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Intake Insurance Specialist

Location: Rock Island, IL
Company: UnityPoint Health
Hours: Part time
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UnityPoint Health-Trinity

Outpatient Rehab Clinic

20 hours/week, Part Time

Benefit eligible

M-F hours

Function as a member of the interdisciplinary team.Primary job functions are

assuring accurate and timely reception, scheduling, charge and data entry, report preparation, filing and record keeping and other duties.

In addition, collects co-pays/co-insurances, verifies benefits, receives and performs calls to patients and provider offices—all while communicating with the team leaders (business coordinator/denial management specialist, manager, and lead) and therapists to provide great experience and customer service.;


Administrative/Clerical

·Takes fax orders from referring sources for new patient, schedules new evaluations and future appointments, schedule/reschedule patients via phone calls and/or therapists’ direction as required.

·Keeps accurate, up-to-date files of all referrals received in the department.Pre-registers for all disciplines before first appointment preparing chart.

·Copy and mail/fax initial evaluations and progress/discharge notes, when signed by therapist, to appropriate physicians.

·Performs reception functions and assures that the telephones are answered and patients/visitors are greeted in a timely, courteous and professional manner.

·Performs registration functions and assures timely, efficient and customer-friendly registration system.Has to be able to evaluate each registration/admission and be alerted to potential problems, including pre-certification or financial assistance for the patient.

·Processes insurance eligibility and benefits verification for all outpatient rehabilitation patients.

·Processes insurance pre-authorizations for all outpatient rehabilitation patients.

·Accurately records authorization specifics into EPIC and monitors frequency limitations of benefit.

·Assists in resolving account denials routed to specific Work Queue lists within EPIC.

·Keeps prior authorization Work Queue list up-to-date and follows-up on aging requests.

·Works with therapists to resolve pre-billing edits to ensure timely filing and clean-claim requirements

·Provides great customer service in a busy, multitasking, fast paced environment

Basic UPH Performance Criteria

·Demonstrates the UnityPoint Health Values and Standards of Behaviors as well as adheres to policies and procedures and safety guidelines.

·Demonstrates ability to meet business needs of department with regular, reliable attendance.

·Employee maintains current licenses and/or certifications required for the position.

·Practices and reflects knowledge of HIPAA, TJC, DNV, OSHA and other federal/state regulatory agencies guiding healthcare.

·Completes all annual education and competency requirements within the calendar year.

·Is knowledgeable of hospital and department compliance requirements for federally funded healthcare programs (e.g. Medicare and Medicaid) regarding fraud, waste and abuse.Brings any questions or concerns regarding compliance to the immediate attention of hospital administrative staff.Takes appropriate action on concerns reported by department staff related to compliance.


QUALIFICATIONS:

Minimum Requirements

Identify items that are minimally required to perform the essential functions of this position.

Preferred or Specialized

Not required to perform the essential functions of the position.

Education:

High School diploma or GED.

Experience:

2 years’ experience in therapy or hospital setting.

License(s)/Certification(s):

Valid driver’s license when driving any vehicle for work-related reasons.

Knowledge/Skills/Abilities:

Ability to take initiative, appropriate independent judgement, exercise accountability, adaptability, flexibility, and collaboration.

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