Company: Mary Free Bed Rehabilitation
Posted on: August 15, 2019
We have the great privilege of helping patients and families
re-build their lives. It's extraordinarily meaningful work and the
reason we greet the day with optimism and anticipation. When
patients \\"Ask for Mary,\\" they experience a culture that has
been sculpted for more than a century. Our hallmark is to carefully
listen to patients and innovatively serve them. This is true of
every employee, from support staff and leadership, to clinicians
and care providers.
Mary Free Bed is a not-for-profit, nationally accredited
rehabilitation hospital serving thousands of children and adults
each year through inpatient, outpatient, sub-acute rehabilitation,
orthotics and prosthetics and home and community programs. With the
most comprehensive rehabilitation services in Michigan and an
exclusive focus on rehabilitation, Mary Free Bed physicians, nurses
and therapists help our patients achieve outstanding clinical
outcomes. The growing Mary Free Bed Network provides patients
throughout the state with access to our unique standard of
Restoring hope and freedom through rehabilitation.
DIVERSITY AND INCLUSION:
Mary Free Bed values diversity and inclusion among patients,
families and staff. We strive to hire people who reflect the
communities we serve. Our employees will serve all patients,
families and each other with dignity and respect.
Registers patients, schedules appointments, answers telephones, and
performs other assigned duties. Accurately collects information
from multiple sources to process referrals for O&P. Analyzes
and records the required demographic, insurance, and clinical data
sets, other information, and signatures necessary to schedule and
pre-register O&P patients and ensure that bills are produced
according to regulatory and payer requirements. Effectively
completes medical necessity and managed care requirement screening,
and determines insurance type and eligibility to ensure maximum
payer compliance is maintained and maximum reimbursement is
secured. Verifies and/or authorizes insurance as assigned.
Interacts in a customer focused manner during referral processing
to ensure that the patient's and their representative's needs are
met, and that they understand their personal liabilities through
various payment and program options. Demonstrates complete
understanding and knowledge of all processes and procedures related
to insurance verification, insurance prior authorization, and
registration. Performs all insurance verification and communicates
appropriate verbal and written explanations to patients, family
members, and/or other appropriate parties. Assists in prevention of
retroactive denials. Works cooperatively with other departments and
outpatient staff/leadership to assure financial reimbursement for
ESSENTIAL JOB RESPONSIBILITIES:
* Accurately collects and analyzes all required demographic,
insurance, guarantor and clinical data elements necessary to
process O&P referrals and schedule all types of patients;
records and electronically enters the information on a timely
basis. Assists billing and clinicians in presenting clean claims
* Accurately prepares, produces, and distributes to other internal
and external parties as appropriate and on a timely basis, forms,
schedules, and supportive clinical documentation.
* Reviews physician referrals/orders and other documentation
according to internal policy and regulation as applicable, in order
to assure that the service being provided has been appropriately
documented and meets all known payer medical necessity and other
criteria. Initiates contact to physicians and other office staff to
resolve questions and problems. Initiates and explains the Advance
Beneficiary Notification process as necessary. Alerts appropriate
parties for any ongoing monitoring or authorization needs.
* Provides information and explanations to the patient or
responsible party regarding the policy and various options for
resolving the patient's financial responsibility for non-covered
services prior to the service being provided.
* Receives and properly responds to telephone, electronic, or
face-to-face inquiries from patients or their representatives.
* Reviews and analyzes all referral information and transaction
edit reports in order to correct errors and resolve
* Performs all other appropriate activities as necessary to meet
the patient's needs and to achieve the required departmental and
organizational outcomes. Assists patients/families as
* Reviews notes and other documentation according to internal
policy and regulation as applicable, in order to ensure that a
treatment prescription and authorization has been received to
support scheduling of O&P appointments.
* Provides information and explanations to the patient or
responsible party regarding status of scheduling or non-scheduling
of O&P evaluation or treatment appointments according to
notations and/or protocols.
* Initiates electronic and/or telephone inquiries to the
appropriate parties including third party payers, employers, and/or
managed care organizations, sharing information as necessary in
order to secure, record, and electronically enter data which
confirms that the patient has been initially authorized for the
service being provided.
* Analyzes the available documentation and uses software and/or
other listings or information, including the data gathered during
the third party eligibility and benefit verification, in order to
calculate the amounts expected to be received from the payer and
the amount owed by the patient or his/her responsible party.
* Provides pre-appointment financial responsibility telephone
explanations to patients and other appropriate parties. Ensures
that the patient or representative understands the policies that
govern the revenue cycle and provide various options for resolving
the calculated patient financial responsibility for non-covered
* Negotiates with the patient or responsible party to achieve a
mutually acceptable resolution of the expected self-pay balance;
including such options as credit card payments, extended/external
payment arrangements, and charity care. Refers the patient or
responsible party to other internal or external sources as
applicable. Initiates contact to physicians and other office staff
as necessary to resolve questions and problems.
* Accurately generates patient specific Financial Responsibility
Forms and distributes to patients/representatives and appropriate
internal parties on a timely basis as necessary.
* Handles appointment cancellation requests from patients in the
event insurance coverage is not available and reschedules
appointments as appropriate. Completes the return-to-doctor
communication process in the event the patient decides not to
* Provides clerical support as requested.
* Various other responsibilities delegated by manager.
ESSENTIAL JOB QUALIFICATIONS (KNOWLEDGE, EDUCATION, AND TRAINING
* Two-year college degree preferable.
* One year practical experience in a health care environment
* Proficient computer skills.
* Familiarity with medical terminology.
* Physical Requirements
* Physical Demands:
* Able to exert up to 10 pounds of force occasionally (up to 1/3 of
* Able to lift, carry, push, pull, up to 10 pounds occasionally
* Able to sit for the majority of the time, but may involve brief
periods of time involving walking or standing.
* Able to use keyboard frequently (1/3 to 2/3 of the time)
OTHER PREFERRED JOB QUALIFICATIONS:
* Familiarity with ICD-10 CM coding.
* Experience with Orthotics, Prosthetics, and/or Durable Medical
Mary Free Bed is an equal opportunity employer. All qualified
applicants will receive consideration for employment without regard
Keywords: Mary Free Bed Rehabilitation, Lansing , Patient Coordinator, Other , Lansing, Michigan
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