Rehabilitation Office Coordinator - Full-time

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Rehabilitation Office Coordinator - Full-time

Department:

Rehabiliation

Location:

Rio Rancho, NM

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Job Summary and Scope

Register patients to Sandoval Regional Medical Center therapy services department. Obtain and enter into the system all information necessary to create a complete and accurate patient account. Ensure that appropriate and necessary notifications are made to insurance carriers or agencies. Obtain pre-authorization for therapy services as required. Collect appropriate coinsurances and co-payments. Advise, inform and assist patients before, during and after their date of service. Greet patients/visitors, answer phones, and check voice messages. Maintain and coordinate rehab services schedules. Post charges for daily therapy services. Coordinate with patient financial services and the accounts payable department to assure correct patient billing and financing information. Assist with gathering data for departmental statistics. Ensure adherence to Hospitals and departmental policies and procedures. No patient care assignment.

Essential Functions:

POLICIES AND PROCEDURES - Maintains established departmental policies and procedures, objectives, and quality assurance programs.

PROFESSIONAL DEVELOPMENT - Enhances professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops.

Maintain and coordinate rehab services/therapy schedules.

Interviews patients and/or family at time of pre-admission, registration, admission, or discharge to obtain accurate demographic and financial information. Update information on Hospital computer system to ensure correct billing.

Obtains proper signatures for Medicare Rights, Consent for Treatment, financial assistance forms, and other forms as appropriate. Assure that the Patient Rights statements are distributed.

Verifies insurance and benefits; provide notification to appropriate payer entities within time frames established by the payers.

Obtains prior authorizations for therapy services as needed. Acquire the appropriate ICD-10-CM code and medical history documentation required to obtain the prior authorization. Update all hospital systems with correct information, calculate the co-payment for the service and collect out-of-pocket balances from the patient prior to service.

Determines eligibility and process applications for financial assistance, including but not limited to; Medicaid, SCI, SRMC programs, Commercial, Medicare, PHS/Indian Health Service, SALUD and Self Pay.

Reviews daily charge forms for completeness and accuracy. Makes necessary system corrections.

Follows up with appropriate personnel to obtain complete patient billing/demographic information.

Performs daily audit again encounter forms and daily schedule review to ensure that all encounter forms have been received.

Posts charges from encounter forms and hospital charges within a reasonable time frame.

Reviews daily encounter forms for completeness and accuracy, following up with appropriate person(s) to obtain complete information.

Works with A/R team on follow-up and resolution of coding related denials and rejections.

Establishes and maintains collaborative relationship with physician office staff and/or schedulers, keeping these offices informed about new programs, scheduling availability and upcoming activities.

Greets and directs visitors as appropriate; answer inquiries concerning activities and operations of area; accept, screen, and route telephone calls

Establish, maintain, process, and update files, records, and/or other documents

Assists in developing and maintaining department records and reports and collecting statistical data. Files documents following standards procedures

Provides coverage for co-workers as needed or requested.

Contributes and participates in team huddles to identify barriers and obstacles and in support of realigning processes toward organizational and department goals.

Performs miscellaneous job-related duties as assigned.

SRMC Core Values

Integrity:

Our words and actions match our values

To Serve:

We put the needs of others before our own

Excellence:

We strive to exceed expectations and/or standards in every activity, every encounter, and every initiative

Safety/Quality:

We provide evidence-based care, programs, services, and an environment that achieves the best outcomes

Teamwork:

We enjoy the ability and power to work collaboratively to deliver exceptional service

Communication Skills

Contacts are normally made with others within UNM-SRMC.

Contacts are frequently within the Department of Rehabilitation Services, but often outside of the department working in a multidisciplinary setting.

Contacts contain some discussion about confidential/sensitive matters.

Contacts are most often made face to face, but also include telephone contacts, and via the electronic medical record.

Contacts are 75% with patients and 25% with non-patients.

Required Qualifications

Knowledge of keyboard and computer functions

Knowledge of principles and processes for providing customer and personal services

Knowledge of administrative and clerical procedures and systems such as word processing, managing files and records, and other office procedures and terminology

Effective written and verbal communication skills

Polite and professional phone etiquette

Customer service skills

Critical thinking skills

Social perceptiveness skills

Problem sensitivity abilities

Ability to interact effectively with co-workers and staff

Education/Experience

Education:

High School Graduate of GED

Work Experience:

Two (2) years registration, admitting, business office or related work experience.

Preferred Educational/Experience Requirements:

Bilingual; Spanish and English. Familiarity with billing software, medical insurance navigation, and patient scheduling.

Conditions of Employment

Must pass a pre-employment criminal background check, reference checks and a post offer drug screen.

Must be employment eligible as verified by the U.S. Dept. of Health and Human Services Office of Inspector General (OIG) and the Government Services Administration (GSA).

Tuberculin Skin Test required annually

Hospital required vaccinations

Hospital required competencies

Working Conditions

Typical office and/or patient care, acute care hospital environment.

Must be able to travel locally between facilities and within the surrounding community.

Occasional exposure to minimal physical risk

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Company info

Sandoval Regional Medical Center