Patient Service Represntative and Insurance Verifier Rehab Services

Endeavor HealthGlenview, IL
1d$20 - $29Onsite

About The Position

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.

Requirements

  • Education: High School diploma or GED required. Associate degree in business or healthcare preferred.
  • Certification: 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.
  • Experience: Minimum of one to two years of registration, scheduling, or customer service experience in a healthcare setting preferred.

Nice To Haves

  • 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 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
  • 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

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What This Job Offers

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

1-10 employees

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