PFS Representative - Inpatient

We have the great privilege of helping patients and families rebuild their lives. Its extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients Ask for Mary they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients and innovatively serve them. This is true of every employee from support staff and leadership to clinicians and care providers.

Mary Free Bed is a notforprofit nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient outpatient subacute rehabilitation orthotics and prosthetics and home and community programs. With the most comprehensive rehabilitation services in Michigan and an exclusive focus on rehabilitation Mary Free Bed physicians nurses and therapists help our patients achieve outstanding clinical growing Mary Free Bed Network provides patients throughout the state with access to our unique standard of care

Mission Statement

Restoring hope and freedom through rehabilitation.

Employment Value Proposition

At Mary Free Bed we take pride in our valuesbased culture:

• Focus on Patient Care. A selfless drive to serve and heal connects all MFB employees.
• Clinical Variety and Challenge. An interdisciplinary approach and a top team of professionals create everchanging opportunities and activities.
• Family Culture. We offer the stability of a large organization while nurturing the family/team atmosphere of a small organization.
• Trust in Each Other. Each employee knows that coworkers can be trusted to make the right decision for our family patients staff and community.
• A Proud Tradition. Years of dedicated quality service to our patients and community have yielded a reputation that fills our employees with pride.

Essential Job Responsibilities

• Prioritize inpatient referrals based on tentative admission dates.
• Perform eligibility and benefit verification of identified insurance coverage for each inpatient referral. Initiate electronic and/or telephone inquiries to the appropriate parties including third party payers employers and/or managed care organizations sharing information as necessary to secure record and electronically enter data confirming patient has benefits for inpatient rehabilitation. Communicate need to precertify admission to Utilization Review/Reimbursement Coordinator.
• Analyze the available documentation and use software and/or other listings or information including the data gathered during the thirdparty eligibility and benefit verification to calculate the amounts expected to be received from the payer and the amount owed by the patient or his/her responsible party.
• Consistently execute time requirements for specific tasks including but not limited to verifications new patient visit & folder assembly.
• Update benefit information on Inpatient Referral Team Site.
• Enter insurance information into Access Management Registration.
• Meet with each new inpatient after admission to review and verify patient data and insurance information.
• Provides information to patients on Patient Rights Advance Directives Notice of Privacy Practices Medicare Patient Appeal Rights and other required documents.
• Accurately generates patient specific Benefit Summary Forms and distributes to patient/representative and appropriate internal parties on a timely basis. Help insured patient navigate their eligibility and benefits and help uninsured/under insured patient access programs that can assist them by referring them to MFBs IP Financial Counselor.
• Update Access Management Registration with any changes. Scan signed registration packet documentation into EMR.
• Begin CFA review process to preliminarily determine patient eligibility and give an estimate of possible award level.
• Act as support staff for the IP Financial Counselor as needed

Customer Service Responsibilities

Demonstrate excellent customer service and standards of behaviors as well as encourages coaches and monitors the same in team members. This individual should consistently promote teamwork and direct communication with coworkers and deal discretely and sensitively with confidential information.

Responsibilities in Quality Improvement

Contribute by identifying problems and seeking solutions. Promote patient/family satisfaction where possible; participates in departmental efforts to monitor and report customer service.

Essential Job Qualifications

• Associates Degree or equivalent business classes/medical office experience
• Understanding of medical terminology and clinical rehabilitation
• Time management skills to handle multiple competing demands and priorities and work effectively under pressure.
• Strong effective organization and interpersonal skills oral and written.
• Collaborative team style and open communication including with other departments.
• Ability to work independently as well as in a group.
• Excellent analysis and problemsolving skills.
• Demonstrated commitment to organizational mission with a whatever it takes attitude to get the job done.
• Credible and trustworthy.
• Intermediate knowledge of Microsoft Office Suite (Word Excel PowerPoint).

Preferred Job Qualifications

• Three to five years hospital medical billing experience
• 12 to 18 months hospital medical billing experience
• Indepth knowledge of payer billing regulations

• IRF medical billing experience
• Knowledge of ICD9CM and CPT coding classification systems

Physical Requirements for Essential Job Qualification

Levels:

• None (No specific requirements)
• Occasionally (Less than 1/3)
• Frequently (1/3 to 2/3)
• Majority (More than 2/3)

Remain in a stationary position: Majority

Traverse or move around work location: None

Use keyboard: Frequently

Operate or use department specific equipment: None

Ascend/Descend equipment or ladder: None

Position self to accomplish the Essential Functions of the role: None

Receive and communicate information and ideas for understanding: None

Transport position and/or exert force:

Up to 10 pounds: occasionally

Up to 25 pounds:

Up to 50 pounds:

Up to 75 pounds:

More than 100 pounds:

Other weight: Up to pounds

Other: None

Compensation based on experience starting from $19.50.

Consistent with the Americans with Disabilities Act (ADA) it is the policy of Mary Free Bed Rehabilitation Hospital to provide reasonable accommodation when requested by a qualified applicant or employee with a disability unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment including the application process. If reasonable accommodation is needed please contact the Talent Acquisition team at .

Mary Free Bed is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion gender national origin age genetic information veteran status disability or other legally protected characteristic.