Scheduling/Billing Specialist- Therapy Plus Hiawatha (Full Time)

UnityPoint Health • Hiawatha, IA

82d

About The Position

Under guidance and supervision, the associate performs reception, billing, scheduling, charge and data entry, insurance pre-authorization, verification and benefit coordination, filing, record keeping and other duties for one or more areas within Physical Medicine and Rehabilitation. The associate is expected to acquire an understanding of, and proficiency in all functions for their assigned area. Demonstrates initiative and sound judgment in the application of policies and procedures.

Requirements

• Must be at least a high school graduate.
• Writes, reads, comprehends and speaks fluent English.
• Multicultural sensitivity.
• Basic computer skills in Microsoft Office and Outlook.
• Customer/patient focused.
• Critical thinking skills using independent judgment in making decisions.
• High organizational skills.
• Ability to multi-task.
• High attention to detail.
• Use of usual and customary equipment used to perform essential functions of the position.

Responsibilities

• Receives patients and visitors and answers telephone; screens calls and callers, referring them to the appropriate person.
• Creates a welcoming environment for person’s served. Effectively manages positive relationships with referral sources and other members of the team.
• Schedules all patient appointments.
• Coordinates all modifications to patient schedules, including reschedules, cancellations, no-shows and discharges.
• Manages providers calendars.
• Verifies insurance eligibility and insurance coverage for assigned department(s) via phone or internet.
• Contacts patients prior to first appointment and counsels patient on coverage.
• Gathers billing information for patients with worker’s comp insurance and coordinates authorization for services.
• Manages and coordinates pre-authorizations for services as needed.
• Sends requested documentation to third party payers for prior authorization and reauthorization of patient visits.
• Coordinates Price-line requests for estimate of cost for the patient.
• Counsels patients on process for estimates of their payment for therapy, prompt pay, and financial assistance applications.
• Reconciles daily patient attendance and charges posted with revenue/usage reports.
• Responds to patient’s questions regarding their account and ensures solutions to patient billing, complaints or concerns.
• Demonstrates ability to effectively manage details by accurately completing registration/referrals, maintaining medical records, and charge correction.
• Collects payment as needed.
• Monitors and completes accounts on multiple work queues in EPIC, including referrals and denials.
• Problem solves, analyzes and collaborates with patient, therapist, Central Billing Office, Revenue Cycle department, and insurance companies to identify and resolve billing and denial issues.
• Documents denials and billing issues to identify processes that need improvement.
• Creates and modifies documents using word processing and spreadsheet computer programs.
• Maintains designated filing and record keeping systems.
• Assists with preparation of reports, graphs, and statistical information.
• Orders supplies for department.
• Serves as payroll timekeeper for assigned departments.
• Performs other related secretarial and clerical functions as requested.

Benefits

• Paid time off.
• Parental leave.
• 401K matching.
• Employee recognition program.
• Dental and health insurance.
• Paid holidays.
• Short and long-term disability.
• Pet insurance.
• Early access to earned wages with Daily Pay.
• Tuition reimbursement.
• Adoption assistance.

What This Job Offers

• Education Level: High school or GED