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 StatementRestoring 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:This position is in an outpatient office setting. Duties include all clinic scheduling, receiving and posting payments to patient accounts, coding services appropriately based on information provided by the therapist on the patient encounter form, verifying the insurance benefits of the patient, explaining and answering all patient's questions regarding coverage and co-insurance/deductible responsibilities supporting the treatment philosophy of the outpatient service, collecting data for quality measures, data entry of quality measures, and assist in the management of the program's flow of patients. Accurately collects information from multiple sources to process referrals for outpatient services, and verification of benefits for outpatient services. Analyzes and records the required demographic, insurance, and clinical data sets, other information, and signatures necessary to schedule and pre-register outpatient patients and ensure that bills are produced according to regulatory and payer requirements. Effectively completes medical necessity and managed care requirement screening, and determines insurance type and eligibility to ensure maximum payer compliance is maintained and maximum reimbursement is secured. Verifies and/or authorizes insurance as assigned.Interacts in a customer focused manner during referral processing to ensure that the patient's and their representative's needs are met, and that they understand their personal liabilities through various payment and program options. Demonstrates complete understanding and knowledge of all processes and procedures related to insurance verification, coordination of benefit, insurance prior authorization, and registration. Performs all insurance verification and communicates appropriate verbal and written explanations to patients, family members, and/or other appropriate parties. Assists in prevention of retroactive denials. Works cooperatively with other departments and outpatient staff/leadership to assure financial reimbursement for outpatient therapy services.Essential Job Responsibilities:•Answer all incoming calls for outpatient and route appropriately.•Schedule initial evaluation and subsequent patient appointments following scheduling protocols.•Create patient account and cases in the practice management system following system protocols.•Obtain benefit information from carriers for all new courses of treatment.•Obtain authorization for treatment as required by the patient's carrier prior to their first appointment and subsequent appointments as needed.•Call all new patients the day before their initial evaluation to remind them of their appointment time and paperwork to bring to their appointment.•Daily printing of encounter forms and schedules.•Review new patient information forms with patient at their first appointment. Ensure all forms are completed, signed and dated following protocols.•Administer and collect functional outcome measures at baseline, and periodically for the duration of the patient's course of treatment.•Obtain copies of the patient's insurance card(s).•Enter charges on a daily basis in the practice management system following system protocols.•Scan incoming paperwork in the patient charts.•Initiate customer service and process improvement projects, or as assigned•Other duties as assigned by Leader.•Assists in full process quality control by reviewing and analyzing data to maintain a level of compliance to produce an accurate timely claim avoiding patient responsibility therefore reducing accounts receivable days.•Analyzes the available documentation and uses software and/or other listings or information, including the data gathered during the third party eligibility and benefit verification, in order to calculate the amounts expected to be received from the payer and the amount owed by the patient or his/her responsible party•Research patient benefits with health insurance carriers to determine coverage and benefit limitations for all referrals received.•Reviews 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... For full info follow application link.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.