Scheduling/Billing Specialist - Phys Med and Rehab (Full Time)

Overview

Under guidance and supervision, the associate performs reception, billing, scheduling, charge and data entry, insurance pre-authorization, verification and benefit coordination, filing, record keeping and other duties for one or more areas within Physical Medicine and Rehabilitation.  The associate is expected to acquire an understanding of, and proficiency in all functions for their assigned area.  Demonstrates initiative and sound judgment in the application of policies and procedures.

Why UnityPoint Health?

At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.  

Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.  Here are just a few:      

• Expect paid time off, parental leave, 401K matching and an employee recognition program.   

• Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.  

• Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family.   

With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.   

And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience. 

Find a fulfilling career and make a difference with UnityPoint Health.

Responsibilities

Non-Clinical Excellence

Scheduling/receiving/greeting:

• Receives patients and visitors and answers telephone; screens calls and callers, referring them to the appropriate person.
• Creates a welcoming environment for person’s served.  Effectively manages positive relationships with referral sources and other members of the team.
• Schedules all patient appointments.
• Coordinates all modifications to patient schedules, including reschedules, cancellations, no-shows and discharges.
• Manages providers calendars.

Billing/insurance/counseling:

• Verifies insurance eligibility and insurance coverage for assigned department(s) via phone or internet.  Contacts patients prior to first appointment and counsel’s patient on coverage. If unable to contact patient prior to first appointment, counsels them when they arrive for first appointment. Documents in account notes in EPIC.
• Gathers billing information for patients with worker’s comp insurance (employer demographics, responsible billing party, billing address) and coordinates authorization for services.
• Manages and coordinates pre-authorizations for services as needed.  Sends requested documentation to third party payers for prior authorization and reauthorization of patient visits.
• Coordinates Price-line requests for estimate of cost for the patient.
• Counsels patients on process for estimates of their payment for therapy, prompt pay, and financial assistance applications.

Accurate billing/collections/denials:

• Reconciles daily patient attendance and charges posted with revenue/usage reports. 
• Responds to patient’s questions regarding their account and ensures solutions to patient billing, complaints or concerns.
• Demonstrates ability to effectively manage details by accurately completing registration/referrals, maintaining medical records, and charge correction.
• Collects payment as needed
• Monitors and completes accounts on multiple work queues in EPIC, including referrals and denials.
• Problem solves, analyzes and collaborates with patient, therapist, Central Billing Office, Revenue Cycle department, and insurance companies to identify and resolve billing and denial issues, including sending appeals and trouble- shooting and correcting claim or account errors.
• Documents denials and billing issues to identify processes that need improvement in order to maximize efficiency and ensure proper payment within the department.

Daily and/or weekly duties:

• Creates and modifies documents using word processing and spreadsheet computer programs. 
• Maintains designated filing and record keeping systems. Assists with preparation of reports, graphs, and statistical information.
• Orders supplies for department.
• Serves as payroll timekeeper for assigned departments.
• Performs other related secretarial and clerical functions as requested.

Qualifications

• Must be at least a high school graduate
• Writes, reads, comprehends and speaks fluent English
• Multicultural sensitivity
• Microsoft Office and Outlook – basic computer skills
• Customer/patient focused
• Critical thinking skills using independent judgment in making decisions
• High organizational skills
• Ability to multi-task
• High attention to detail
• Use of usual and customary equipment used to perform essential functions of the position