Job Details

Position Summary:

Provide operational support between the facility staff, software vendor and outsourced billing company by coordinating various business office functions. These functions are to include (but not limited to): Admissions/Intake, Billing, Collections, claim follow-up/denials, month end & quarterly reporting, ancillary departments and other duties as assigned. Position reports to Corp Director, Revenue Cycle.

Responsibilities:

• Coordinate the Business Office team and functions to ensure operations run smoothly, efficiently and provide the best outcomes for patient satisfaction
• Responsible for direct supervision of non-medical personnel, training, support, HIPAA compliance and annual evaluations
• Assures that the facility adheres to all compliance mandates, obtains proper signatures on forms, notifications to patients and enforces Ethical Billing Practices
• As a working manager, is the backup to all business office duties
• Ensures that admission verifications and authorization procedures are carried out timely and accurately
• Acts as liaison with the Admission Coordinator, Case Management, IRF-PAI Coordinator, Compliance Officer, Marketing, outsourced billing company and WellSky
• Works closely with all team members so that the flow of the overall operation is most efficient, reporting all activities to the Corp Director, Revenue Cycle
• Works closely with the facility CEO regarding any Letters of Agreement and/or Charity cases established
• Responsible for the accurate interpretation and implementation of the terms of contracts with all third-party payers.
• Monitors the billed, unbilled, uncoded, accepted and denied reports for all patient accounts per facility and takes action on any shortfall
• Provides solutions to the outsourced billing company regarding accurate claim billing, payment/adjustment posting, account follow-up and appeals
• Works closely with WellSky regarding any claim edits that need to be established to reduce claim denials
• Participates in software set up of insurance plans, charge master, referral facilities, physician data base and other set up as needed
• Reviews payments and adjustments applied to patient accounts to ensure that we are reimbursed according to established contracts, CMG and/or letters of agreement
• Demonstrates competency in performing job task and support of the full team
• Organize and provide website access/termination to team members needed to verify coverage, pre-authorize service, obtain payer EOB's and claim appeals
• Completes the quarterly Medicare credit balance report and submits for authorized signature
• Performs other miscellaneous administrative duties as needed

Qualifications:

• Minimum of five years of experience in a medical facility (UB04 claim form) related billing environment required- IRF experience a plus
• Medical terminology knowledge required
• Experience with patient admissions, scheduling, verification of benefits, pre-certification, calculating days available per spell of illness, estimating patient out of pocket expense
• An understanding of how insurance processes work including the verification, completion of third-party liability requirements, secondary payer forms and authorizations
• Computer experience, Excel, Word, Medical Billing Software and Applications.
• Must display excellent communication skills and phone etiquette.

Knowledge, Skills and Ability Requirements:

• Excellent verbal and written communication skills
• Strong organizational, time management and prioritization skills
• Strong analytical and critical thinking skills
• Detail-oriented, able to meet strict time frames

Join our team and you will experience a total rewards package to support your health, life, career and retirement including:

• A supportive and collaborative work environment
• Opportunities to progress in function, skill, and pay
• A competitive wage scale
• A comprehensive health and wellness package including medical, dental, and prescription drug coverage

We offer a benefits package that will best suit your family's needs. You can choose from a variety of medical coverage plans that best fit your lifestyle. You also have the option to enroll in additional perks such as 401k, life insurance, and disability plans.

NOBIS REHABILITATION PARTNERS LLC is an EEO employer - M/F/Vets/Disabled