Senior Patient Access Intake Spec-Rehab

Responsibilities

• Determine patient liability prior to service by creating an estimate based on individual payer.
• Notifies patient of their potential liability in accordance with the Federal and State regulations.
• Initiate contact with patients, clinicians, and third party payers to obtain pre-certification and authorization for evaluations and diagnostic tests.
• Use critical thinking skills to ensure CPT codes are documented and authorized for the appropriate service.
• Navigate multiple payer portals to determine requirements for authorization and submit electronic requests.
• Follow up with payer denials by researching clinical data to support an appeal.
• Verify coverage and initiate authorizations for new evaluations and treatments.

Requirements

• Equal to completion of four years of high school plus additional specialized courses or training, secretarial school, diploma, or medical office certification.
• Duties require comprehensive understanding of medical terminology and managed care plans and experience in obtaining and processing insurance referrals and authorizations.
• Knowledge of Healthcare and Managed Care preferred.
• Proficient keyboarding skills are essential.
• Must possess strong reasoning and critical thinking skills.
• Proficient in use of software applications such as e-mail, Work, Excel, EHR.
• Exceptional customer service skills are required.
• Over three years of related medical office work experience is required.
• Associates degree preferred.
• Experience in obtaining and processing insurance referrals and authorizations.
• Knowledge of Healthcare and Managed Care preferred.

Qualifications

• Must be fully vaccinated against seasonal Influenza and the COVID 19 virus or to be exempt from the requirement for medical or personal reasons by signing a statement certifying you are choosing to be exempt from vaccination once hired.

Skills

• Strong reasoning and critical thinking skills.
• Proficient in use of software applications such as e-mail, Work, Excel, EHR.
• Exceptional customer service skills.

Benefits

• Career At Southcoast Health Offers You A culture of well-being that embraces, respects, and celebrates the rich diversity of one another and the communities we serve.
• Competitive pay and comprehensive benefits package.
• Generous Earned Time Off Package.
• Employee Wellbeing Program.
• 403B Retirement Plan with company match.
• Tuition assistance / Federal Loan Forgiveness programs.
• Professional growth opportunities and customized leadership training.

Pay

Pay rate will be determined based on level of experience. Pay Range USD $18.36 - USD $29.27 /Hr.