Patient Service Representative and Insurance Verifier Rehab Services -Rehab Services- Days/Evenings

Nevada System of Higher Education

2d•$20 - $29•Onsite

About The Position

Patient Service Representative and Insurance Verifier - Rehab Services – Days/Evenings Position Highlights: Position: Patient Service Representative and Insurance Verifier Rehab Services Location: Lincolnshire, IL Full Time/Part Time: Full time- 40 hours Hours: Rotating shift; Alternate opening and closing shifts (10:30am-7:00pm and 7:00am-330pm) Required Travel: no What you will do: Reporting to the Rehabilitation Service Manager works with patients and their representatives and insurance carriers and employer’s to determine patient benefits eligibility, pre-certify services and performs verification of benefits to ensure revenue reimbursement. Screens registration data for compliance with payer and pre-certification requirements, corrects and updates accounts and bills to the appropriate party. Services primarily includes, but not limited to Physical Therapy, Occupational Therapy and Speech Therapy. What you will do: Reviews and analyzes all required demographic, insurance/financial, and clinical data procured by patient intake and registration areas necessary to expedite payment on patient’s accounts Performs pre-certification notification via telephone or electronically and gathers and completes all required documentation for submission to insurance carriers per payer requirements. Researches pre-certification denials including missing authorization, patient pre-certification or referral documentation. Confirms referral requirements for individual plans and works with referring physician offices as needed to obtain referrals for all scheduled services, including referrals for additional office visits Works productively and efficiently from a task-based work queue. Maintains an acceptable level of productivity as determined by the Rehab Services department to meet business needs though volumes may vary.

Requirements

High School diploma or GED required.
Valid driver’s license is required if the incumbent is selected to perform related duties at an off-site location. If incumbent uses their personal vehicle, the incumbent must maintain automobile liability coverage as required by law and evidence of such coverage may be requested.
Minimum of one to two years of registration, scheduling, or customer service experience in a healthcare setting preferred.

Nice To Haves

Associate degree in business or healthcare preferred.
Knowledge of health insurances, medical terminology and anatomy preferred.
Strong data entry and keyboarding skills preferred.
Knowledge of Microsoft Office Suite preferred.
Manual dexterity to operate various office machines required.

Responsibilities

Reviews and analyzes all required demographic, insurance/financial, and clinical data procured by patient intake and registration areas necessary to expedite payment on patient’s accounts
Performs pre-certification notification via telephone or electronically and gathers and completes all required documentation for submission to insurance carriers per payer requirements.
Researches pre-certification denials including missing authorization, patient pre-certification or referral documentation.
Confirms referral requirements for individual plans and works with referring physician offices as needed to obtain referrals for all scheduled services, including referrals for additional office visits
Works productively and efficiently from a task-based work queue.
Maintains an acceptable level of productivity as determined by the Rehab Services department to meet business needs though volumes may vary.

Benefits

Premium pay for eligible employees
Career Pathways to Promote Professional Growth and Development
Various Medical, Dental, Pet and Vision options
Tuition Reimbursement
Free Parking
Wellness Program
Savings Plan
Health Savings Account Options
Retirement Options with Company Match
Paid Time Off and Holiday Pay
Community Involvement Opportunities
Premium pay such as shift, on call, holiday and more based on an employee’s job (For eligible positions)
Incentive pay for select positions
Opportunity for annual increases based on performance