Physical Therapy Support Specialist
Concentra · Sterling Heights, MI · 2 wk ago
HealthcareFull-time
Responsibilities
- Obtain timely authorizations from clients and/or insurance carriers for therapy treatments as prescribed by clinicians
- Utilize the electronic referral module to maintain records for all active referrals of responsibility including detailing referral status, client/insurance/patient correspondence, etc.
- Process referrals utilizing company tools and resources to ensure that referrals are processed appropriately based on state guidelines or client specific direction
- Work with medical and therapy leadership to ensure our medical model is followed as it relates to therapy referrals
- Report any denials or delays to leadership as needed
- Schedule patients according to the clinician's referral without going above the number of authorized visits or outside of authorized date range
- Contact patients who miss an appointment and/or report missed appointment to employer
- Document any cancelled or rescheduled appointments in the patient's EMR and partner with Center Operations Director (COD)/CTD to evaluate any cases that may be eligible for closure as an inactive case
- Perform clerical tasks in both the front and back office associated with patient care and proper record keeping
- Maintain accuracy in documentation
- Cross train to perform Front Office duties including greeting patients, obtaining authorization, check in/out, communicating wait times, answering multi-line telephone system, distributing employer results/paperwork, etc.
- Manage therapy supply inventory, wipe down treatment tables and equipment, wash/fold therapy linens, document equipment daily logs, perform Human Performance Evaluations (HPE’s), and room patients for recheck appointments
- Avoid maintenance and required service on all therapy equipment
- Facilitate maintenance and required service on all therapy equipment
- Follow HIPPA guidelines and safety rules
- Complete reports/logs as assigned by center leadership
- Attend center staff meetings or huddles as required
- Participate in initial and ongoing training as required
- May also perform various back office tasks including but not limited to urine drug screens and breath alcohol tests
Qualifications
- Education Level: High School Diploma or GED
- Job-Related Experience: Customarily has at least six months or more of referral management experience
- Previous medical office experience preferred
- Working knowledge of state-specific occupational medicine requirements preferred
- Job-Related Skills/Competencies: Concentra Core Competencies of Service Mentality, Attention to Detail, Sense of Urgency, Initiative and Flexibility; Ability to make decisions or solve problems by using logic to identify key facts, explore alternatives, and propose quality solutions; Outstanding customer service skills as well as the ability to deal with people in a manner which shows tact and professionalism; Ability to properly handle sensitive and confidential information (including HIPAA and PHI) in accordance with federal and state laws and company policies; Demonstrated effective communication and interaction with employers, patients, providers, and other colleagues; Demonstrated ability to maintain working relationship with all levels of colleagues; Demonstrated intermediate knowledge of Microsoft Office such as Word, Excel, Outlook, and entry of data into various systems/applications; Strong teamwork with peers and center leadership team