jobid-7526
We have the great privilege of helping patients and families re-build their lives. It's 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 not-for-profit, nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient, outpatient, sub-acute 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 outcomes. The 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.
DIVERSITY, EQUITY AND INCLUSION
Mary Free Bed values diversity and inclusion among patients, families and staff. We strive to hire people who reflect the communities we serve. Our employees will serve all patients, families and each other with dignity and respect.
SUMMARY
Greets, provides information, and responds to the needs of patients, families, staff, and other visitors at the check-in/out desk including appointment check-in and out, registration, authorization/verification of insurance(s), explanation of benefits; collection of co-pays, assistance with way finding, or other services or resources for a program specific multi-discipline department. Interacts in a customer focused manner during referral processing. Provides office support for all Scheduling and Patient Financial Services staff. Works cooperatively with other departments and outpatient staff/leadership to assure financial reimbursement for outpatient services.
ESSENTIAL JOB RESPONSIBILITIES:
* Greet, provide information, and respond to the needs of patients, families, staff, and other visitors at the check-in/out desk. Triage inquiries that arise during or after each patient/visitor/staff encounter. Escort and/or direct patients and other parties to other service areas or locations.
* Review referrals and other documentation according to internal policy and regulation as applicable in order to assure that the service being provided has been appropriately documented and meets all known payer medical necessity and other criteria.
* Review appropriateness of ICD10 and CPT codes to determine if care provided corresponds to reason for referral/authorization to ensure that patient's insurance covers the evaluation/treatments.
* Accurately collect and analyze all required demographic, insurance/financial, and clinical data elements necessary to pre-register and register all types of patients. Accurately record and electronically enter the information on a timely basis into EMR to include assigning a medical record number to new patients. Accurately prepare and distribute all required registration forms to other internal parties as appropriate and on a timely basis.
* Secure and witness all required signatures according to internal policy and regulation, as applicable with explanation of documents per department standards, including consent to treat, assignment of insurance benefits, Release of Information, Advance Beneficiary Notification, and financial responsibility. Forward appropriate documents/information to the Patient Financial Services Department to support billing and collections and other departments as needed.
* Accurately generate patient specific Explanation of Benefit Forms/Patient Benefit Summary for the multi-disciplinary cost (multiple copays per day and total coinsurance for multiple disciplines if applicable) and distribute to patients/representatives and appropriate internal parties on a timely basis. Upload the information to the EMR and accurately update information on MFB TeamSite.
* Coordinate/schedule initial evaluation and subsequent patient appointments for multi-disciplines based on patient needs (finding appointments for PT/OT/SP on the same day or times that run concurrently) following scheduling protocols and using MFB TeamSite for all patient referrals, follow-ups and authorization tracking. Inform UR if multiple services will be using the same authorization for visits used.
* Obtain, monitor and update insurance authorizations for multi-disciplinary patients (cross-monitor authorizations when PT/OT/SP are all combined and count towards the number of approved visits, monitor/coordinate authorization usage with other departments i.e. patient is being seen for same services in two different service programs).
See job URL for more information and EOE statement.
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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.
