Job description

Job Summary:

We take pride in providing a great work environment and are dedicated to improving not just the lives of our customers but those of our team. We’ve been named a top workplace 6 years in a row, and we’re always looking for the right people. This position works with patient files, medical professionals, insurance carriers, and patients. The individual will need to be well organized and have a compassion for people.

Essential Functions:
1 Patient file maintenance and insurance experience preferred
2 Must have knowledge of reimbursement and ability to interpret medical terminology
3 Ensures verification of insurance to determine coverage of Complex Rehab equipment and the necessary RAC form has been received.
4 Using the Quote from the appropriate ATP; accurately enters the order into the Management software.
5 Generates the forms required by the specific insurance for equipment coverage or quote for cash pay.
6 Collects the LMN or other required documents from physicians for coverage and submission to payer.
7 Ensures that all components of equipment are justified within the medical documentation, requests addendums on missing information.
8 Ensures that the appropriate profit margin is obtained, or upgrade communicated to patient.
9 Submits prior authorization requests if required and logs authorization when received.
10 Notifies and collects the necessary coinsurance and non-covered items before ordering or delivery after payer resources have been established. Ability to balance patient needs with company’s financial needs.
11 Handles communication with patients as required.
12 Documents all correspondence in the Patient Notes within the Management software.
13 Follow up on documentation and correspondence is done on a weekly basis to ensure files are moved through the system and timeliness’ of service is not compromised.
14 Communicates with ATP, Management, and referrals as required.
15 Ensures that any Held Billing is addressed as a priority to ensure timeliness of claim submission.
16 Provides input to management to improve workplace function.
17 Practices and adheres to all HIPPA, HQAA and Compliance rules and regulations.
18 Regular attendance is essential
19 Attend educational workshops as needed or assigned.
20 HIPAA and other compliance training.
21 Performs other duties, as assigned by management.

Knowledge, Skill and Experience

Skills Required:
Excellent verbal and written communication skills.
Excellent interpersonal and customer service skills.
Excellent organizational skills and attention to detail.
Thorough understanding of departmental and company procedures and policies.
Proficient with Microsoft Office Suite or related software.
Operate Brightree software.

No or very limited exposure to physical risk.
Work is normally performed in a typical tempratured controlled interior/office work environment.
No or very limited physical effort required.
Typical office environment sounds

Some examples of office equipment that will be utilized in this position are:
Computers
Monitors
Printers
Copiers
Fax Machines
Scanners
Telephones
Basic desk accessories

In addition to below this person will need to
Prolonged periods of sitting at a desk and working on a computer.
Must be able to lift up to 30 pounds at times.
Must be able to access all areas of the facility.
Hearing, seeing, and talking are required for this position.
May require travel.

Job Type: Full-time

Pay: $18.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Employee discount
• Flexible schedule
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Parental leave
• Professional development assistance
• Referral program
• Retirement plan
• Tuition reimbursement
• Vision insurance

Schedule:

• 8 hour shift
• Day shift
• Monday to Friday

Work Location: One location

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