Schedule and register all therapy patients for outpatient physical, occupational, speech, and massage therapy. Obtain all necessary clinical and billing information from physicians, patients and systems. Verify the insurance and initiate the billing process. Skills and Qualifications: High school diploma Basic-intermediate knowledge of medical terminology is preferred Experience and knowledge with computer systems, especially Cerner and Microsoft Office Basic knowledge of insurance rules and req... more details
Purpose of Position:
Schedule and register all therapy patients for outpatient physical, occupational, speech, and massage therapy. Obtain all necessary clinical and billing information from physicians, patients and systems. Verify the insurance and initiate the billing process.
Skills and Qualifications:
High school diploma
Basic-intermediate knowledge of medical terminology is preferred
Experience and knowledge with computer systems, especially Cerner and Microsoft Office
Basic knowledge of insurance rules and requirements
Ability to work quickly and efficiently under pressure
Excellent typing and spelling skills
Subject to frequent interruptions and re-prioritization of work.
Able to complete organizational education/competency requirements on time without coaching.
Excellent telephone skills and professional manner
Demonstrates effective communication with patients who are suffering from physical, mental, or emotional stress
Certified in CPR
Primary Responsibility:
Receive calls, faxes or web requests from patients or referral sources to schedule therapy appointments using the Cerner Scheduling System.
Schedule to appropriate therapist’s schedule
Ensure efficient access to care by proactively working with therapists to identify additional scheduling slots when wait times exceed target.
Create the therapy encounter in Cerner where all documentation is recorded
Receive/ initiate patient calls to obtain all necessary patient information, in order to initiate treatment and bill appropriately for the care provided by accurately completing data entry in Cerner registration system
Verify insurance coverage, utilizing RevRunner insurance eligibility system
Apply modifier 59 to CCI code edits in Charge Viewer
Ensure completion of Medicare Secondary Payment Questionnaire for all Medicare patients.
Collect up front cash payments for elective therapy wellness classes
Check in new patients in Cerner Schedule Book, completing registration and scanning paper orders and insurance cards into the electronic chart.
Compiles temporary paper chart as per policy.
Utilize AHI Registration Quality Improvement system to ensure accuracy
In collaboration with the Verification Specialist, communicates insurance or authorization information accurately and in a timely fashion to the therapy clinicians.
Provide professional, efficient, quality customer service in accordance with hospital and department policies and procedures
Solves patient issues within the scope of the position
Seeks assistance from the management team when unable to thoroughly address a patient concern.
Safeguards the privacy of patient information according to policy
Assists with statistic reporting as requested and on time. This includes, but is not limited to entering data into the Care Connections Outcomes Registry
Ensures the timely receipt of signatures on certification letters and charts the task as complete in the Cerner task list
Assists with denials management activities in a timely fashion as requested by leadership or the Therapy Verification Specialist.
Submits requested documentation or authorizations to payers, the Medical Records department, or physician offices as requested.
Discharges therapy encounters when complete. Ensures all paper items are scanned into the electronic record prior to discharge, then disposes of paper record in accordance with department policy.
Keeps therapy leadership team apprised of patient issues or concerns and suggests changes to improve the patient experience and/or efficiency of workflow.
Orients new schedulers/registrars and peer-coaches others.
WORKING CONDITIONS:
Hours of operation with shifts as assigned including occasional overtime, on-call or off-shifts (evenings and/or weekends) scheduled as necessary.
Lunch and break periods must be coordinated with other staff members to maintain adequate staffing during hospice hours of operation.
Subject to frequent interruptions and changes in priority of duties throughout the day.
Subject to emergency and other crisis situations
Hazardous Exposure Category 2
Sitting/standing/moving about during working hours (see attached Physical Requirements Addendum for details)
PHYSICAL REQUIREMENTS ADDENDUM:
PURPOSE: To identify specific functions, job requirements and work environment factors that could affect job performance.
Check all factors that are present as essential job requirements and check whether the factor is performed.
O = Occasionally = 0- 33% of the work shift or 0- 32 repetitions.
F = Frequently = 34-66% of the work shift or 32-200+ repetitions.
C = Constantly = 67-100% of the work shift or 200+ repetitions.
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