Job Summary Responsible for insurance verification and obtaining authorization for recurring rehabilitation services including concurrent authorization requests, retroactive authorization modifications, re-evaluation authorization requests, and discharge notifications as appropriate. Also responsible for coordination and scheduling of all reoccurring treatment appointments.
Minimum Job Requirements
1-3 years of customer service experience
Knowledge, Skills, and Abilities
High school education or equivalent preferred
One year of experience working with medical terminology, procedures, diagnosis codes and insurance strongly preferred
Able to communicate effectively in English both verbally and in writing in a clear and concise manner
Fluent in Spanish strongly preferred
Basic proficiency in Word, Excel, and Outlook
Able to relate cooperatively and constructively with customers and co-workers
Able to accurately enter and interpret data
Able to maintain confidentiality of sensitive information
Accuracy and attention to detail are essential
Job Specific Duties
Coordinates the collection and submittal of additional insurance information from clinical/support staff.
Coordinates with clinical team and communicates managed care requests via established work flows.
Documents adequate and accurate records of insurance information, denials, and authorizations in the computer system.
Escalates as appropriate any authorization issues or denials.
Secures authorization for all recurring rehabilitation services.
Works with insurance payers and physician practices to accurately request authorization for rehab re-evaluations and therapy treatment.
Calculates patients’ financial responsibility estimates based on insurance benefits and contracts, and provides information to patient/family.
Notifies patient/family of any deductibles, co-payments, or deposits required at the time of registration,and collects payments.
