Business Office Rep, Outpatient Rehab, FT, Days

Prisma Health•Sumter, SC

About The Position

Performs a variety of duties to support and facilitate business operations, providing direct customer service and/or clerical and administrative support for the Outpatient Rehabilitative Services department. Coordinates patient schedules across procedures and specialties to serve patients and optimize therapist productivity, including following up with patients who have not responded to requests to schedule an initial visit. Verifies benefits, explains insurance coverage, calculates cost estimates, and helps patients understand their financial responsibility. Confirms and maintains payor authorizations throughout the plan of care, edits claims for clean submission, collects and posts payments, answers billing questions, and discusses payment options and programs. Triages therapy referrals by urgency, screens for the appropriate location and specialty, and documents and attaches authorizations to appointments. Supports office operations by ordering supplies, submitting invoices and work orders, maintaining office cleanliness and a cash box, preparing end-of-day deposits and accounting information, and sorting incoming mail. Answers calls and patient voicemails, responds to general questions about therapy and treatments, greets patients, and trains other staff on office guidelines and procedures. Performs other duties as assigned. This is a non-management position reporting to a supervisor, manager, director, or executive.

Requirements

High school diploma or equivalent.
Two years of related work experience, such as admissions, billing, collections, insurance, and/or customer service experience.
Computer skills, including word processing, spreadsheets, databases, and data entry.
Mathematical skills.

Nice To Haves

Registration and scheduling experience preferred.
Familiarity with medical terminology preferred.

Responsibilities

Coordinate schedules for multiple procedures and specialties to serve patients and maximize therapist productivity.
Schedule patients to optimize therapist schedules and daily visit volumes; follow up with patients who have not responded to requests to schedule an initial visit.
Verify patient benefits, explain benefits and insurance coverage, calculate cost estimates, and inform patients of their financial responsibility.
Confirm payor authorization for services and maintain authorization throughout the plan of care.
Edit patient claims to support clean submission for payment.
Collect payments at the time care is delivered and after care is completed, including by phone; answer billing questions, post payments, and discuss payment options and programs.
Triage therapy referrals according to urgency and screen them for the appropriate location and specialty of care.
Document authorizations and attach them to appointments.
Order supplies and submit invoices for payment.
Maintain office cleanliness and submit work orders for broken equipment or report issues to facilities.
Submit end-of-day deposits and accounting information; sort and address incoming mail; maintain the cash box.
Train other staff on office guidelines and procedures.
Answer phone calls and patient voicemails, answer general questions about therapy and treatments, and greet incoming patients.
Perform other duties as assigned.