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Directs and coordinates activities of employees engaged in reimbursement activities including conducting credit investigations and collecting delinquent accounts of customers. Reviews collection reports to ascertain status of collections-and-balances outstanding and to evaluate effectiveness of current collection policies and procedures. Assigns employees, directly or through subordinate supervisors, responsibility for notifying or locating customers with delinquent accounts and attempting to secure payment, using postal services, telephone, or personal visit; mailing form letters to customers to encourage payment of delinquent accounts; conferring with customers by telephone in attempt to determine reason for overdue payment; auditing delinquent accounts considered to be uncollectible to ensure that maximum efforts have been taken before assigning bad-debt status to accounts; coordinating with others, including personnel in credit card companies, to exchange information and update controls. Supervisors may report to this position.: Prepares and controls departmental annual budget. May negotiate major claims with insurance companies or other third party payers. May recruit, hire, train staff, evaluate employee performance, and recommend or initiate promotions, transfers, and disciplinary action. May submit delinquent accounts to attorney or outside agency for collection.

Medical Staff Coordinator

Coordinates administrative support services for medical staff and medical staff officers. Coordinates processing of applications and appointments of medical staff and allied health professionals. Typically requires business or vocational training and related experience.: Oversees orientation of new medical staff members to hospital protocols and services. Coordinates communication of information between medical staff departments and administration. Coordinates and facilitates activities of medical staff committee meetings. Performs executive secretarial and office services for medical staff officers. Oversees billing, collection, and deposit of medical staff dues, including maintenance of related accounting records. May perform credentialing functions in smaller organizations.

Head of Medical Contracting

Negotiates to draw up contracts for managed care services related to physician groups. Negotiates, administers, extends, terminates, and renegotiates contracts. Formulates and coordinates proposals. Coordinates activities of workers engaged in formulating bid proposals. May report to Top Managed Care Executive, Chief Executive Officer, or Chief Financial Officer in organization.: Evaluates or monitors health outcome and contract performance to determine necessity for amendments or extensions of contracts, and compliance to contractual obligations. Approves or rejects requests for deviations from contract specifications. Arbitrates claims or complaints occurring in performance of contracts. May serve as liaison officer to ensure fulfillment of obligations by contractors.

Medical Laser Technician

Operates a variety of surgical and cosmetic lasers and other equipment to treat different pathologies in operating rooms and/or doctor's offices. Operates various medical lasers and related equipment at the direction of Physician to provide safe, effective patient treatment. Typically requires previous health care experience and training in use of medical laser equipment.: Sets up various medical lasers and equipment in operating rooms and ensures that all equipment is properly processed and available for use. Interacts with operating room personnel in an efficient manner and maintains awareness of principles of sterility and asepsis. Complies with all JCAHO, HIPAA, OSHA, FDA, and all other regulatory standards. Assists Physician in the preparation of routine microbiological specimens and in various research studies. Performs preliminary screening examinations for Physician review. Trains and guides less experienced Medical Laboratory Technicians. Maintains detailed records of tests performed and reports laboratory test results to appropriate personnel. Calibrates and performs routine maintenance on equipment to ensure proper functioning. Cleans and sterilizes laboratory equipment, glassware and instruments.

Medical Claims Review Nurse

Resolves, audits, and processes claims for clinically related issues to ensure accuracy of claims payment, supporting the Claims Administration Department. Maintains contact with community hospitals and providers, reviewing, processing, and auditing claims for payment and appropriateness of charges and pursues adjustments as warranted. Typically requires licensure as a Registered Nurse and at least one year of experience in utilization review or a managed care setting.: Screens, audits, and processes claims of specific criteria for appropriate payment. Establishes effective ongoing relationships with community hospitals and providers. Participates in educational, provider relations, and contracting meetings with providers to address medical claims payment issues. Visits the providers as necessary to compare billed charges to the medical record. Provides support to the Accounting Department in determining financial liability for out-of-plan medical services. Performs special projects, reconciliations, research, and analysis relating to the utilization and cost of medical services. Works closely with various departments to coordinate the flow of information involving payment of medical bills and analyses of financial liability. Ensures compliance with contractual obligations on claims payments. Documents findings and writes follow-up reports. Recommends and implements innovative strategies to retain members, contain medical costs, and improve efficiency.

Chief Medical Librarian

Develops, implements, and maintains policies and procedures, supervises staff, and maintains medical library materials such as books, reports, periodicals, serials, abstracts, medical journals, indexes, manuscripts, slides, and microfilm. Oversees professional and support staff involved in cataloging, indexing, issuing books/materials, and keeping records of items on loan. Typically requires a master's of library science degree with seven years of experience in the field.: Selects books and publications for purchase and subscribes to pertinent periodicals within budgetary limits. Prepares, posts, searches, verifies, files, and maintains a variety of manual and electronic records needed to order, receive, and circulate medical library materials. Performs routine library assignments involved in searching records for catalog copy, preparing bibliographies and book lists, and maintaining card catalogs and book shelves. Responds to complex requests from faculty, medical staff, and students.

Medical Writer

Researches, writes, and edits clinical and statistical reports and study protocols.: Performs research and writes clinical reports. Edits clinical and statistical reports and protocols. Summarizes data from clinical studies. Initiates and maintains communication with relevant departments and agencies. Provides reference, instruction and information services to staff as requested. Provides consultation services on research strategies, tactics and tools. Delivers diverse scientific, medical, technical and business research/reference services. Reviews books, journals, technical reports and electronic media relevant to health care needs. This position typically requires a Bachelor's degree and three of technical or medical writing experience. An advanced degree may be required.

Technical Sales Medical

Sells medical equipment and supplies, except drugs and medicines, to doctors, dentists, hospitals, medical schools, and retail establishments. : Studies data describing new products to develop sales approach. Compiles data on equipment and supplies preferred by customers. Advises customers of equipment for given need based on technical knowledge of products. Provides customers with advice in such areas as office layout, legal and insurance regulations, cost analysis, and collection methods to develop goodwill and promote sales.

Medical Interpreter

Interprets or translates communications between medical personnel and patients with limited ability in speaking English.: Interprets or translates communications between medical personnel and patients with limited ability in speaking English. Assists patients with limited ability in speaking English by interpreting or translating medical information provided by care givers. Interprets patient questions and concerns for medical personnel to ensure communication and understanding. Provides assistance to patients with limited English in completing medical history forms. This position requires knowledge of medical terminology and competency in English and one or more languages. May translate written materials as needed.

Medical Records Clerk

Compiles, verifies, types, and files medical records of hospital or other health care facility. Operates computer to enter and retrieve data and type correspondence and reports. Reviews medical records for completeness, and files records in filing system. Locates, signs out, and delivers medical records as requested.: Prepares folders and maintains records of newly admitted patients. Reviews medical records for completeness, assembles records into standard order, and files records in designated areas according to applicable alphabetic and numeric filing system. Compiles statistical data, such as admissions, discharges, deaths, births, and types of treatment given. May assist other workers with coding of records. May post results of laboratory tests to records.

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