Staff Accountant

09/08/2023

Reports To: Accounting Supervisor

Position Objective: Prepare and analyze a company’s financial records. Compile financial statements, review data, and ensure financial compliance. Responsible for executing a variety of financial procedures, including month-end and year-end closings, accounts payable and receivable, bank reconciliations, general ledger entries, forecasting and budgeting. Analyze corporate financial operations to ensure the business is running efficiently.

Position Requirements: Bachelor Degree in accounting required. 

Detailed Responsibilities: 

• Invoice and reconcile general ledger accounts
• All aspects of accounts payable including price/authorization verification, coding, posting, check generation and statement reconciliation
• Analyze and reconcile general ledger
• Monthly refund processing and reconciliation
• Records retention
• Petty cash reconciliation and replenishment
• Assist with end of month close including creating/posting journal entries and review
• Daily cash management –reconcile bank accounts and post general ledger entries for cash, credit cards, insurance and ACH deposits
• Reconciliation of QuickBooks patient account general ledger to patient accounting system
• Ad hoc reporting
• Other duties as assigned by the Accounting Supervisor and Director of Finance

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, excellent verbal and written communication skills are required.

Software skills needed:

• Microsoft EXCEL-intermediate
• Microsoft Word
• Familiarity with QuickBooks a plus

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

• 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.

Apply

Medical Records Disability Forms (full-time position)

08/01/2023

Reports To: Medical Records Supervisor

Position Objective:Complete and Processes disability forms, electronic filing, scanning and various medical records tasks in a timely manner.

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

Detailed Responsibilities:

• Complete FMLA, short term disability paperwork according to protocols.
• Answer and make follow up phone calls and emails.
• Sending and responding to tasks.
• Maintain a working knowledge of the NextGen EPM, EMR, and ICS operating systems.
• Process and maintains electronic incoming faxes and distribute
• Maintains a working knowledge of creating, scanning, and filing in ICS
• 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.

• 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.

Apply

Legal Clerk (full-time position)

08/01/2023

Reports To: Medical Records/ Scanning Supervisor

Position Objective:Processes requests from Medical Records from Attorneys, Third Party Vendors, Disability Determination Services and Insurance Companies in an accurate and timely manner in accordance with the established HIPPA and State of Delaware Guidelines and procedures of First State Orthopaedics.

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

Detailed Responsibilities:

• Maintain a working knowledge of the NextGen EPM, EMR, and ICS operating system
• Review and verify all incoming medical record requests are compliant with regulations
• Contact requestor for invalid authorizations and follow up on receipt of valid authorization
• Process medical records requests by copying or printing requested information
• Creates and faxes prepayment invoices based on regulations to requestor
• Properly documents Nextgen EPM with invoice information
• Maintains pending invoice filing system
• Processes legal checks deposited and creates encounters for each check
• Indentifies checks needing distribution to other departments
• Properly documents Nextgen EPM with check receipt and records mailing address
• Verifies deposit total with legal check processing total
• Completes deposit remittance processed detail form and gives to charge processor
• Communicates with Attorneys and other requestors through phone, email and/or fax

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

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

• 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.

Apply

Patient Account Representative WC/AA

08/01/2023

Reports To: Department Supervisor

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, 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.
• Precert and obtain referrals for testings, MRI’s, Injections, surgeries & etc.
• 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.
• Independently compose correspondence.
• Send letter of protection when PIP is exhausted.
• Computer documentation on status of claim.
• Verification of WC/AA claims.
• 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. 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. 

• 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.

Apply

Radiological Technologist

03/20/2023

Reports To: Clinical Director

Position Objective:Provide patient services using imaging modalities, perform radiographic procedures, apply principles of radiation protection and evaluate radiographs for technical quality.

Position Requirements:ARRT registered, State of Delaware license, trained on PACS systems.

Detailed Responsibilities: 

• Perform diagnostic radiographic services on PACS (Fusion One) system.
• Update information as appropriated in EMR and PACS.
• Review pertinent clinical information with physician’s/staff prior to exam.
• Preparation of x-ray room prior to exam.
• Explain radiology procedure to patient
• Ensure patient is positioned properly according to protocol.
• Adjust equipment to obtain correct angle
• Modify x-ray views and patient positioning to obtain optimal images secondary to a patient’s diagnosis or their inability to perform standard positioning.
• Take preventive steps to avoid unnecessary exposure to radiation
• Transfer patient to imaging table (may involve lifting, bracing and/or supporting patient’s body weight).
• Critique images for overall quality prior to recording in patients x-ray file
• Process and coordinate x-ray copy requested for patient pick up.
• Empty and store medical supplies and braces
• Operate autoclave for sterilization of equipment
• Organize daily work schedule and respond to emergencies as necessary.
• Maintain a clean work area.
• Maintain professional registries and licenses as mandated by employer.
• Participate in continuing education activities as required by registry.
• Perform all work duties as assigned to meet the needs of the department
• Rely on instructions and pre-established guidelines to perform the functions of the job.
• Interact professionally with patients, physicians and co-workers.
• Working knowledge of other FSO departments to obtain quality care for all patients.

Physical/Mental Demands:Physical effort requires constant standing and walking, frequent reaching and bending, maneuvering of x-ray machine, maneuvering and constant positioning of patients (lifting and carrying).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.

• 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.

Apply

Clinical Assistant

03/20/2023

Reports To: Clinical Director

Position Objective:Manage and perform administrative and clinical tasks for your assigned physician at the direction of the Physician, Clinical Management and/or First Assistant.

Position Requirements:Graduate of an accredited medical assistant program outside High School or ARRT registration preferred but not necessary.Strong computer and interpersonal communication skills required.Experience preferred.

Detailed Responsibilities: 

• Working knowledge of EHR and EPM systems
• Document and update patient information in EHR system
• Update patient medication list.
• Organize daily work schedules and respond to emergencies as necessary.
• Prepare patient for examination, instruct patient on procedure, and assist physician during exam.
• Perform clinical task:remove casts/dressing, remove sutures/staples, and prepare injections.
• Order radiology studies in EHR.
• Generate necessary forms for scheduling tests, surgery, Physical therapy, work/gym excuses, scripts for medication and patient instructions.
• Fit patients with durable medical equipment and generate prescriptions as prescribed by physician.
• Store durable medical equipment
• Collect and prepare laboratory specimens, dispose of contaminated supplies, and sterilize medical instruments.
• Perform all wok duties as assigned to meet the department needs.
• Interact professionally with patients, physicians and co-workers.
• Follow pre-established guidelines and policies to perform the functions of the job.
• Working knowledge of other FSO departments to obtain quality care for all patients.

Physical/Mental Demands:Physical effort requires constant standing and walking, frequent reaching and bending, kneeling, squatting, maneuvering and constant positioning of patients (lifting and carrying).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.

• 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.

Apply

Front Office Representative

03/20/2023

Reports To: Front Desk Supervisor

Position Objective:Provide direct support to physicians, mid-level providers, clerical staff and patients.Coordinates inter and intra office communications.Work directly with patients to ensure smooth patient flow, patient satisfaction and coordination of multiple tasks.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 a medical office practice, excellent communication and computer skills, reliability, patient service focus and professional appearance.Required to work flexible hours and travel between offices.Ability to work early morning starting at 7:00 a.m. and late night until 6:00 pm.

Detailed Responsibilities: 

• Answering incoming telephone calls
• Schedule appointments.
• Update patient information.
• Collect patient demographic information and nature of complaint/injury on new patients that contact the office by phone, enter data in the computer, schedule appointments.
• Carefully document all incoming messages and task to appropriate party.
• Refer calls of a clinical nature to the appropriate medical secretary or provider.
• Primary daily patient check-in and check-out, collection of demographic data, and collection and posting of co-pays.
• Collect workman’s compensation date and state of injury and forward call to the workman’s compensation department.
• Place out guide and films in appropriate doctor bin.
• If patient medical records need to be obtained, have patient fill out Authorization to Release Medical Information.
• Process credit card payments and end of day settlement for credit payments.
• Complete end of day tally sheet for monies collected.
• Manage petty cash account.
• Create encounters
• Maintain adequate copies of all front office forms.
• Back-up or delegate other front office staff duties as needed.
• Cover front desk while co-worker at lunch.
• 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: Multi-task duties require prolonged sitting, light walking, light stooping, light lifting bending and reaching and heavy repetitive motion upper extremities. Ability to focus, multi task, learn and retain front desk processes and successfully complete training.Employee must be able to project a positive attitude and diplomacy in an occasionally stressful work environment.

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

• 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.

Apply

Surgical Scrub Technician

03/20/2023

Description:

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. FSSC will consider providing New Graduates with training.

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.
E-mail: rkrett@fssurg.com

Apply

OR Nurse

03/20/2023

Description:

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.

• 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

Apply

Patient Account Representative

03/20/2023

Reports To: Department Supervisor

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

• 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.

Apply