Rehab Patient Access Float and Insurance Verification Specialist

Current Opening•Jamestown, ND

29d•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. This position is a full-time, benefited role working 80 hours per two-week pay period, with work hours varying between 6:45 a.m. and 4:30 p.m. based on departmental and operational needs. The specialist performs patient registration, in-depth insurance verification, and scheduling.

Requirements

High school level of knowledge preferred.
Background and strong knowledge of medical terminology encouraged.
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 is three months.
Punctual and regular attendance is an essential responsibility.
Analytical ability is required.
Good organizational skills are needed.
Requires ability to multitask.
Independent judgment is often required.
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.
Must demonstrate physical and emotional ability to meet agreed upon work schedule and performance standards required by the position.
Must have visual acuity necessary for performing clerical duties and routine procedures.
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
Up to 25 pounds - Rarely
Up to 50 pounds - Rarely
Up to 75 pounds - Rarely
Up to 100 pounds - Rarely
Over 100 pounds - Never

Nice To Haves

Knowledge of medical terminology.
Ability to float to Rehab Office Coordinator and Outpatient Access Supervisor position for staffing coverage needs.
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.

Responsibilities

Performs patient registration, in-depth insurance verification, and scheduling.
Interviews patients, gathers demographic and insurance information, and obtains appropriate signatures.
Prepares and organizes the daily appointment/treatment schedule.
Registers or pre-registers patients for hospital departments, gathering information for the admission process, and providing instructions.
Accesses and verifies patient insurance information in accordance with privacy and compliance standards, ensuring monthly accuracy.
Authorizes access to patient insurance records and performs monthly verification.
Inputs patient information into the computer and distributes forms.
Understands and follows insurance rules and guidelines to ensure care coverage.
Works closely with direct patient care professionals for prior authorizations of additional services.
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.
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 via website or phone calls for authorization, special requests, and appeals.
Gains 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.
Acts as a Subject Matter Expert in EPIC functionality and workflows for new hire training, troubleshooting issues, and as a staff daily resource.
Greets patients and guests, assesses needs, and directs them appropriately.
Assists patients and visitors in the Rehab Department as needed.
Assists with opening and closing of the Rehab Department.
Screens telephone calls and visitors for Rehab department staff.
Answers and screens calls promptly, pleasantly, and efficiently, takes messages, and communicates them to the appropriate person.
Conducts reminder/preservice calls to patients.
Prepares and sends patient letters.
Floats to Rehab Office Coordinator and Outpatient Access Supervisor positions 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 necessary job training.
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.
Assists in inquiries about preauthorization with the Rehab Office coordinator.
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.