Employment Type:

Full time

Shift:

Day Shift

Description:

Position Purpose:

Under the general guidance of the Director of Rehabilitation Services, responsible for leading outpatient therapy patient insurance eligibility and authorizations ensuring accuracy and compliance for everyone. Responsible for implementing and teaching information related to admitting, billing and insurance functions to other stakeholders, and delegating tasks when appropriate. Ensures accuracy with all aspects of outpatient therapy related to admitting, billing and insurance .

What you will Do:

• Responsible for performing department daily scheduling, registration, and all insurance activities for outpatient rehabilitation services.

• Understands physical, occupational and speech therapy services and can utilize systems to ensure appropriate therapy CPT and ICD-10 codes were utilized.

• Reviews rehab denials and write-off reports and is directly involved in the appeal processes.

• Monitors payer websites to maximize reimbursement based on services delivered.

• Performs pre-service check processes, including pre-authorization and medical necessity review as indicated by patient insurance carrier.

• Demonstrates and promotes customer satisfaction through accurately relaying information to the patient and/or therapist related to their coverage of therapy.

• Communicates with patient by phone and/or in person to gather required information related to insurance.

• Takes an active role in enhancing ability to carry out job functions through personal and professional/job-related growth and development and participates in medical center and/or departmental education programs.

• And more.

Hours/Schedule:

1.0 FTE; 80 hours bi-weekly; typical shift hours are 8:00am- 4:30pm; no weekends or holidays. (shift start and end times could vary but typically day shift hours)

Minimum Qualifications:

• Education: High school diploma or equivalent. Associate degree in finance, accounting, business administration, or related field, preferred.

• Knowledge of medical terminology and experience within a hospital or clinic environment performing prior-authorizations and denial management is strongly preferred.

• Must be able to work independently and prioritize daily tasks as needed.

• Prior knowledge of insurance and governmental programs, regulations, and billing processes.

• Demonstrates strong interpersonal skills, ability to interact diplomatically and to maintain a professional demeanor with physicians, the public and hospital staff always.

• Ability to discuss personal and financial matters with patients and families.

• Typing speed of 35 words per minute preferred.

Position Highlights and Benefits:

We care about your well-being, both physical and mental, which is why our benefit package includes:  

• Wellness programs 

• Personalized health, dental, and vision insurance plans

• Paid time off 

• Long- and short-term leave 

• Retirement planning 

• Life insurance coverage 

Ministry/Facility Information:

MercyOne Northeast Iowa provides expert health care to eight counties. MercyOne Northeast Iowa provides excellent, personalized care close to home to the communities in the Cedar Valley. With 491 licensed beds between the three medical centers, each providing 24-hour emergency lifesaving care, MercyOne is there for you in critical moments:

• MercyOne Waterloo Medical Center (https://www.mercyone.org/northeastiowa/location/mercyone-waterloo-medical-center-1) , an Area Level III Trauma Center and an accredited chest pain center

• MercyOne Cedar Falls Medical Center, (https://www.mercyone.org/northeastiowa/location/mercyone-cedar-falls-medical-center) Community Level IV Trauma Designation

• MercyOne Oelwein Medical Center (https://www.mercyone.org/northeastiowa/location/mercyone-oelwein-medical-center) , Community Level IV Trauma Designation

With more than 2,500 colleagues, MercyOne is one of the largest employers in Northeast Iowa.

MercyOne Medical Group – Northeast Iowa is made up of more than 30 primary care, pediatric, internal medicine and specialty clinics located throughout Black Hawk, Bremer, Buchanan, Benton, Butler, Fayette and Tama counties.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran