Mary Free Bed Summary
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.
Employment Value Proposition
At Mary Free Bed, we take pride in our values-based culture:
Diversity, Equity, and Inclusion. OurCommitment to providing an inclusive environment for patients, families, staff, and community, through embracing Diversity, Equity, and Inclusion T.O.G.E.T.H.E.R.
Focus on Patient Care. A selfless drive to serve and heal connects all MFB employees.
Clinical Variety and Challenge. An inter-disciplinary approach and a top team of professionals create ever-changing 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 co-workers 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.
Summary
Responsible for performing analysis to identify denials, appeals and correction actions to optimize reimbursement. Analyst will leverage the interpretation of payer contracts as well as state and federal regulatory guidelines. These efforts will result in increased net revenues by reducing bad debt from potential write-offs due to lack of patient collections and denials.
Essential Job Responsibilities
Reviews explanation of benefits and benefits coverage to determine the best course of action. If needed for further clarification, contact insurance carrier
Analyzes denial trends for staff/organizational education purposes
Research online medical bulletins and policies, pricing and contractual issues
Reviews clinical documentation, coding and claim to determine if the times and services provided to patients were applied correctly
Prepares and mails written rationale of claim reconsideration request
Tracks all denials within a database for reporting
Maintains appropriate established timelines for follow up on outstanding appeal/reconsideration requests
Collaborates with other Revenue Cycle Management and clinical departments to resolve claim issues as needed
Any other duties as assigned
Embrace Diversity, Equity and Inclusion, by:
Treating everyone with dignity and respect
Opening more doors to opportunities for underrepresented cultures
Growing talent and people
Evaluating and eliminating disparities
Taking action against injustices, bias and racism
Honoring our differences and how to collaborate
Educating staff, patients and the communities we care for
Restoring Hope and Freedom, together
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 co-workers 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 and a minimum of 3 years' experience in healthcare denial prevention. Knowledge of payer benefit policies and utilization review experience.
Possesses a high level of initiative, self-directed, highly motivated and analytically minded
Comprehension of healthcare terminology
Time management skills to handle multiple, competing demands and priorities, and work effectively under pressure
Strong, effective organization and interpersonal skills
Superior written communication skills, including ability to write well organized, concise payer appeals
Collaborative team style and open communication, including with other departments
Excellent analysis and problem solving skills
Demonstrated commitment to organizational mission with a "whatever it takes" attitude to get the job done
Proficiency in Microsoft Office Suite (Word, Excel, PowerPoint)
Excellent computer knowledge and use of appropriate Electronic Medical Records, Admissions, and Utilization Management applications
Preferred Job Qualifications
IRF medical billing experience
Knowledge of ICD-9-CM and CPT coding classification systems
Physical Requirements for Essential Job Qualification
None
Occasionally
(Less than 1/3)
Frequently (1/3 to 2/3)
Majority (More than 2/3)
Remain in a stationary position
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Traverse or move... 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.
