CENTRAL THERAPY INSURANCE SPECIALIST
Ironwood, MI
CENTRAL THERAPY INSURANCE SPECIALIST
Category: Office Support Services
Location: Ironwood, MI
Job Schedule: FULLTIME
Job Number: 89842
Compassion. Accountability. Collaboration. Foresight. Joy.
These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day.
Aspirus Ironwood Hospital in Ironwood, MI is seeking a CENTRAL THERAPY INSURANCE SPECIALIST to join our PHYSICAL THERAPY team!
The Central Therapy Insurance Specialist requires advanced knowledge of therapy insurance coverage, prior authorizations, therapy ICD and CPT knowledge, documentation and billing requirements for therapy and assist CBO in denial recovery processes. Monitors insurance workflows throughout the Aspirus outpatient therapy departments. Educates and trains office and therapy staff on proper insurance authorization requirements and office workflows. Assumes responsibility for the development and implementation of therapy insurance standards of practice. This position is critical to the Aspirus Outpatient Therapy Department as a means to ensure accurate prior and ongoing authorizations and payment for all therapy patients. This position is also a critical resource for staff regarding authorization, documentation, billing, and recertification processes.
HOURS: Full Time; 0.9 FTE or 72 hours per pay period.
Experience/Qualifications
Knowledge of therapy requirements for medical insurance and government payer standards and procedures normally acquired through completion of an Associate Degree in Business, or a High School diploma, GED or equivalent with a minimum of three years' experience in medical insurance and government payers beneficial.
Knowledge of therapy CPT and ICD coding beneficial
Possesses an overall understanding of insurance and government authorizations in a health care organization.
Possesses excellent verbal and written communication skills, the ability to prioritize, the ability to work independently and attention to accuracy and timeliness in all work process.
Possesses the ability to troubleshoot and multi-task.
Ability to work with confidential information and maintain confidentiality.
Is self-directed and displays good judgment with attention to detail.
Possesses excellent organizational skills. Possesses the ability to meet deadlines and to work with many changes within the insurance and government payer process
Employee Benefits
Full benefits packages available for part- and full-time status.
PTO accrual from day one!
Generous retirement plan with match available.
Wellness program for employees and their families.
Aspirus Ironwood Hospital includes a 25-bed critical access hospital, multi-specialty clinic, satellite clinic in Wisconsin, surgical clinic, walk-in clinic and a home health agency. Ironwood's service area covers approximately 30,000 people. The hospital has a 4 bed ICU, 3 bed OB unit, and 4 surgical units. The emergency department is staffed 24/7 with ER physicians, with approximately 12,000 visits annually. The hospital's inpatient census is 10 patients per day. The outpatient clinic has over 50,000 visits annually.
Our Mission: We heal people, promote health and strengthen communities.
Our Vision: Aspirus is a catalyst for creating healthy, thriving communities, trusted and engaged above all others.
As an Aspirus team, we demonstrate caring, we plan to impact the future, work with happiness and enthusiasm, recognize our power to make a difference and improve the health of our communities.
Aspirus Health is a nonprofit, community-directed health system based in Wausau, Wisconsin, serving northeastern Minnesota, northern and central Wisconsin and the Upper Peninsula of Michigan. The health system operates 18 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians.