Rehab Patient Access Float and Insurance Verification Specialist

Jamestown Regional Medical Center•Jamestown, ND

30d•$20 - $27•Onsite

About The Position

The Rehab Access float & IV Specialist carries out the mission daily to exceed expectations and be the difference in the lives of those served. This role commits to excellence by working to achieve department and organizational goals to achieve JRMC’s vision and follows JRMC Healthy Roots. The position carries out tasks of patient registration, in-depth insurance verification, and scheduling. This is a full-time, benefited position working 80 hours per two-week pay period. Work hours vary between 6:45 a.m. and 4:30 p.m. based on departmental and operational needs.

Requirements

High school level of knowledge preferred.
Encouraged to have background and strong knowledge of medical terminology.
Must be able to follow oral or written orders.
Good written and verbal communication skills are needed.
Previous work experience not required.
Time to reach competency on the job here three months.
Punctual and regular attendance is an essential responsibility of each employee at JRMC. Employee are expected to report to work as scheduled, on time and prepared to start working. Employees are also expected to remain at work for their entire work schedule.
Analytical ability is required.
Good organizational skills are needed.
Requires ability to multitask.
Independent judgment is often required.
Must be able to establish priorities of duties to be completed.
High degree of duties involve contact with others; imperative that this person maintain good relationships with co workers, patients families and visitors; must be tactful and maintain telephone courtesy; must be able to exchange information on a factual basis, dispatch verbal or written messages as directed on a timely basis and perform other activities which require courtesy and tact.
This position has continuous interaction with all patients and staff.
Must be able to speak and write the English language in an understandable manner.
Work regularly requires the employee to exert a constant level of mental/visual effort.
Must demonstrate physical and emotional ability to meet agreed upon work schedule and performance standards required by the position.
Work regularly requires the employee to exert a frequent level of mental/visual effort.
Must have visual acuity necessary for performing clerical duties and routine procedures.
Majority of position requirements are done within the Rehab Department office; occasional walking, lifting and bending are needed when assisting a therapist in the performance of a treatment, Pace can be demanding and is subject to frequent interruptions.
Requires participation in and complies with JRMC Safety Management Program.
Maintains knowledge of and observes Standard Precautions.
Practices aseptic techniques whenever appropriate.
Requires continuous use of a computer and constant sitting to perform a majority of the responsibilities of this job.
Position may have frequent interruptions and often can be loud.
Workstation is near coworkers.
Each department may vary in temperature.
A comprehensive background check and drug screening will be conducted as a condition of employment for this role.
A urine drug screening is required for all positions and must be completed within 30 days of the date of hire.
Visual Observation - Continuously
Standing - Occasionally
Walking - Occasionally
Sitting - Frequently
Hands and Finger Dexterity - Continuously
Reaching with Hands and Arms - Continuously
Climbing - Never
Stooping/Kneeling/Crouching/Crawling - Rarely
Hearing/Listening - Continuously
Tasting or Smelling - Rarely
Working Inside - Continuously
Working Outside - Never
Working in Extreme Heat - Never
Working in Extreme Cold - Never
Working with Hazardous Materials - Rarely
Noise - Occasionally
Working in Dirt / Dust - Rarely
Driving - Never
Lifting/Carrying/Pushing/Pulling: Up to 10 pounds - Occasionally
Lifting/Carrying/Pushing/Pulling: Up to 25 pounds - Rarely
Lifting/Carrying/Pushing/Pulling: Up to 50 pounds - Rarely
Lifting/Carrying/Pushing/Pulling: Up to 75 pounds - Rarely
Lifting/Carrying/Pushing/Pulling: Up to 100 pounds - Rarely
Lifting/Carrying/Pushing/Pulling: Over 100 pounds - Never

Nice To Haves

Knowledge of medical terminology.

Responsibilities

Interviews patients, gathers information, including but not limited to; demographic data, insurance information, and obtains appropriate signatures.
Prepares and organizes the daily appointment/treatment schedule for assigned department clerk is supporting.
Quick registers or Pre-registers patients for all appropriate hospital departments, gathering information for the admission process, and giving instructions and other pertinent information to the patient.
Accesses and verifies patient insurance information in accordance with privacy and compliance standards, ensuring monthly accuracy.
Authorized to access patient insurance records and performs monthly verification to ensure accuracy and compliance.
Inputs patient information into computer and, upon completion, distributes forms to appropriate personnel.
Understands and can follow a wide variety of insurance rules and guidelines to ensure care provided is covered by insurance.
Works closely with direct patient care professionals for prior authorizations process of additional services that the patient may need.
Takes referrals, schedules patients, compiles new charts, maintains current charts/records and enters patient information in the EMR.
Monitors workflow and scheduling to improve efficiency and quality of work performed by department employees.
Maintains communication and promotes cooperation with other departments regarding patient accounts.
Checks work queues daily.
Prepares and keeps all position forms and checklists up to date.
Completes Insurance verification: Website verification or phone call to insurance companies for authorization, special requests, and appeals.
Must gain knowledge of all patient insurance company requirements and needs to ensure coverage of services.
Enters insurance information in EPIC referrals.
Links all referrals to appointments for staff tracking.
Enters occurrence codes into EPIC.
Manages certification and re-certification requirements for PT, OT, ST teams by sending notes, orders, and evaluations to physicians for signatures, and monitoring legal requirements.
Completes discharges of charts to ensure all legally required items have been completed.
Assists in performing review of medical records for completion using established standards of practice.
Is a Subject Matter Expert in EPIC functionality and workflows for new hire training, troubleshooting issues, and a staff daily resource.
Greets patients and guests upon entering the hospital or assigned department, ascertain needs, and directs appropriately.
Assists patients and visitors in the Rehab Department as needed.
Assists with open and close of Rehab Department.
Screens telephone calls and visitors for the Rehab department staff.
Answers and screens calls in a prompt, pleasant, and efficient manner takes messages and communicates messages to the appropriate person in assigned area.
Conducts reminder/preservice calls to patients.
Prepares and sends patient letters.
Ability to float to Rehab Office Coordinator and Outpatient Access Supervisor position for staffing coverage needs.
Assists in orientation of new staff to the Rehab department. Develops and maintains updates for orientation manuals. Trains new staff in workflows and provides training needed to perform job duties.
Assists the Rehab Manager in coordinating the staffing schedule.
Assists the Rehab Office Coordinator with rehab department insurance verification.
Works with Outpatient Access Supervisor and covers for outpatient access team staffing openings in all areas: specialty clinics, radiology/lab, rehab.
Works closely with Rehab Office coordinator to assist in inquiries about preauthorization.
Discusses payment arrangements with patients, receives payments and prepares receipts.
Works closely with the business office in reviewing denials and correcting billing and insurance errors.
Performs other related duties as assigned or requested.