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Our Doctor-Nurse teams work with women to educate and empower them to make the best health decisions possible.

Careers

Women’s Health Specialists offers an outstanding company culture, one rich in teamwork, strong ethics and focused on customer service. Those factors have helped us grow into one of the best OB/GYN clinics in the Appleton and Neenah area, being voted “Best of the Valley” for eleven years in a row.

Our independent practice has been serving the reproductive health needs of women in the Fox Valley for the last 50 years.  Our Doctor-Nurse teams work with women to educate and empower them to make the best health decisions possible.  We believe each patient deserves personalized care and clinical excellence, through all stages of her life. We are committed to providing compassionate, individualized care and we focus on establishing long lasting relationships with our patients.  We are a private, physician-owned practice, committed to our community with 3 locations in Appleton and Neenah.

To apply for any of our positions, please submit a cover letter and resume in the email box that pops up when you click “Apply Online” to the right of your screen.

Job Opening:  Lead Patient Service Representative 

The PSR Lead (non-exempt) is a key position in the patient experience and Revenue Cycle and manages the daily flow of patient services including scheduling, checking-in and out, and telephone inquiries.  This position will assist in the clarification and development of process improvements and inquiries as well as ensure the patient registration process is completed correctly to effectively streamline the revenue cycle.

Essential Functions:

  • Oversee all daily functions of the Patient Service Team
  • Introduction and training of all new staff to ensure all team members adhere to standard operating procedures
  • Communicate organizational goals to staff so every PSR understands his or her role.
  • Analyze the results of patient surveys to monitor the patient experience with access to care and the handling of telephone calls. Identify opportunities for service improvements.
  • Develops an annual Service Quality Improvement Plan
  • Trains and directs the workflow of the front desk. Resolves issues/problems and coaches PSR’s to ensure a quality operation.
  • Builds strong relationships, collaborates and coordinates with all other departments. Interfaces with other departments by attending weekly or other meetings as necessary.
  • Prepares and oversees all front desk weekly schedules along with ensuring time and attendance policies are enforced
  • Facilitates a weekly PSR “huddle” to address goals, changes, and ensure clear communication.
  • Ensures front desk supplies are stocked and computer equipment functioning properly
  • Continually assess and evaluate systems and quality, recommending changes and improvements
  • Ensure processes and systems are in place to appropriately schedule patients based on limiting variability in provider scheduling guidelines. Lead discussions to reduce scheduling variation.
  • Ensure PSR staff manage patient financial responsibility by communicating expectations, collecting payments at the time of service and establishing other payment related expectations.
  • Ensure proper cash handling and reporting of daily balances to the Billing Department.
  • Manage day to day issues that may arise within the team or individuals
  • Regularly evaluate the quality of individual and team performance
  • Lead by example by adhering to and modeling all PSR job description expectations, policies and procedures
  • Oversee and manage PSR work queues and other assigned tasks to ensure accountability for delegated tasks and productivity expectations
  • Handle patient concerns escalated by PSR staff.
  • Ensure that all communications with patients initiate discussion of patient responsibility and set expectations for patient payment at the time of service.
  • Ensure that PSR staff verify insurance/eligibility at every patient contact to support revenue cycle management.
  • Assist with coverage for absences of PSR staff when float staff are unavailable.
  • Serve as point person for supply needs, equipment issues, computer support, etc.
  • Set PSR performance goals and monitor a dashboard of metrics
  • Lead by example to assist and uphold the standards of behavior for the PSR team.
  • Protects patient’s rights by maintaining confidentiality of medical, personal and financial information by HIPAA regulations
  • Contributes to team effort by accomplishing related results as needed
  • Assists in supporting daily department work flow through effective coordination, communication and prioritization of department activities
  • Promotes team work and collaboration within the organization
  • Facilitates the flow of patient forms, letters and data collection as needed
  • Proactively problem solves access issues that arise when scheduling to meet stakeholders needs, which can include adjusting schedules to utilize unused time due to cancellations and to accommodate patient needs
  • Performs administrative tasks to support operational needs of the clinic

Education and Experience:

  • Associate’s Degree in Health Administration, Business or Communications, preferred but not required.
  • Minimum of 2 years of previous experience in a medical setting
  • Minimum of 2 years in a leadership role
  • Experience working with Epic

Knowledge, Skills and Abilities:

  • High degree of professionalism and excellent customer service skills
  • Excellent communication, organizational and problem solving skills
  • Excellent interpersonal and leadership skills
  • Ability to perform multiple tasks effectively
  • High attention to detail and ability to maintain high degree of accuracy
  • Strong analytical skills required
  • Strong keyboard and computer related skills
  • Microsoft Office proficiency required
  • Working knowledge of insurance and the revenue cycle
  • Ability to read, speak and write English fluently.
  • Must be able to work standard office equipment: computers, fax machines, copiers, printers, telephones, etc.

Physical Requirements

  • Prolonged periods of sitting at a desk and viewing/using a computer
  • Prolonged repetitive movements of hands, fingers and arms for typing and/or writing during work shift
  • Ability to read and view fine print
  • Ability to travel to and work at multiple work-site locations.
  • Ability to easily move between workstations.
  • Ability to reach, stoop, and bend to retrieve files and supplies to complete tasks
  • Must be able to lift, carry or otherwise move and position objects weighing 10-20lbs at times
  • Continuous use of the telephone to verbally speak to insurance companies and patients
  • Must be able to handle high stress situations with multiple tasks having similar deadlines

 

 

Job Opening:  Medical Billing and Coding Specialist

The Medical Billing and Coding Specialist is a key position in the Revenue Cycle that manages the claim process, including accurate and timely claim creation, follow-up and correspondence with providers, insurance inquiries and other correspondence.  This position will assist in the clarification and development of process improvements and inquires and assure payment related to patient services from all sources are recorded and reconciled timely in order to maximize revenues.  Other important duties include coding, credentialing, and resolving claim issues and denials.

Essential Functions:

  • Evaluates medical record documentation and coding to optimize reimbursement by ensuring that diagnostic and procedural codes and other documentation accurately reflects and supports visits and to ensure that data complies with legal standards and guidelines.
  • Interprets medical information such as diseases or symptoms and diagnostic descriptions and procedures to accurately assign and sequence the correct codes.
  • Reviews all claims for completeness and accuracy before submission to minimize claim denials
  • Evaluates records and prepares reports on topics such as the number of denied claims or documentation or coding issues for review by management and/or committees
  • Makes recommendations for changes in policies and procedures; updates procedures to maintain standards for correct coding to minimize the risk of fraud and abuse, and to optimize revenue recovery.
  • Provides technical guidance to physicians and other staff in identifying and resolving issues or errors such as incomplete or missing records and documentation, ambiguous or nonspecific documentation and/or codes that do not conform to coding principles/guidelines
  • Reads bulletins, newsletters and other periodicals to stay abreast of issues, trends and changes in laws and regulations governing medical record coding and documentation
  • Educates and advises staff on proper code selection, documentation, procedures and requirements
  • Identifies training needs and conducts training to staff as needed to improve skills in the collection and coding of quality health data
  • Submits claims to a variety of payment sources, including Medicaid and Medicare, and other third party payers. Prepares, reviews, and transmits claims using EPIC, including electronic and paper claim processing.
  • Maintains communication with patients and third party payers until accounts are paid or referred to another appropriate agency for further collection activity.
  • Posts payments from both patients and third party payers to patient accounts
  • Verifies insurance reimbursements for accuracy and compliance with contract discounts
  • Contacting insurance companies regarding any discrepancies and or denials
  • Identifies and coordinates the billing of secondary or tertiary insurances
  • Coordinates collection process, to include any projects with collection agency and financial counselor
  • Manages daily statement process, to include reviewing statements before sending and field any patient inquiries
  • Coordinates and administers policy and procedure for payment plans and auto-pay patients
  • Collaborates and works with front desk staff to ensure appropriate collection of self-pay, copay and balance due
  • Handles patient inquiries as well as questions from other WHS staff and insurance companies
  • Identifies and resolves any patient billing related problems, denials, and insurance company follow up
  • Oversee patient accounts and process refunds as necessary
  • Audits current procedures to monitor and improve efficiency of the revenue cycle by making recommendations for process improvement (billing and collections operations).
  • Ensures that the activities of the billing and collections operations are conducted in a manner that is consistent with overall department protocol, and compliant with Federal, State, and payer regulations, guidelines, and requirements.
  • Analyzes trends impacting charges, coding, collection, and accounts receivable and makes recommendations for improvement.
  • Understands and remains updated with current medical accounts receivable and billing regulations and compliance requirements.
  • Maintains working knowledge of all health information management issues such as HIPAA and all health regulation.
  • Coordinates provider enrollments in all commercial, state and federal insurance programs with Management and correspond to payer requests for updates to information
  • Provide data and support to Management as needed

Education and Experience:

  • Associates degree in accounting, business, finance, medical billing, or related field, preferred. Also preferred is experience with an electronic medical record system, especially Epic.
  • Two (2) years Medical Insurance/Healthcare Billing, Prior Authorization and Collections experience in a medical practice or health system, with a deep understanding of medical billing rules and regulations. A combination of education and experience will be considered.
  • Experience working with a variety of medical payers including Medicare, Medicaid and commercial insurance
  • Experience working with EPIC
  • Working knowledge of CPT, ICD-9 & ICD-10, ANSI coding systems; coding certification preferred, but not required

Knowledge, Skills, and Abilities:

  • Must possess a thorough understanding of medical billing and coding, insurance verification and authorization, collections, payment posting, revenue cycle, and third-party payers.
  • Excellent verbal and written communication skills
  • Excellent interpersonal and customer service skills
  • Excellent organizational skills and attention to detail
  • Excellent problem solving and investigational skills
  • Works well in an environment with firm deadlines and is results oriented
  • Ability to work both independently and as part of a team
  • Microsoft office proficiency required.
  • Ability to read, speak and write English fluently.
  • Must be able to work standard office equipment: computers, fax machines, copiers, printers, telephones, etc.
  • Ability to make timely, independent decisions

 Physical Requirements

  • Prolonged periods of sitting at a desk and viewing/using a computer
  • Prolonged repetitive movements of hands, fingers and arms for typing and/or writing during work shift
  • Ability to read and view fine print
  • Ability to reach, stoop, and bend to retrieve files and supplies to complete tasks
  • Must be able to lift, carry or otherwise move and position objects weighing 10-20lbs at times
  • Continuous use of the telephone to verbally speak to insurance companies and patients
  • Must be able to handle high stress situations with multiple tasks having similar deadlines

 

 

Job Opening: Wisconsin GYN/ONC 

This position will be responsible for developing the GYN/ONC program in Appleton, Wisconsin and will serve the entire Fox Valley area. It will be supported by 22 local OB/GYN physicians. Due to steady growth and a lack of GYN/ONC providers in our area – this position is a great way to get in on the ground floor of a growing opportunity.

As a member of the team, you will enjoy the following:

  • Guaranteed salary of $505K for the first 2 years of employment; production based contract after 2 years
  • No call obligations
  • Company paid malpractice
  • Paid relocation
  • $25K signing bonus
  • CME allowance during first 2 years of contract
  • Electronic medical record (EPIC)
  • DaVinci robot is available

This area of Wisconsin offers year round outdoor activities, arts, music and legendary NFL football. We live in beautiful, safe and affordable neighborhoods with excellent public and private schools.

We are looking for team players with excellent communication and interpersonal skills who will share our passion for providing excellent patient care.

If you are looking for a progressive, respectful, caring and fun place to work consider joining us.  Please email your CV or any questions you might have to penney.frank@womenscareofwi.com or call Penney Frank at 920-729-7105.

To apply for any of our positions, please submit a cover letter and resume in the email box that pops up when you click “Apply Online” to the right of your screen.

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