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Insurance Handbook for the Medical Office 13 th edition. Chapter 18 Seeking a Job and Attaining Professional Advancement. Seeking a Job and Attaining Professional Advancement. - PowerPoint PPT Presentation
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Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved 1
Chapter 18
Seeking a Job and Attaining Professional Advancement
Insurance Handbook for the Medical Office
13th edition
Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved
Seeking a Job and Attaining Professional Advancement
1. Prepare to find a position as an insurance billing specialist, claims assistance professional, or electronic claims processor.
2. State types of certification and registration available to insurance billers and coders.
3. State various actions to take to search for a job.
4. Search online for employment opportunities.
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Lesson 18.1
Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved
Seeking a Job and Attaining Professional Advancement (cont’d)
5. List guidelines for completing a job application form.
6. Compose a letter of introduction to accompany the résumé.
7. Analyze education and experience to prepare a résumé.
8. Prepare responses to interview questions.
3
Lesson 18.1
Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved
Seeking a Job and Attaining Professional Advancement (cont’d)
9. Identify illegal interview questions.10. Name the items to assemble for a job
portfolio.11. Explore the business aspects of self-
employment.
4
Lesson 18.1
Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved
Employment Opportunities
Insurance billing and coding job choices Insurance billing specialist Electronic claims processor (ECP) Medicare or Medicaid billing specialist Claims assistance professional (CAP) Coding specialist (freelance or employed) Physician Coding Specialist (PCS)
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Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved
Employment Opportunities
Certified coders and insurance billers Certified Medical Billing Specialist (CMBS) Certified Medical Reimbursement Specialist
(CMRS) Certified Professional Coder (CPC) Certified Professional Coder – Apprentice (CPC-
A) Certified Professional Coder – Hospital (CPC-H) Certified Coding Specialist (CCS) Certified Coding Specialist-Physician (CCS-P) Certified Electronic Claims Processor (CECP)
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Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved
Employment Opportunities
Certified coders and insurance billers Certified Claims Assistance Professional
(CCAP) Facility Coding Specialist (FCS) Health Care Reimbursement Specialist
(HRS) National Certified Insurance Coding
Specialist (NCICS) Registered Medical Coder (RMC)
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Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved
Job Search
Join a professional organization Attend meetings and workshops Contact school placement personnel Spread the word Contact pharmaceutical representatives Public and private employment
agencies Inquire at state and federal employment
agencies
8
Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved
Job Search
Seek part-time employment Check bulletin boards in hospital and
clinic offices Check with local medical society Consult phone book or medical society
roster for professional offices or hospitals
Send a blind mailing Check Million Dollar Directory
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Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved
Job Search
Visit the Chamber of Commerce Check the newspaper Telephone job hot lines of large medical
clinics Visit unannounced (“cold calls”) Attend job fairs
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Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved
Online Job Search
Explore the Internet: Employment Web sites Search engines (Yahoo, Google, etc.) Job banks and databases Bulletin board postings Computerized job search companies
11
Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved
Application
Guidelines for preparing an application Read the whole application form Read the fine print and instructions Print, be careful of abbreviating Complete the application in ink Use data from portfolio, sample application
form, or résumé that have been checked for accuracy
12
Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved
Application
Guidelines for preparing an application List correct dates of previous employment Name specific skills Use “negotiable” or “flexible” for salary
amount Sign the application Reread the entire form
13
Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved
Letter of Introduction
Suggested content for letter of introduction Spend time and effort preparing a cover letter Do not use generic cover letters; address them
to a specific individual Do not repeat everything in your résumé in the
cover letter Reread the letter for typos and grammatical
errors Avoid the use of “I” in the sentence structure
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Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved
Résumé
Chronologic résumé Functional résumé Combination résumé
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Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved
Résumé
Résumé format Title Heading Summary Education Professional experience Skills References Final details
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Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved
Interview
Preparing for an interview Concentrate on good grooming and fresh,
relaxed look Wear appropriate clothing Eliminate nervous habits Research possible salaries Practice interviewing with a friend Choose a good time and arrive promptly Prepare a portfolio
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Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved
Interview
After the interview Shake the interviewer’s hand before you
leave Ask the interviewer when the decision will
be made, and thank the interviewer Write a follow-up letter Telephone the interviewer
18
Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved
Interview
Illegal interview questions Marital status Family planning Pregnancy Provision for child care Religious preference Club memberships Height and weight Dependents Age (birth date)
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Self-Employment
Becoming self-employed Gain years of experience Get sufficient funds to run business for 1
year or more Network Check zoning on home offices Rent a post office box Use a lawyer and CPA Keep good records Buy necessary equipment
20
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Self-Employment
New business checklist Choose an address to use (home, PO box) Obtain a business license File a fictitious business name Contact IRS or Franchise Tax Board Obtain insurance Contact phone company Open bank account Order business cards, stationery, logo, etc. Advertise
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Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved
Self-Employment
Insurance needs for self-employed Property insurance Disability insurance Health insurance Life insurance Business interruption insurance Professional liability insurance
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Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved
Self-Employment
Elements of the contract Who does the coding? Will claims be filed electronically? What is the per claim processing fee? Who is responsible for rebilling? Who will handle collection procedures? Who pays for rebilling, photocopying of
records, mailing fees, and clearinghouse charges?
Under whose name will bills be sent to patients?
23
Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved
Self-Employment
Elements of the contract Will the billing service phone number
appear on the statement? How will the telephone be answered? What are the charges for coding
consultation services? What are the coverage arrangements for
absence or illness?
24
Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved
Self-Employment
Keeping up-to-date Specialization (certification and registration) Professional organizations and associations Mentoring Networking
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Copyright ©2014 by Saunders, an imprint of Elsevier Inc. All rights reserved
Questions?
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