Overview:
Position Summary:
Under the supervision of the clinic manager, coordinates the admission functions to therapy centers outpatient services. Monitors and pursues unpaid patient accounts. Serves as financial liaison.
Recruiter: Sandra Simmons || ...@CovHlth.com || 865-###-####
Responsibilities:
Position Accountabilities and Performance Criteria:
- Maintains and fosters effective public relations with patients, families, referral sources, third party payors, and staff.
- Serves as primary position for answering phone calls relating to registration, schedule, charges and accounts.
- Collaborates with clinicians regarding admission processes, conferences, documentation, and reimbursement issues.
- Verifies benefits and pre-certifies all outpatient admissions with insurance carriers. Enters information into account notes. Assists in obtaining authorizations as needed.
- Assesses alternative payment arrangements for or explains co-payments to patient and/or family prior to admission.
- Tracks Medicare certifications/recertifications for physician signature and authorization.
- Coordinates assignment of new admissions. Registers, re-registers and discharges patients from the system. Compiles and distributes chart to therapists.
- Maintains staff schedules and runs charges daily. Audits charge function on daily and monthly basis.
- Tracks, collects and documents patient co-pays. Prepares copays and report for transport to KBOS.
- Tracks, documents and coordinates with patients/therapists therapy cap limits.
- Serves as financial liaison between business office, reimbursement coordinator and patient/family.
- Audits daily discharge and re-admit report to ensure all patient charts are accounted for. Compiles, organizes and prepares medical records for transport and scanning.
- Maintains flowboard for active and discharged patient charts and keep records of charts sent to medical records.
- Participates in account audits and appeals.
- Performs data collection, trending, and reporting of departmental statistics/information as assigned.
- Edits payroll for staff as assigned.
- Maintains departmental files and records for budget reports, invoices, and time sheets.
- Assures compliance with The Joint Commission standards. Assures compliance and confidentiality of medical records.
- Provides continuing education for staff regarding regulatory and payor policy changes. Maintains expert status in the aforementioned.
- Follows policies, procedures, and safety standards. Completes required education assignments annually. Works toward achieving goals and objectives, and participates in quality improvement initiatives as requested.
- Performs other duties as assigned.
Qualifications:
Position Qualifications:
Minimum Education:
None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to a high school diploma or GED. Preference may be given to individuals possessing a Bachelors degree in a directly-related field from an accredited college or university.
Minimum Experience:
None specified; will accept any combination of formal education and/or prior work experience sufficient to demonstrate possession of the knowledge, skill and ability needed to perform the essential tasks of the job, typically such as would be equivalent to an Associates degree. Preference may be given to individuals possessing a Bachelors degree in a directly-related field from an accredited college or university.
Licensure Requirements:
None