If you are interested in a listed position, please send resumes to ncosta@tosmny.com.

Total Orthopedics and Sports Medicine is a multi-office provider of musculoskeletal care. This position will report in Syosset, NY. This candidate should be dedicated and hardworking and have a full understanding of Accounting and Bookkeeping job duties.

The Jr. Accountant/Bookkeeper’s responsibilities are to accurately record all day-to-day financial transactions of our company.

Job Duties And Responsibilities

• Record day to day financial transactions and complete the posting process.
• Maintain all accounts payable, ensuring that payables are correctly entered into QuickBooks and paid on time.
• Prepare bank and credit card reconciliations.
• Keep track of all due dates for invoices, subawards and other transactions.
• Support senior accountant in preparing financial reports.
• Liaison for accounting communication with vendors.
• Performs other related tasks by Senior Management.

Qualifications

• Bachelor’s Degree or Associates degree preferred.
• Two to four years related experience or equivalent.
• 1+ years of strong QuickBooks knowledge required.
• Advanced Microsoft Excel skills required.
• High degree of accuracy and attention to detail.
• Ability to multi-task, prioritize and meet multiple deadlines.
• Ability to work in a fast-paced environment with minimal supervision.
• Ability to effectively communicate with people at all levels and from various backgrounds.
• Commitment to excellence and high standards.
• Strong organizational, problem-solving and analytical skills.

Job Type:

• Full-time

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Paid time off

Experience Level:

• 2 years
• 3 years

Schedule:

• 8 hour shift
• Monday to Friday

If you are interested in a listed position, please send resumes to ncosta@tosmny.com.

Syosset Ambulatory Surgery Center is a multi-office provider of musculoskeletal care. We are searching for full-time and part-time OR Nurse’s for our Syosset location. Candidates with Orthopedics experience are encouraged to apply. This individual should be friendly and outgoing and share the same drive we do for patient satisfaction. Candidates without surgery center experience will not qualify for the role. Candidates with circulating experience are encouraged to apply.

Summary: Responsible for clinical leadership and management of the day-to-day clinical operations of the organization to ensure clinical excellence, quality services and efficient operations.

Job Duties and Responsibilities

• Assesses, plans, evaluates and ensures the implementation of the patient’s care to achieve identified outcomes.
• Assesses patient status on admission and on as ongoing basis.
• Implements appropriate standards of care based on assessment data and patient’s own goals.
• Coordinates nursing interventions to enhance achievement on an ongoing basis.
• Ensures provision of patient care daily in an organized and timely manner.
• Adheres to all Organization policies and procedures when providing patient care.
• Utilizes nursing care standards when planning and implementing patient care.
• Demonstrates ability to direct and provide for patient care in emergency situations.
• Assesses learning needs according to patient’s level of understanding and readiness to learn.
• Evaluates patient’s progress toward outcome achievement on an ongoing basis.
• Revises plan of care based on change in patient statue and/or information gathered at the interdisciplinary staffing conference.
• Documents patient’s progress toward achievement of outcomes.
• Directs others in the implementation of the teaching plan.
• Assumes a leadership role in the provision of quality nursing care for patients receiving care.
• Analyzes nursing care provided in the Organization related to the established standards of care.
• Participates in the monitoring and evaluation of nursing care provided.
• Demonstrates ability to coordinate the nursing care provided in the Organization.
• Assigns patient care responsibilities based on patient needs and abilities of available staff.
• Assumes charge nurse responsibility as assigned.
• Demonstrates ability to make decisions concerning Organization based problems.
• Participates on quality council to facilitate improvement of nursing care and achievement of the mission of the Organization, as requested.
• Participates in the orientation of nursing staff.
• Participates in developing standardized patient education programs, as requested.
• Participates in team conferences on assigned patients.
• Demonstrates continued competence in assessing, treating and caring for individuals based upon age-specific needs utilizing a developmental perspective.
• Displays an understanding of each patient’s cognitive, physical, emotional and chronological maturity in the assessments, treatment and care undertaken.
• Appropriately modifies approach to the patient based upon patient age utilizing a developmental perspective.
• Provides appropriate interventions related to safety issues.
• Demonstrates appropriate knowledge and competence of specific designated skills identified for position to include but not be limited to.
• Supervises and assists with gowning and gloving other members of the surgical team
• Supervises and assists with the preparation of the Operating Room for surgical procedures
• Supervises and assists with skin preparations and with draping of patients.
• Supervises and assists with care, preparation, maintenance and after-care of sterile and unsterile supplies and equipment.
• Knows and practices the principles and techniques of sterile technique.
• Handles specimens in accordance with procedures.
• Removes drapes at end of procedure, cleanses the patients of prep solution and applies dressing as needed.
• Cleans instruments and equipment after use and returns it to the proper area for storage or processing.
• Differentiates sterilization methods required for specific instruments and equipment.
• Supervises sponge, instrument and needle counts with operative team.
• Demonstrates ability to understand and use autoclaves, sonic cleaner and washer.
• Supervises and assists with stocking, replenishing and preparation of supplies.
• Updates knowledge in surgical techniques and related nursing care.
• Checks updated schedule every morning and prepares room supplies and equipment.
• Maintains work area and equipment in an orderly manner.
• Maintains dress and appearance according to standards as observed by management.
• Strives to be professional, courteous, helpful and cooperative.
• Performs all other duties as assigned by Administrator.

Compliance

• Adheres to the highest standards of Business Conduct.
• Demonstrates the safe operation of equipment and machinery and follows procedures for reporting and correcting an unsafe situation.
• Establishes and maintains operating controls for organization.
• Ensures organization is compliant with organization policies, applicable regulatory and accreditation requirements, laws, and acceptable standards of practice.
• Takes responsibility for safety management within area of responsibility by investigating job injuries and patient/visitor injuries and initiating corrective action.
• Demonstrates understanding of policies and procedures through active participation in management meetings, attendance at required in-services (Fire safety, Infection Control, etc.)
• Understands, adheres to, assigns security access to and monitors access to Protected Health Information in accordance with HIPAA and the policies of the Organization.

Customer Satisfaction

• Communicates patient information to assure confidentiality and continuity of care.
• Prioritizes patient needs, realizing that primary customer needs take precedence over individual needs.
• Provides pertinent patient information to the physician, family, and other members of the multidisciplinary team.
• Discuss patient information with other health team members in an appropriate environment
• Anticipates patients needs and acts accordingly.
• Interacts with all patients, families, visitors, and fellow employees in a mature, responsible manner to ensure a positive and professional organization environment.
• Displays a caring and responsive attitude and conducts all activities respecting patient, family and employee rights and expectations.
• Maintains confidentiality of all organization and patient information as required.
• Fosters a positive and professional organization environment by interacting with all persons in a considerate, helpful, and courteous manner.
• Diffuses/resolves conflict by appropriately communicating with those involved.
• Accepts constructive criticism and gives suggestions in a professional manner.
• Considers age specific needs in communication.
• Maintains positive working relations, providing feedback in a manner that encourages initiative and self-development.

Financial Management

• Ensures provision of effective, efficient, quality clinical services at the organization.
• Assists in the development of an annual operating plan, which identifies goals and objectives in the key areas of profitability, growth, quality of service, and customer satisfaction.
• Develops an annual budget, which meets operational requirements of the organization and meets corporate objectives.
• Advises on adequate human, capital, physical resources are available to meet organization service objectives

Implementation

• Strives to stay within the budgetary guidelines, maximizing revenue, and minimizing expenses.
• Prepares reports which indicate variance from established annual operating plan and • budget.
• Meets or exceeds the financial goals of the center.
• Minimizes the labor hours and expenses per procedure.

Leadership

• Fosters business relationships
• Sets an example for the staff in behavior with all customer groups.
• Interacts effectively with the physician in the community
• Facilitates employee empowerment.

Staff Development

• Provides management direction, leadership, and assistance to staff.
• Enhances relationships through timely and effective information flow between staff, vendors, partners, etc.
• Demonstrates high visibility in organization and is available to staff.
• Provides counseling, coaching, and direction to personnel to enhance team effectiveness.
• Ensures Human Resource functions are managed at the organization level, including, but not limited to maintenance of current job descriptions and completion of performance appraisals in a timely fashion.
• Addresses disciplinary issues in accordance with the organization’s Human Resources policy and procedure.
• Initiates and processes employee status change in a timely manner in accordance with policy and procedure.

Requirements

Licenses or Certificates: Current nursing license in the State in which the Organization is located. Successful completion of Basic Cardiac Life Support Course. Current ACLS certification.

• Bachelor’s degree in Nursing.
• Minimum of three years supervisory experience in nursing and/or clinical management.
• Three years of recent experience in ASC Management and 3 years nurse circulator experience
• Experience in working with physicians, patients, and various clinical staff desirable.

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

If you are interested in a listed position, please send resumes to ncosta@tosmny.com.

Syosset Ambulatory Surgery Center is a multi-office provider of musculoskeletal care. We are searching for a full-time Certified Surgical Tech for our Syosset location. This individual should be friendly and outgoing and shares the same drive we do for patient satisfaction. Salary will be determined based on experience.

Summary: Assists surgical team during operative procedures. Arranges and inventories sterile set-up for operation and passes items as needed to the operating team. Assists in preparing and moving patients and in cleaning the operating theater. The Certified Surgical Technician is responsible for the provision of surgical care to meet identified patient outcomes and to achieve the goals of the Organization as directed by the RN.

Job Duties:

• Delivers safe patient care as directed by the Registered Nurse and according to Organization policy and procedure.
• Demonstrates ability to respond to patient care and unit needs in an emergency situation.
• Initiates and implements basic cardiopulmonary resuscitation (CPR).
• Demonstrates knowledge of specific responsibilities in all emergency situations.
• Demonstrates ability to meet patient’s and family’s needs as identified in the plan of care.
• Orients the patient and family to the patient care environment, surgery center and unit routines.
• Demonstrates continued competence in treating and caring for individuals based upon age-specific needs utilizing a developmental perspective.
• Demonstrates appropriate knowledge of scope of practice as applicable by state regulation and company policy.
• Demonstrates appropriate knowledge and competence of designated skills identified for position.
• Provides appropriate data and information at team conferences.
• Functions as a scrub tech in the Operating Room.
• Assists with gowning and gloving other members of the surgical team.
• Assists with the preparation of the Operating Room for surgical procedures.
• Assists with skin preparations and with draping of patients.
• Assists with care, preparation, maintenance and after-care of sterile and unsterile supplies and equipment.
• Knows and practices the principles and techniques of sterile technique.
• Handles specimens in accordance with procedures.
• Removes drapes at end of procedure, cleanses the patients of prep solution and applies dressing as needed.
• Cleans instruments and equipment after use and returns it to the proper area for storage or processing.
• Differentiates sterilization methods required for specific instruments and equipment.
• Participates in sponge, instrument and needle counts with circulating nurse.
• Demonstrates ability to understand and use autoclaves, sonic cleaner and washer.
• Assists with stocking, replenishing and preparation of supplies.
• Updates knowledge in surgical techniques and related nursing care.
• Checks updated schedule every morning and prepares room supplies and equipment.
• Maintains and evaluates own clinical expertise and unit practice.
• Performs a yearly self-evaluation.
• Attends 75% of unit-based staff meetings and demonstrates review of minutes for all others.
• Attends and participates in all applicable surgery center training and development workshops scheduled by the Organization.
• Maintains work area and equipment in an orderly manner.
• Performs other duties assigned by the surgery director.

Requirements:

Licenses or Certificates: Current ORT certification. Successful completion of Basic Life Support (BLS) Course within 90 days of employment or documentation of current BLS certification.

• Graduate of an approved Surgical Technician Program.
• At least one year of operating room experience.
• Ambulatory Surgery experience preferred.

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

If you are interested in a listed position, please send resumes to ncosta@tosmny.com.

Total Orthopedics and Sports Medicine is a multi-office provider of musculoskeletal care. We are searching for a full-time Front Desk Receptionist for our Syosset location. This individual should be friendly and outgoing and shares the same drive we do for patient satisfaction.

***Spanish speaking a plus***

Job Description:

• Meets and greets patients; announces, directs and escorts to appropriate area.
• Inputs patient information and demographics into computer system.
• Checking patient’s in/out
• Checking patient insurance eligibility
• Answers, screens and direct calls to the appropriate areas.
• Schedules patient appointments
• Performs general clerical duties including but not limited to filing, photocopying, faxing and mailing as required.
• Keeps reception area organized.
• Demonstrates a high level of professionalism in dealing with confidential and sensitive issues.
• Performs other related duties assigned by senior management.

Requirements:

• Experience in a medical office
• Knowledge of insurance companies, No Fault and Workers’ Compensation
• Knowledge of EHR
• Organization and Communication Skills
• Knowledge of orthopedic spine terminology a plus

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

If you are interested in a listed position, please send resumes to ncosta@tosmny.com.

Total Orthopedics and Sports Medicine is a multi-office provider of musculoskeletal care. We are searching for a Full time Medical Biller/Collector to work in our Syosset location. This individual should be friendly and out going and shares the same drive we do for patient satisfaction. Candidates must have at least two years experience in medical billing. Candidates should also have experience in collections over the phone with insurance companies.

**Candidates with experience in ambulatory billing are encouraged to apply**

Summary: Accurately inputs information into the billing system, processes insurance claims and billing by obtaining background information and making arrangements to obtain monies owed. Engage in long durations of being on the phone and collecting monies owed.

Job Duties And Responsibilities:

• Identifies and resolves billing queries/problems.
• Handle collections with insurance companies.
• Codes services provided utilizing CPT and ICD-9 coding.
• Posts payments and applicable credits to accounts while maintaining balance sheets.
• Researches and processes refund requests and overpayments.
• Prepares correspondence and/ or collection letters.
• Communicates with payees to answer questions and provide additional supporting documentation.
• Prepares letters of appeal to insurance companies if the company refuses to pay contracted claims and/ or denies a claim; submits documentation necessary to support claim; resubmits claims with corrections if needed for payment for all insurance payers.
• Enters date and charges from charts into the billing system; generates all required reports.
• Answers phones and assists patients with accounts.
• Generates and submits electronic claims and statements at designated
• intervals; corrects any errors for complete and accurate transmission of data.
• Abides by state collection and credit regulations; interprets and complies with state/federal regulations, laws and guidelines.
• Performs additional duties including but not limited to copying checks received and recording payment, faxing information as required, generating retroactive authorization requests and verifying medical eligibility.
• Performs other related duties as assigned by senior management.

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

If you are interested in a listed position, please send resumes to ncosta@tosmny.com.

X-Ray Technician (Radiology Department) 

Takes x-rays of patients’ internal anatomy to aid physicians in injuries. They explain x-ray procedures to patients  and ensure that patients are exposed to limited amounts of radiation. X-ray technicians use medical imaging  equipment to produce images of tissues, organs, bones, and vessels and, with advanced training, assisting in the  administration of radiation therapy treatments. 

Job Duties and Responsibilities: 

⋅ Operates X-ray equipment to produce optimal-quality diagnostic images as ordered by physicians in a timely  and cost-efficient manner. 

⋅ Escort patient to the X-ray room. 

⋅ Explains procedure and positions to patient. 

⋅ Assists the physician in performing outpatient fluoroscopic procedures with the use of a C-arm. o Reviews and evaluates video monitor to determine if images are satisfactory for diagnostic purposes. ⋅ Adheres to strict Universal Precautions and Blood Borne Pathogens protocol. 

⋅ Performs a variety of clerical procedures involved in the processing of patients and medical records. File and  retrieve x-ray/MRI and reports as needed and/or requested. Pulls all x-ray images/MRI and burns CD’s for  upcoming surgeries. 

⋅ Ensures all HIPAA policies are followed to maintain patient privacy. 

⋅ Performs other related duties as assigned by senior management. 

Qualifications: 

⋅ American Registry of Radiologic Technologists certification in Radiography (ARRT-R) is required. ⋅ Minimum of two years related experience required 

⋅ Demonstrated ability to handle high volume of patients and multitask in fast paced environment ⋅ Strong computer skills including EMR and MS Office necessary, 

⋅ Able to work collaboratively with multiple health professionals in a busy and complex environment using tact,  diplomacy, and discipline. 

⋅ Ability to understand and adhere to established policies, procedures, and protocols. ⋅ Ability to effectively communicate with people at all levels and from various backgrounds. ⋅ Commitment to excellence and high standards. 

⋅ Excellent written and oral communication skills. 

⋅ Ability to manage priorities and workflow. 

⋅ Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm. ⋅ Good judgement with the ability to make timely and sound decisions.  

Competencies: 

SELF CONFIDENCE/RESILIENCE- Measured confidence to take on demanding work or put forward views when they  may be challenged. Stays calm in a crisis. Handles competing demands. Overcomes setbacks. Welcomes and learns  from criticism. 

COMMUNICATION- Able to communicate information and ideas clearly and articulately both in oral and written  form. Uses appropriate language, style and methods depending on audience and the purpose of communication.  Able to convey complex information clearly. Anticipates the information that others will need. 

PLANNING AND ORGANZING- Able to achieve results in a quality, timely, and cost-effective way. Sees priorities,  plans the efficient use of resources, and monitors progress against objectives. Anticipates crucial stages in projects.  Formulates alternative means of achieving objectives. Responds effectively to unforeseen events.

QUICK THINKING/LEARNING – Able to pick up and assimilate relevant information quickly and easily. Learns new  tasks rapidly. Responds swiftly and appropriately. Can think on their feet in rapidly changing environments. 

INITIATIVE/INDEPENDENCE- Able to work things out without having to be shown too often. Takes responsibility  for own time and effectiveness. Alert to opportunities to contribute appropriately without being told. Able to spot  and implement opportunities for improving situations. 

Physical Demands and Work Environment: 

⋅ While performing the duties of this job the employee is regularly required to sit, stand, and move from one  area to another. 

⋅ Employee must be able to use keyboard/mouse vast majority of the day 

⋅ The employee is occasionally required to bend, reach, lift and relocate up to 10 lbs. ⋅ Vision abilities required include close vision, distance vision and ability to adjust focus. ⋅ The work is performed inside a medical office. 

⋅ The office environment is temperature controlled. 

⋅ The noise level in the office environment is usually quiet.

If you are interested in a listed position, please send resumes to ncosta@tosmny.com.

Front Desk Receptionist

Serves as initial contact for all patients visiting the office. Provides patients with courteous customer
service in person and over the phone. Strives to retain present patients and develop new business by
extending professional and efficient service.

Job Duties and Responsibilities:
• Meets and greets patients; announces, directs and/ or escorts to appropriate area.
• Answers, screens, and directs calls. Takes detailed messages and forwards phone calls to the
appropriate area.
• Schedules patient appointments.
• Performs general clerical duties including but not limited to filing, photocopying, faxing and mailing
as required.
• Organizes and maintains reception area at all times.
• Inputs patient information and demographics into computer system.
• Demonstrates a high level of professionalism in dealing with confidential and sensitive issues.
• Performs other related duties as assigned by senior management.

Qualifications:
• One-year related experience as front desk receptionist or related experience.
• Excellent verbal and written communication.
• Strong interpersonal skills.
• Commitment to excellence and high standards.
• Strong organizational skills; able to manage priorities and workflow.
• Versatility, flexibility, and a willingness to work with constantly changing priorities with enthusiasm.
• Ability to effectively communicate with people at all levels and from various backgrounds.
• Must be able to speak, read, write, and understand the primary language used in the workplace.
• Knowledge of medical terminology helpful.
• Professional appearance and demeanor.

Competencies:

CUSTOMER ORIENTATION-Identifies and prioritizes customer needs and recognizes constraints. Seeks
to find out more about customers and provide a better service. Adopts professional approach to
customers. Is reliable and delivers on promises.

TEAM WORK-Actively participates in team. Encourages co-operation. Aware of the needs of others and responds flexibly. Shares information and supports other team members. Can get things done through
others and set realistic objectives. Seeks opportunities to develop others. Prioritizes team goals over
individual goals.

COMMUNICATION-Able to communicate information and ideas clearly and articulately both in oral and
written form. Uses appropriate language, style and methods depending on audience and the purpose of
communication. Able to convey complex information clearly. Anticipates the information that others will
need.

INITIATIVE/INDEPENDENCE-Able to work things out without having to be shown too often. Takes
responsibility for own time and effectiveness. Alert to opportunities to contribute appropriately without
being told. Able to spot and implement opportunities for improving situations.

FLEXIBILITY/ADAPTABILITY-Has actively sought to learn new things on own initiative. Has responded
positively to change and adapted to new situations quickly. Able to take on a diverse range of tasks
equally effectively.

Physical Demands and Work Environment:
• While performing the duties of this job the employee is regularly required to sit, stand and move
from one area to another.
• Employee must be able to use keyboard/mouse vast majority of the day.
• The employee is occasionally required to bend, reach, lift and relocate up to 10 lbs.
• Vision abilities required include close vision, distance vision and ability to adjust focus.
• The work is performed inside a medical office.
• The office environment is temperature controlled.
• The noise level in the office environment is usually quiet.

If you are interested in a listed position, please send resumes to ncosta@tosmny.com.

Medical Assistant 

Provides assistance with various healthcare services following established policies and protocols. Employee will  also assist with administrative functions. 

Job Duties and Responsibilities: 

⋅ Greets, receives and prepares patients for appointments/procedures; conducts interviews with patients,  measures vital signs and records information. 
⋅ Performs routine tests on patients as provided by established protocol. 
⋅ Maintains inventory of medical supplies and materials. 
⋅ Prepares timely, legible and complete documentation of all patient care. 
⋅ Coordinates patient flow. 
⋅ Maintains medical assistance area and patient records. 
⋅ Applies safety principles as identified by established policy. 
⋅ Demonstrates a high level of professionalism in dealing with confidential and sensitive issues. ⋅ Exhibits a high degree of courtesy, tact and pose when interacting with patients, families and other healthcare  professionals. 
⋅ Adjusts to fluctuating peaks in patient flow, acuity, and other operational demands while maintaining quality. ⋅ Performs other related duties as assigned by senior management. 

Qualifications: 

⋅ High school diploma or equivalent 
⋅ Completion of formal training program as medical assistant. 
⋅ Certified Medical Assistant certificate. 
⋅ One year or more experience as a Medical Assistant 
⋅ Knowledge of medical terminology. 
⋅ Able to work collaboratively with multiple health professionals in a busy and complex environment using  proper diplomacy and discipline. 
⋅ Ability to understand and adhere to established policies, procedures and protocols. ⋅ Strong charting/documentation skills. 
⋅ Ability to effectively communicate with people at all levels and from various backgrounds. ⋅ Commitment to excellence and high standards. 
⋅ Excellent written and oral communication skills. 
⋅ Ability to manage priorities and workflow. 
⋅ Versatility, flexibility and a willingness to work within constantly changing priorities with enthusiasm. ⋅ Good judgement with the ability to make timely and sound decisions. 

Competencies: 

TEAM WORK– Actively participates in team. Encourages co-operation. Aware of the needs of others and responds  flexibly. Shares information and supports other team members. Can get things done through others and set  realistic objectives. Seeks opportunities to develop others. Prioritizes team goals over individual goals. 

COMMUNICATION – Able to communicate information and ideas clearly and articulately both in oral and written  form. Uses appropriate language, style and methods depending on audience and the purpose of communication.  Able to convey complex information clearly. Anticipates the information that others will need.

PLANNING AND ORGANIZING – Able to achieve results in a quality, timely, and cost-effective way. Sees priorities,  plans the efficient use of resources, and monitors progress against objectives. Anticipates crucial stages in projects.  Formulates alternative means of achieving objectives. Responds effectively to unforeseen events. 

RESULTS/QUALITY ORIENTATION-Sets high but achievable standards for self and others. Seeks opportunities to  improve process and outcomes. Constantly reviews performance to identify areas to develop. 

INITIATIVE/INDEPENDENCE-Able to work things out without having to be shown too often. Takes responsibility for  own time and effectiveness. Alert to opportunities to contribute appropriately without being told. Able to spot and  implement opportunities for improving situations. 

Physical Demands and Work Environment: 

⋅ While performing the duties of this job the employee is regularly required to sit, stand and move from one  area to another. 

⋅ Employee must be able to use keyboard/mouse vast majority of the day 

⋅ The employee is occasionally required to bend, reach, lift and relocate up to 10 lbs. ⋅ Vision abilities required include close vision, distance vision and ability to adjust focus. ⋅ The work is performed inside a medical office. 

⋅ The office environment is temperature controlled. 

⋅ The noise level in the office environment is usually quiet.