Care Coordinator

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Objective / Essential Job Functions
Care Coordinators are responsible for the follow-up and scheduling of services United Medical provides for their clients. This position acts as a liaison between patients and their physicians. Working both independently and collaboratively with your supervisor/team in a high qualitative and productivity driven environment, you can expect to perform the following:

• Manage hospital admissions and discharges census for several Delaware hospitals
• Schedule patients for follow-up appointments with primary care physicians and specialists after hospital discharge and for routine care, as required
• Frequent clinical patient phone contact (inbound/outbound) to aid providers in efficient and quality patient care
• Document patient contact results in electronic health record
• Utilize internal database system to track and organize workflow for patient contact and record results
• Utilize electronic health records to evaluate services provided and track information in database
• Manage monthly insurance rosters to schedule new patient appointments or current patients for preventative services
• Generate and send population management letters to patients to follow up regarding phone contact results
• Use, protect, and disclose patient’s protected health information (PHI) in accordance with Health Portability and Accountability Act (HIPAA) standards
• Follow all United Medical policies, uphold professional standards, and perform work responsibilities in a manner that is respectful to others

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Certified Coder

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United Medical’s Certified Professional Coder (CPC) or Certified Coding Specialist (CCS) are responsible for overseeing all the medical coding for our clients. They are a key component in ensuring our healthcare providers use coding that is compliant with the current medical coding laws and regulations that govern record keeping.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Read and comprehend medical records to identify diagnoses, operations and procedures
• Translate diagnostic and procedural documentation into the appropriate ICD-10 and CPT codes
• Comply with HIPAA to maintain the confidentiality of all patients medical records
• Multi-task through several different medical databases with ease
• Communicate effectively within a team setting
• Act as a liaison between the providers and the billing offices.

• High School diploma or equivalent.
• Certified Professional Coder (CPC, CPC-A, or CCS).
• At least one year of specialty coding experience.

• Associate’s Degree or higher
• 3-5 years of specialty coding experience

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Information Technology Network Administrator

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The Information Technology Network Administrator is crucial to the success of United Medical and our clients, focusing on the installation, configuration, and maintenance of our network systems, while supporting our employees and clients with hardware and software-related troubleshooting.

This is a full-time position. Dress Code is business casual with casual Fridays.

• Install, backup and support the local area networks (LANs), wide area networks (WANs), and internet systems of United Medical business areas
• Analyze and evaluate current network operations in order to optimize performance
• Determine the need for hardware/software modifications, wireless configurations, and other solutions to optimize the performance of the various workstations and communication of employees and their assigned roles
• Utilize a ticketing system to efficiently support employees and clients through installation, training, and troubleshooting of hardware/software issues
• Create, remove, and edit user profiles while assigning/updating appropriate security permissions according to user access to information regarding United Medical patients/clients
• Use, protect, and disclose patient's protected health information (PHI) in accordance with Health Portability and Accountability Act (HIPAA) standards
• Follow all United Medical policies, uphold professional standards, and perform work responsibilities in a manner that is respectful to others

• Degree in Computer Science or Information Technology
• Minimum of 2 years of experience in Information Technology or related field
• Minimum 1 year of experience in network systems support required

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Payroll Specialist / Bookkeeper

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Summary/Objective
The Payroll Specialist/Bookkeeper is responsible for managing various financial aspects including benefits administration, payroll processing, departmental intercompany cost accounting, accounts payable (A/P), daily deposits, and gross receipt taxes.

• Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Process payroll accurately and in a timely manner for all employees in compliance with applicable laws, regulations, and company policies.
• Manage benefits administration, including enrollment, changes, and terminations, ensuring accuracy and compliance with benefit plans and regulations.
• Maintain accurate records of employee information, benefits, and deductions in the payroll system.
• Reconcile payroll accounts and resolve any discrepancies or issues.
• Collaborate with HR to ensure accurate and timely processing of new hires, terminations, promotions, and other employment changes.
• Calculate and process departmental intercompany cost allocations accurately and efficiently.
• Prepare and process accounts payable transactions, including verifying invoices, obtaining approvals, and ensuring timely payments.
• Handle daily deposits and reconcile cash receipts to ensure accuracy and completeness.
• Prepare and file gross receipt tax returns in accordance with local regulations.
• Assist with month-end and year-end financial closing activities as required.
• Maintain confidentiality and integrity of financial data and employee information.
• Stay updated on changes in payroll laws, regulations, and best practices to ensure compliance.
• Identify best practices, new technologies, and recent trends in content creation and distribution
• Use, protect, and disclose patient’s protected health information (PHI) in accordance with Health Portability and Accountability Act (HIPAA) standards
• Follow all United Medical policies, uphold professional standards, and perform work responsibilities in a manner that is respectful to others
• Perform other personal assistant or assigned duties as required

• Bachelor's degree in Accounting, Finance, or a related field.
• In-depth knowledge of payroll processing, benefits administration, and accounting principles.
• Proficient in using payroll software and accounting systems (e.g., ADP, QuickBooks, etc.).
• Strong understanding of relevant employment laws, regulations, and tax requirements.
• Excellent organizational and time management skills, attention to detail, and strong verbal and written communication skills.
• Ability to maintain confidentiality and handle sensitive information with professionalism and discretion.

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Practice Administrator

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Summary/Objective
A unique opportunity exists for a Practice Administrator to join the United Medical ACO network. We are seeking to competitively compensate an experienced individual who will thrive in this leadership role. The Practice Administrator oversees the daily operations and staff ensuring a focus on quality patient care. The right candidate will understand the ACO concept and put forth their best effort to support and promote network-wide initiatives.

• Provide training, mentoring and supervision of office and ancillary medical staff
• Improve efficiency and quality in delivering healthcare services by developing and carrying out goals and objectives
• Bolster quality patient care by implementing new and established cost-effective policies and procedures
• Manage office electronic communications, mail, and accounting responsibilities
• Maintain communication with service providers, suppliers, and other third-parties.
• Communicate and uphold company policies and processes; departmental standards; and applicable local, state, or federal laws/regulations
• Use, protect, and disclose patients’ protected health information (PHI) in accordance with Health Portability and Accountability Act (HIPAA) standards
• Oversee patient plans of care and coordinating NCQA, PCMH, HEDIS, MACRA/MIPS measurements and other ACO requirements to demonstrate patient improvements

• Proficient interpersonal, written, and telephone communication skills
• Strong leadership and conflict resolution skills
• Excellent conflict resolution skills
• Attention to detail
• Computer literacy and EHR proficiency

• Bachelor's Degree Healthcare Administration or Business Management
• At least 3 years of supervisory experience
• At least 5 years in a medical practice role

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Revenue Cycle Specialist

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Job Summary
First and foremost, we offer excellent customer service to our new and existing clients. You will be responsible for the accurate, timely review, and follow up of all outstanding or denied medical insurance claims for your health professional client portfolio.

Working both independently and collaboratively with your supervisor/team in a high qualitative and productivity driven environment, you can expect to perform the following:

• Analyze explanation of benefits, and work all denied claims related to that account
• Track productivity by using denial codes, which will be logged at the end of each work day
• Communicate with insurance companies, patients and your supervisor regarding unpaid claims
• Analyze Medicare and Medicaid health polices and advise patients and providers based on what is covered and not-covered by these insurance plans
• Multi-task through several different healthcare databases with ease
• Take inbound calls and assist customers with requests and billing questions
• Process payments when requested by patients
• Share knowledge and communicate effectively with on-site and off-site team members in order to achieve shared goals
• Troubleshoot claims that are outstanding or have not been paid for more than 60 days
• Use, protect, and disclose patient’s protected health information (PHI) in accordance with Health Portability and Accountability Act (HIPAA) standards
• Follow all United Medical policies, uphold professional standards, and perform work responsibilities in a manner that is respectful to others
• Perform other duties or projects as assigned by supervisor based upon business needs

• Experience in medical billing, denial resolutions, appeals process and medical coding is a plus, however applicant does not need to be a Certified Coder.
• Knowledge of Medicare, Medicaid, and Commercial Insurance
• Efficient time management, organization and strong problem solving skills

This is a FT, 40 hr./week position. Shifts start at 8:00 AM or 8:30 AM. Our office is open Monday through Friday 8 AM to 6 PM.

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