Health Coach & Medical Billing Assistant

Business Overview

Integrated Musculoskeletal Care (IMC) provides standardized and quality-assured musculoskeletal care to large employers and health plans. Members of these organizations access IMC through mobile apps, health coaching, telehealth, and in-person clinical care. To enhance the member experience, IMC created a care coordination center and JointStrong Health Coaches.

IMC JointStrong Health Coaches provide members with education about the benefits of conservative care, knowledge around IMC's offerings, and navigation of health policy benefits related to IMC. The team participates in IMC's health coaching program, which provides members with guidance through IMC's mobile self-care assessment and assistance with questions related to the care process.

IMC Medical Billing Assistants provide support to the Billing Department to optimize IMC's billing and collections process at our local Tallahassee office (Center for Orthopedic and Sports Physical Therapy).

JointStrong Health Coach

Desired Skills and Experience

• A degree, certification, or extensive experience in healthcare, customer service, health coaching, or other related fields.
• Critical thinking to develop solutions.
• Commitment to improvement of position and self-development.
• Operational ability for daily tasks with various technology tools.
• Relatable personality and good interpersonal skills for positive interactions.
• Exhibits exceptional time management and organizational skills.
• Works effectively both independently and in a team atmosphere.
• Demonstrates mastery of Microsoft Word, Excel, Outlook, PowerPoint, and Dropbox.
• Outstanding customer service skills.
• Highly motivated, largely self-sufficient, self-starter.

Duties and Tasks

• Implements patient engagement strategies to interact with plan members and providers.
• Performs outreach to and receive calls from health plan members to explain their plan design related to the IMC programs.
• Completes the JointStrong Health Coach training to lead members through the JointStrong app and telephonic health coaching program.
• Creates monthly and quarterly reports of plan member engagement using Excel.
• Reviews daily procedure pre-certifications to identify good candidates for the IMC program.
• Coordinates patient scheduling for IMC's clinical care and telehealth programs.
• Dedication to upholding and enhancing company's mission and values.
• Evaluates competencies, motivation, and personal performance against job requirements.
• Attends shifts onsite, in-person at IMC's main facility.
• Demonstrate knowledge of the following:
• Dynamics of health, education, and social service sectors and how they relate.
• Patient engagement strategies in a healthcare setting.
• Basic clinical processes, clinical terminology and understanding of musculoskeletal specialty of Integrated Musculoskeletal Care (IMC).
• Understanding qualitative and quantitative results and basic understanding of how to analyze data in relation to clinical outcomes.
• Employing and researching patient engagement techniques.
• Reports to Vice President of Operations.

Physical Requirements

Must be able to lift and move up to 15lbs and sit or stand for extended periods of time. Requirements of role include stand, stoop, kneel, crouch, and carry.

Job Demand

40% of position.

Medical Billing Assistant

Desired Skills and Experience

• Shares and articulates Company values, vision, and mission.
• Understands and articulates Company objectives, strategies, policies, structures, systems, processes, and standards.
• Self-motivated, largely self-sufficient, self-starter.
• Demonstrates problem solving skills in a complex environment.
• Thinks creatively and focuses on opportunities for growth.
• Has effective customer service skills.
• Is committed to self-development and handles increasing responsibilities over time.
• Works effectively both independently and in a team atmosphere.
• Relies on superiors, peers, and subordinates with prudence.
• Exhibits exceptional time management and organizational skills.
• Thrives in a fast-paced, highly demanding entrepreneurial environment.
• Has proven intermediate competencies in key Microsoft Office applications including MS Outlook, Word, Excel, and PowerPoint.
• Utilizes superior analytical and critical thinking skills.
• Has a minimum of 2 years of medical billing experience or equivalent training.
• Familiar with claims management systems.

Duties & Tasks

• Processes, posts, and submits medical claims to insurance providers.
• Works directly with insurance and healthcare providers in processing claims to receive payment.
• Verifies patient insurance coverage and answer any patient billing questions.
• Handles collections on unpaid accounts.
• Manages the accounts receivable report.
• Identifies existing or obtainable insurance billing codes with the capacity to optimize coverage, reimbursement, and payment policies for the Company's products and services.
• Develops and implement speed-to-revenue, coding, billing, claims management, collection, and contracting strategies.
• Supports HIPAA and insurance-related compliance programs.
• Demonstrates ability to communicate effectively and persuasively, both verbally and textually.
• Reports to Medical Billing Manager.

Physical Requirements

Must be able to lift and move up to 15lbs and sit or stand for extended periods of time. Requirements of role include stand, stoop, kneel, crouch, and carry.

Job Demand

60% of position.

Compensation and Benefits

This is a part-time position for approximately 20-25 hours weekly. Part-time employees are ineligible for benefits. Compensation commensurate with experience, education and longevity in the position.