Career Listings

This position will work under the supervision of the Revenue Cycle Manager.  The Billing Manager is responsible for planning, organizing, directing and monitoring overall operation of the Billing Department.  Billing Manager will interact with a multicultural population of diverse socioeconomic backgrounds, ages and levels of education.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

The Billing Manager is responsible for performing the following duties:

• Identify, recommend, implement and monitor billing workflows
• Immediately address and communicate any identified problems that may affect cash flow
• Secure technical and system resources, to ensure efficient processes for faster reimbursement of patient account receivables;
• Collaborate with other team members and managers on processes that improve and maintain an efficient billing operation and optimize cash flow.
• Prepare, review and analyze billing reports.
• Develop and update billing procedures to ensure compliance with all applicable federal, state, local regulations and with payer requirements.
• Maintain the master files and set up of the Practice Management System that directly affects billing operations.
• Attend and participate in committee meetings
• Conduct regular billing staff meetings
• Responsible for all personnel related duties to include, hiring and terminating as necessary.
• Maintain competent and productive team by training and mentoring staff members
• Prepare and conduct timely staff performance evaluations.
• Provide customer service to patients, staff and outside vendors.
• Perform other duties as assigned including participation in all safety programs which may include assignment to an emergency response team.

The Dental Assistant provides support and assistance to our Dentists in providing quality care to our patients. Utilizes knowledge of dental instruments, equipment, and materials. Mixes amalgam and prepares dental accessories for patient visits. Communicates effectively with patients of all ages; provides information and instructions, as well as ease and comfort during appointments. Documents patient visit information utilizing electronic dental records system.

Clinicas Del Camino Real, Inc. has been providing quality primary and preventative health care services to the residents of Ventura County since 1971. We have an exciting opportunity for a Health Center Manager (HCM) to join our team of professionals and direct the day-to-day operations. In this role, the HCM will report to the Operations Manager and will work collaboratively with the Management team and other staff to actively support and carry out Clinicas' mission. The HCM will interact with a multi-cultural population of diverse economic backgrounds, levels of education and ages. • The HCM hires, orients and trains staff • Provides instruction for functions unique to the health centers’ scope of services. • Identifies and analyzes operational issues, trends or progress in meeting performance measures and ensuring quality care. • Analyzes and monitors health center operations such as patient flow issues, reviewing appointment scheduling, bank deposits, daily charges, ordering supplies, etc. • Assures that all records (Clinical) are maintained to meet State Licensing Certification, HIPAA, Joint Commission and other State and National standards. • Reviews and monitors ICD-9 and CPT coding requirements. • Consults with Operations Managers, Medical Director, Clinical Leads and/or other management staff regarding clinical and operational issues. • Ensures maintenance, safety and cleanliness of the health center(s). • Supervises professional staff and consults with the Operations Manager and Medical Director regarding Provider performance. • Resolves and responds to complaints from patients and staff. • Evaluates staff based on performance standards and expectations. • Provides excellent customer service to patients, vendors and employees.

Provide nursing care to clinic patients; prepare patients physically and psychologically for treatment examinations, and scheduling diagnostic studies; teach patients to care for their particular needs; responsible for recognizing and interpreting symptoms and reporting condition of patients to the attending physician; responsible for keeping inventory of stock medicines available and making drug and medical supply orders bimonthly or as needed; administer treatments and medication under physician’ orders; responsible for preparing in-house monthly reports as well as immunization report; other duties might be assigned. Provide supervision of appropriate personnel, coordinate patient flow activities and assist with peer review of patient records in their quality of care system.

• Provide nursing care to clinic patients • Prepare patients physically and psychologically for treatment examinations, and scheduling diagnostic studies • Teach patients to care for their particular needs • Responsible for recognizing and interpreting symptoms and reporting condition of patients to the attending physician • Responsible for keeping inventory of stock medicines available and making drug and medical supply orders bimonthly or as needed • Administer treatments and medication under physician’ orders • Responsible for preparing in-house monthly reports as well as immunization report • Provide supervision of appropriate personnel, coordinate patient flow activities and assist with peer review of patient records in their quality of care system.

Under the general supervision of the Revenue Cycle Manager, reviews, analyzes and assures the final diagnoses and procedures as stated by the practicing providers are valid and complete. Accurately codes office and hospital procedures for providers to ensure proper reimbursement. Provides education to the providers to ensure proper completion of Electronic Health Records and proper assignment of ICD-9-CDM and ICD-10-CDM, HCPCS and CPT codes.

The Medical Coder is responsible for the following:

• Audits records to ensure proper submission of services prior to billing on pre-determined selected charges
• Receives hospital information to properly bill provider services for hospital patients
• Supplies correct ICD-9—CM /ICD-10-CM diagnoses codes to all diagnoses provided
• Supplies correct HCPCS code on all procedures and services performed
• Supplies correct CPT code on all procedures and services performed
• Contacts providers to train and update them with correct coding information
• Attends seminars and in-services as required to remain current on coding issues
• Audits medical records to insure proper coding completed and to ensure compliance with federal and state regulatory bodies
• Maintains all mandatory in-services
• Maintains compliance standards in accordance with compliance policies and the Code of Conduct. Reports compliance problems appropriately.
• Determines the final diagnoses and procedures stated by the physician or other health care providers are valid and complete.
• Quantitative analysis – Performs a comprehensive review for the record to assure the presence of all component parts such as: patient and record identifications, signatures and dates where required, and all other necessary data in the presence of all reports which appear to be indicated by the nature of the treatment rendered.
• Qualitative analysis – Evaluates the record for documentation consistency and adequacy. Ensures that the final diagnosis accurately reflects the care and treatment rendered. Reviews the records for compliance with established reimbursement and special screenings criteria.
• Analyzes provider documentation to assure the appropriate Evaluation & Management (E&M) levels are assigned using the correct CPT code
• Performs other duties as assigned, including participation in all safety and compliance programs which may include assignment to an emergency response team.

Under the supervision of the Chief Medical Officer, the Quality Improvement Manager will be responsible to oversee and direct a quality improvement program.  This will include analyzing data, fulfilling documentation and reporting requirements.  In addition, the QI Manager will develop educational and informational materials, promoting health issues and providing internal and external customer support.  The QI Manager will develop and maintain a system for outcomes measurement and reporting to determine whether the organization is achieving its quality goals.

ESSENTIAL FUNCTIONS AND RESPONSIBLITIES

The QI Manager will oversee and monitor the development and implementation of the quality improvement program, in collaboration with the Chief Medical Officer, Chief Operations Officer, Compliance Officer and other staff.  The QI Manager will:

• Establish performance improvement targets for quality, service, and efficiency.
• Implement systems to ensure that services conform to regulatory requirements, contractual obligations, and Clinicas policy.
• Design and conduct surveys to assess the achievements of Clinicas and provide feedback to the program.
• Work with Operations and Compliance to conduct quality control audits, ensuring that processes and documentation are compliant with required standards and, implement follow up actions.
• Investigate, monitor, document and report on quality of care and service.
• Recommend changes for quality improvement in clinical Policies and Procedures and Protocols based on updated findings and information.
• Assure that improvement activities are documented and reported within the organization to engage staff in continuous quality improvement.
• Assess quality improvement training needs; plans and implements training for support staff
• Performs other duties as assigned including participation in all safety programs which may include assignment to an emergency response team.

Clinicas Del Camino Real, Inc. has been providing quality primary and preventative health care services to the residents of Ventura County since 1971. We have an exciting opportunity for a Referral Coordinator, to work in our Referrals department in Camarillo, CA

The Referral Coordinator is essential in obtaining medically appropriate services inside and outside of Clinicas del Camino Real, Inc. Patient needs, including referral to a Specialist, are identified by the Clinicas practitioner and processes through an established referral system.  The Referral Coordinator expedites the administrative requirements for patient referrals, ensuring that appropriate referrals are made to participating providers within the patient’s health plan.

• Obtains appointments for Specialist visits and notifies patients of appointments.
• Acts as a resource regarding referrals and insurance plan guidelines. • Interprets medical guidelines, benefits, policies and procedures in support of their objective to expedite the referral process.
• Knowledgeable about the regulations of various payer sources including, but not limited to: Self Pay, Private Insurance, Medi-Cal, Medicare, Medi-Cal & Insurance Managed Care/HMO, Children’s Health and Disability Prevention (CHDP), Healthy Families, Family PACT, and California Children’s Services (CCS). Knowledgeable about the regulations regarding these various payer sources.
• Manages member/patient and provider inquiries regarding referral status, the authorization process and other issues in a courteous and professional manner.
• Data entry of authorization into Electronic Health Records and /or Utilization Review system, ensuring that all referrals are tracked through to a completed visit and a report is received.
• Collaborates with Providers, Health Center Nurses/Medical Assistants, and UM Nurses to obtain additional medical information and notifies UM Nurse of potentially urgent requests.
• Processes all referral requests according to Clinicas’ policies and procedures.
• Verifies member eligibility via insurance carrier and/or Medi-Cal web portal
• Participates in the introduction and implementation of new procedures.
• Makes recommendations regarding changes, improvements, or enhancements to appropriate staff.
• Assists with training and orienting new employees, as assigned.
• Coordinates and assists with obtaining surgery appointments and re-scheduling missed appointments as needed.
• Notifies patients of authorization status, as needed.
• Distributes denial letters to appropriate recipients.
• Attends meetings as assigned.
• Provides excellent customer service to patients, vendors and employees.
• May assist patients with mental illness, substance abuse problems and or/emotional disturbance.
• Due to the nature of the job, may work with or be exposed to information or material of a sexual nature.
• Performs other duties as assigned including participation in all safety programs which may include assignment to an emergency response team.

JOB OBJECTIVE

Under the general direction and supervision of the Physician, the X-Ray Technician (XRT) performs radiographic procedures at a technical level not requiring constant supervision. Utilizes independent judgment, ingenuity and initiative in application of prescribed ionizing radiation for radiological diagnosis. Interprets Physician’s orders in terms understandable to patients of varied educational and cultural backgrounds. Interacts with a multi-cultural population of diverse socioeconomic backgrounds and ages. Reports to the Health Center Manager.

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

The X-Ray Technician is responsible for performing the following duties:

• Produces radiographs and provides immobilization devices as required.
• Provides protection in accordance with prescribed safety standards.
• Selects and operates equipment as directed.
• Selects proper technical factors on an individual patient basis according to Provider’s request.
• Is responsible for the delegated areas of authority in the performance of routine or specific procedures.
• Practices sterile techniques and prevents cross contamination.
• Assists in performing first aid when necessary.
• Documents patient visits and results in electronic health records system.
• Maintains organization and cleanliness of work area and equipment.
• Secures supplies and equipment.
• May assist in the development of technical factors.
• May assist in the use of a variety of equipment and procedures not routinely utilized.
• Interacts in a professional manner and works collaboratively Clinicas’ staff and patients.
• Provides excellent customer service to patients, vendors and employees.
• May assist patients with mental illness, substance abuse problems and or/emotional disturbance.
• Due to the nature of the job, may work with or be exposed to information or material of a sexual nature.
• Performs other duties as assigned including participation in all safety programs which may include assignment to an emergency response team.