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Rehab Support - Solon, OH

Career Details

Full-Time Solon, OH Posted on 11/18/2021

Job Summary:

We take pride in providing a great work environment and are dedicated to improving not just the lives of our customers but those of our team. We’ve been named a top workplace 6 years in a row, and we’re always looking for the right people.  This position works with patient files, medical professionals, insurance carriers, and patients.  The individual will need to be well organized and have a compassion for people.

Essential Functions/Responsibilities:

  • Patient file maintenance and insurance experience preferred
  • Must have knowledge of reimbursement and ability to interpret medical terminology
  • Ensures verification of insurance to determine coverage of Complex Rehab equipment and the necessary RAC form has been received.
  • Using the Quote from the appropriate ATP; accurately enters the order into the Management software.
  • Generates the forms required by the specific insurance for equipment coverage or quote for cash pay.
  • Collects the LMN or other required documents from physicians for coverage and submission to payer.
  • Ensures that all components of equipment are justified within the medical documentation, requests addendums on missing information.
  • Ensures that the appropriate profit margin is obtained, or upgrade communicated to patient.
  • Submits prior authorization requests if required and logs authorization when received.
  • Notifies and collects the necessary coinsurance and non-covered items before ordering or delivery after payer resources have been established. Ability to balance patient needs with company’s financial needs.
  • Handles communication with patients as required.
  • Documents all correspondence in the Patient Notes within the Management software.
  • Follow up on documentation and correspondence is done on a weekly basis to ensure files are moved through the system and timeliness’ of service is not compromised.
  • Communicates with ATP, Management, and referrals as required.
  • Ensures that any Held Billing is addressed as a priority to ensure timeliness of claim submission.
  • Provides input to management to improve workplace function.
  • Practices and adheres to all HIPPA, HQAA and Compliance rules and regulations.
  • Regular attendance is essential
  • Attend educational workshops as needed or assigned.
  • HIPAA and other compliance training.
  • Performs other duties, as assigned by management.

Required Skills/Abilities:

Education and Experience:

  • Bachelor’s degree in related field highly preferred.
  • At least 5 years of directly related experience as mentioned above required.

Physical Requirements:

  • Prolonged periods of sitting at a desk and working on a computer.
  • Must be able to lift up to 30 pounds at times.
  • Must be able to access all areas of the facility.
  • Hearing, seeing, and talking are required for this position.
  • May require travel.
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