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Rehab Support Specialist

Career Details

Full Time Indianapolis, IN Posted on 10/5/2022

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:

  • 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.

Knowledge, Skill and Experience
Minimum Education (or substitute experience) required:

  • Bachelor’s degree in related field highly preferred.

Minimum Experience Required:

  • At least 5 years of directly related experience as mentioned above required.

Skills Required:

  • Excellent verbal and written communication skills.
  • Excellent interpersonal and customer service skills.
  • Excellent organizational skills and attention to detail.
  • Thorough understanding of departmental and company procedures and policies.
  • Proficient with Microsoft Office Suite or related software.
  • Operate Brightree software.
  • At least 5 years of directly related experience as mentioned above required.

 

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