.
  • Maintain OSHA and HIPAA regulations.
  • Treat everyone with respect, courtesy and friendliness.
  • Adhere to all policies and procedures for our organization.
  • Communicate recommendations on improvements of policies and procedures to management.
  • Participate in committees, discussions and other team functions.
  • Provide additional duties as may be assigned.

NOTE: This job description is not intended to be all-inclusive. The above statements are not to be construed as an exhaustive list of all responsibilities, skills or duties, requirements, efforts or working conditions associated with the job. While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, workload, rush jobs, or technological developments). This document does no create an employment contract and employment is “at-will”.
Chart Prepping Clerk
Posted: 07/21/2020
Job Title: Chart Prepping Clerk

Reports To: Medical Records Supervisor

Position Objective: Prepares out guides for upcoming office visits in an accurate and timely manner in accordance with established procedures of First State Orthopaedics.

Position Requirements: High School Diploma. Good communication and good working knowledge of general medical terminology.

Detailed Responsibilities:

  • Accurately processes and organizes out guides for upcoming appointments based on First State Orthopaedics procedures
  • Accurately access patients’ chart to indicate what paperwork is needed following the protocol.
  • Ability to interface with support departments and articulate issues and concerns

Physical/Mental Demands: High levels of mental concentration are required. Must handle multiple tasks simultaneously and subject to interruptions. Physical effort requires sitting for long periods of time, repetitive movements, ability to lift 20 lbs, stoop/ squat, reach above shoulder level and climb.

First State Orthopaedics reserves the right to revise this job description at any time.

EXPECTATIONS OF ALL EMPLOYEES

  • Provide exceptional service to all our patients.
  • Exhibit professionalism and ethical behavior at all times.
  • Maintain strict confidentiality of patient information and business within the organization’s policies.
  • Maintain OSHA and HIPAA regulations.
  • Treat everyone with respect, courtesy and friendliness.
  • Adhere to all policies and procedures for our organization.
  • Communicate recommendations on improvements of policies and procedures to management.
  • Participate in committees, discussions and other team functions.
  • Provide additional duties as may be assigned.

NOTE: This job description is not intended to be all-inclusive. The above statements are not to be construed as an exhaustive list of all responsibilities, skills or duties, requirements, efforts or working conditions associated with the job. While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, workload, rush jobs, or technological developments). This document does no create an employment contract and employment is “at-will”.
Medical Records Disability Forms
Posted: 07/22/2020
Job Title: Medical Records Disability Forms

Reports To: Medical Records Supervisor

Position Objective: Maintain Current Medical Records Disability Forms Process

Position Requirements: High School Diploma. Good communication and computer skills and good working knowledge of general medical terminology. Preferred one year experience at FSO.

Detailed Responsibilities:
  • Maintain a working knowledge of the NextGen EPM, EMR, and ICS operating system
  • Maintain daily tasks within the Medical Records department
    • Chart noting
    • Scanning/Filling Forms
    • Patient contact via phone and email
    • Tasking to clinical
  • Maintains a working Knowledge chart noting.
  • Maintains a working Knowledge sending tasks to clinical.
  • Maintains a working knowledge of creating, scanning, and filing forms into charts
  • Transports office mail from post office to MAP location

Physical/Mental Demands: High levels of mental concentration are required. Must handle multiple tasks simultaneously and subject to interruptions. Ability to handle stressful situations with keeping positivity and composure. Physical effort requires sitting for long periods of time, repetitive movements, ability to lift 20 lbs, stoop/ squat, and reach above shoulder level.

First State Orthopaedics reserves the right to revise this job description at any time.

EXPECTATIONS OF ALL EMPLOYEES
  • Provide exceptional service to all of our patients.
  • Exhibit professionalism and ethical behavior at all times.
  • Maintain strict confidentiality of patient information and business within the organization’s policies.
  • Maintain OSHA and HIPAA regulations.
  • Treat everyone with respect, courtesy and friendliness.
  • Adhere to all policies and procedures for our organization.
  • Communicate recommendations on improvements of policies and procedures to management.
  • Participate in committees, discussions and other team functions.
  • Provide additional duties as may be assigned.

NOTE: This job description is not intended to be all-inclusive. The above statements are not to be construed as an exhaustive list of all responsibilities, skills or duties, requirements, efforts or working conditions associated with the job. While this is intended to be an accurate reflection of the current job, management reserves the right to revise the job or to require that other or different tasks be performed when circumstances change (e.g., emergencies, changes in personnel, workload, rush jobs, or technological developments). This document does no create an employment contract and employment is “at-will”.
OR Nurse
Posted: 08/24/2020

First State Surgery Center is seeking F/T, P/T and Casual/Per Diem experienced Operating Room Nurses for Ambulatory Surgery Center. Minimum of 2 years recent operating room  experience with Orthopaedic experience strongly preferred. 


The primary function of the Operating Room Nurse is that of professional caregiver who provides patient care and assumes responsibility and accountability through the nursing process, for the ambulatory care patient during surgical procedures. Elements of care include assessing patients, assisting co-workers in administering care and documentation. 


Requirments:


  • Graduate of an Accredited School of Nursing
  • Current licensure as an RN in the State of Delaware or Compact State
  • Current BCLS Certification, ACLS Preferred
  • Experience functioning as Circulating RN, scrub experience not required
  • Ability to manage the care of patient during altered states of consciousness and to perform physically demanding patient care
  • Provide nursing care as directed and in accordance with the objectives, policies, procedures and protocols of the surgery center
  • Ability to work well under pressure, respond appropriately and quickly to emergency situations, work with speed and accuracy
  • Ability to communicate effectively with patients, their families, physicians/surgeons, surgical staff and other health care workers
  • Skills include clinical reasoning and decision making, compassion in a therapeutic environment, superior communication skills, appreciation of patient diversity and the ability to maintain patient confidentiality

Contact:  Raymond M. Krett, Jr.

FAX:  302-472-7598

E-mail:  [email protected]

Surgical Scrub Technician
Posted: 08/24/2020

First State Surgery Center is seeking F/T, P/T and Casual/Per Diem experienced Surgical Scrub Technicians (CST or TS-C) for Ambulatory Surgery Center. Minimum of 2 years recent operating room scrub experience; Orthopaedic experience required.   


The primary function of the Surgical Scrub Technician is that of an allied health professional caregiver who provides patient care and assumes responsibility and accountability for the ambulatory care patient during surgical procedures. Elements of care include handling instruments, supplies and equipment, anticipating the needs and assisting the surgeon, preparation and maintenance of the sterile field, assisting co-workers in administering care and documentation. 


Requirements:


  • Graduate of an Accredited Program or acceptable combination of skills and training
  • Current certification by NBSTSA or obtainment within six (6) months of employment
  • Current BCLS Certification
  • Ability to communicate effectively with patients, their families, physicians/surgeons, surgical staff and other health care workers
  • Ability to manage the care of patients during altered states of consciousness and to perform physically demanding patient care
  • Provide patient care as directed and in accordance with the objectives, policies, procedures and protocols of the surgery center
  • Ability to work well under pressure, respond appropriately and quickly to emergency situations, work with speed and accuracy
  • Ability to prepare the operating room and surgical field, handling of instruments, supplies and equipment, anticipation of the needs and assisting the surgeon, maintenance of sterile field, preparation and cleaning of surgical suite
  • Skills include clinical reasoning and decision making, compassion in a therapeutic environment, superior communication skills, appreciation of patient diversity and the ability to maintain patient confidentiality

 


Contact:  Raymond M. Krett, Jr.

FAX:  302-472-7598

E-mail:  [email protected]