Rehab Patient Access Float and Insurance Verification Specialist

Description

The Rehab Access Float & IV Specialist carries out the mission daily to exceed expectations and be the difference in the lives of those they serve. They commit to excellence by working to achieve department and organizational goals to support JRMC's vision and adhere to JRMC Healthy Roots.

• Knowledge of medical terminology.
• Assists with maintaining policies and procedures and record keeping systems for the department.
• Interacts with patients of all age groups while performing duties.
• Interviews patients, gathers information, including but not limited to demographic data, insurance information, and obtains appropriate signatures.
• Prepares and organizes the daily appointment/treatment schedule for assigned department clerk is supporting.
• Quick registers or pre-registers patients for all appropriate hospital departments, gathering information for the admission process, and giving instructions and other pertinent information to the patient.
• Accesses and verifies patient insurance information in accordance with privacy and compliance standards, ensuring monthly accuracy.
• Authorizes to access patient insurance records and performs monthly verification to ensure accuracy and compliance.
• Enters patient information into computer and, upon completion, distributes forms to appropriate personnel.
• Understands and can follow a wide variety of insurance rules and guidelines to ensure care provided is covered by insurance.
• Works closely with direct patient care professionals for prior authorizations process of additional services that the patient may need.
• Takes referrals, schedules patients, compiles new charts, maintains current charts/records and enters patient information in the EMR.
• Maintains communication and promotes cooperation with other departments regarding patient accounts.
• Checks work queues daily.
• Prepares and keeps all position forms and checklists up to date.
• Completes insurance verification: Website verification or phone call to insurance companies for authorization, special requests, and appeals.
• Must gain knowledge of all patient insurance company requirements and needs to ensure coverage of services.
• Enters insurance information in EPIC referrals.
• Links all referrals to appointments for staff tracking.
• Enters occurrence codes into EPIC.
• Manages certification and re-certification requirements for PT, OT, ST teams by sending notes, orders, and evaluations to physicians for signatures, and monitoring legal requirements.
• Completes discharges of charts to ensure all legally required items have been completed.
• Completes review of medical records for completion using established standards of practice.
• Serves as a Subject Matter Expert in EPIC functionality and workflows for new hire training, troubleshooting issues, and a staff daily resource.
• Greets patients and guests upon entering the hospital or assigned department, ascertain needs, and directs appropriately.
• Assists patients and visitors in the Rehab Department as needed.
• Assists with open and close of Rehab Department.
• Screens telephone calls and visitors for the Rehab department staff.
• Answers and screens calls in a prompt, pleasant, and efficient manner, takes messages and communicates messages to the appropriate person in assigned area.
• Conducts reminder/preservice calls to patients.
• Prepares and sends patient letters.
• Affords assistance in orientation of new staff to the Rehab department.
• Develops and maintains updates for orientation manuals.
• Trains new staff in workflows and provides training needed to perform job duties.
• Affords assistance in coordinating the staffing schedule.
• Affords assistance in rehab department insurance verification.
• Works with Outpatient Access Supervisor and covers for outpatient access team staffing openings in all areas: specialty clinics, radiology/lab, rehab.
• Works closely with Rehab Office coordinator to assist in inquiries about preauthorization.
• Discusses payment arrangements with patients, receives payments and prepares receipts.
• Works closely with the business office in reviewing denials and correcting billing and insurance errors.
• Performs other related duties as assigned or requested.

Requirements

• High school level of knowledge preferred.
• Encouraged to have background and strong knowledge of medical terminology.
• Must be able to follow oral or written orders.
• Good written and verbal communication skills are needed.
• No previous work experience required.
• Punctual and regular attendance is an essential responsibility of each employee at JRMC.
• Requires analytical ability and good organizational skills.
• Requires ability to multitask.
• Requires independent judgment.
• Requires high degree of contact with others.
• Requires ability to maintain good relationships with co-workers, patients' families and visitors.
• Requires tactfulness and telephone courtesy.
• Requires ability to exchange information on a factual basis, dispatch verbal or written messages as directed on a timely basis.
• Requires ability to participate in and comply with JRMC Safety Management Program.
• Requires knowledge of and observance of Standard Precautions.
• Requires ability to practice aseptic techniques whenever appropriate.
• Requires a comprehensive background check and drug screening as a condition of employment.
• Drug Screen: A urine drug screening is required for all positions and must be completed within 30 days of the date of hire.
• Physical & Sensory: Effort Requires continuous use of a computer and constant sitting to perform a majority of the responsibilities of this job. Position may have frequent interruptions and often can be loud. Workstation is near coworkers.
• Visual Observation: Continuously
• Standing: Occasionally
• Walking: Occasionally
• Sitting: Frequently
• Reaching with Hands and Arms: Continuously
• Climbing: Never
• Stooping/Kneeling/Crouching/Crawling: Rarely
• Tasting or Smelling: Rarely
• Working Inside: Continuously
• Working Outside: Never
• Working in Extreme Heat: Never
• Working in Extreme Cold: Never
• Working with Hazardous Materials: Rarely
• Talking: Continuously
• Listening: Continuously
• Handling: Continuously
• Using Hands and Fingers: Continuously
• Using Feet and Legs: Continuously
• Using Body Coordination: Continuously
• Using Gross Motor Skills: Continuously
• Using Fine Motor Skills: Continuously
• Using Vision: Continuously
• Using Hearing: Continuously
• Using Other Senses: Rarely
• Working in Dirt/Dust: Rarely
• Driving: Never
• Lifting/Carrying/Pushing/Pulling: Occasionally
• Up to 10 pounds: Occasionally
• Up to 25 pounds: Rarely
• Up to 50 pounds: Rarely
• Up to 75 pounds: Rarely
• Over 100 pounds: Never
• Physical Requirement: These are physical requirements of the position that may be performed as part of daily duties. Inability to meet one or more of these physical requirements will not automatically disqualify a candidate or employee from the position. Upon request for reasonable accommodation, JRMC may be able to adjust or excuse one or more of these requirements, depending on the requirement, the essential functions to which it relates and the proposed accommodation.
• Employee Requirements: Visual Observation: Continuously
• Standing: Occasionally
• Walking: Occasionally
• Sitting: Frequently
• Reaching with Hands and Arms: Continuously
• Climbing: Never
• Stooping/Kneeling/Crouching/Crawling: Rarely
• Tasting or Smelling: Rarely
• Working Inside: Continuously
• Working Outside: Never
• Working in Extreme Heat: Never
• Working in Extreme Cold: Never
• Working with Hazardous Materials: Rarely
• Talking: Continuously
• Listening: Continuously
• Handling: Continuously
• Using Hands and Fingers: Continuously
• Using Feet and Legs: Continuously
• Using Body Coordination: Continuously
• Using Gross Motor Skills: Continuously
• Using Fine Motor Skills: Continuously
• Using Vision: Continuously
• Using Hearing: Continuously
• Using Other Senses: Rarely
• Working in Dirt/Dust: Rarely
• Driving: Never
• Lifting/Carrying/Pushing/Pulling: Occasionally
• Up to 10 pounds: Occasionally
• Up to 25 pounds: Rarely
• Up to 50 pounds: Rarely
• Up to 75 pounds: Rarely
• Over 100 pounds: Never