SchedulingFinancial Specialist Lead
SchedulingFinancial Specialist Lead
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
Overview
Assists the therapy business services leadership in the operation and organization of the outpatient therapy office areas in addition to the assigned scheduling and financial specialist duties: reception billing scheduling charge and data entry insurance preauthorization verification and benefit coordination report preparation filing record keeping and other duties for one or more areas within Physical Medicine and Rehabilitation. Responsibilities include ensuring adequate staffing on a daily basis for all clinics training and maintaining competencies for office staff and working insurance denials. Adheres to detail in the performance of rehabilitation procedures solving practical problems resolving conflict and implementing constructive change. Serves as a member of the rehabilitation team and supports the direction and accomplishment of hospital short and longrange goals.
Why UnityPoint Health
- Culture At UnityPoint Health you matter. Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing whats right for the people we serve.
- Benefits Our competitive Total Rewards program offers benefits options like 401K match paid time off and education assistance that align with your needs and priorities no matter what life stage youre in.
- Diversity Equity and Inclusion Commitment Were committed to ensuring you have a voice that is heard regardless of role race gender religion or sexual orientation.
- Development We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.
- Community Involvement Be an essential part of our core purposeto improve the health of the people and communities we serve.
Hear more from our team members about why UnityPoint Health is a great place to work at .
Responsibilities
NonClinical Excellence
Scheduling/receiving/greeting:
- Receives patients and visitors and answers telephone; screens calls and callers referring them to the appropriate person.
- Creates a welcoming environment for persons 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 noshows and discharges.
- Manages providers calendars.
Billing/insurance/counseling:
- 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. If unable to contact patient prior to first appointment counsels them when they arrive for first appointment. Documents in account notes in EPIC.
- Gathers billing information for patients with workers comp insurance (employer demographics responsible billing party billing address) and coordinates authorization for services.
- Manages and coordinates preauthorizations for services as needed. Sends requested documentation to third party payers for prior authorization and reauthorization of patient visits.
- Coordinates Priceline 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.
Accurate billing/collections/denials:
- Reconciles daily patient attendance and charges posted with revenue/usage reports.
- Responds to patients 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 including sending appeals and trouble shooting and correcting claim or account errors.
- Documents denials and billing issues to identify processes that need improvement in order to maximize efficiency and ensure proper payment within the department.
Daily and/or weekly duties:
- 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.
Other essential duties and job responsibilities
- Responsible for maintaining adequate coverage of office personnel at all outpatient clinics on a day to day basis
- Trains office staff to assist in all appropriate duties
- Keeps current with changes in hospital office procedures and shares with scheduling staff
- Provides leadership training and guidance to office staff
- Assures accurate daily and monthly billing
Qualifications
- Must be at least a high school graduate
- Prior administrative experience in healthcare
- Writes reads comprehends and speaks fluent English
- Multicultural sensitivity
- Microsoft Office and Outlook basic computer skills
- Customer/patient focused
- Critical thinking skills using independent judgment in making decisions
- High organizational skills
- Ability to multitask
- High attention to detail
- Use of usual and customary equipment used to perform essential functions of the position
Required Experience:
Unclear Seniority
Employment Type
Full-Time
