Rehabilitation Patient Services Representative PH Rehab Admin Part-time Days

Company Description

At Northwestern Medicine, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of our team, you'll have the opportunity to join our quest for better healthcare, no matter where you work within the Northwestern Medicine system. At Northwestern Medicine, we pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, we take care of our employees. Ready to join our quest for better?

Job Description

The Rehabilitation Patient Services Representative reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

The Rehabilitation Patient Services Rep completes all scheduling and pre-registration steps by obtaining all patient demographics and then insures, at time of registration, information is accurate. This individual secures necessary authorizations required by the patient's payer source and obtains appropriate paperwork to facilitate timely collection of payment. Responsible for the development, maintenance and distribution of daily schedules for patients and clinical resources.  This role provides services in a customer-focused manner, balancing multiple duties to meet the needs of all internal and external customers. Insures all patients, staff and visitors receive prompt and courteous attention at all time.

Responsibilities:

• Communicates with patients and guests including greeting them upon arrival, confirming identity and providing necessary information related to their visit.
• Provides accurate information and timely updates to patients and customers.
• Schedules, confirms, and reschedules patients for visits at Rehabilitation Services and its satellite locations.
• Obtains patient consents/authorizations.
• Manages department specific Rehabilitation Services Call List.
• Accurately identifies patient medical record number to avoid duplication of records in system. Obtains and updates patient demographic, insurance and billing information.
• Collects co-payments, past due balances and point of service payments.
• Posts payments, process billing information and perform “end of day” cash drawer closing.
• Assists in managing therapist's monthly schedules/templates. Schedules meetings and huddles as requested by therapist or Lead/Resource Coordinator (RC). Works with Lead/RC to block scheduled PTO time and/or sick time appropriately.
• Follows Rehabilitation process for accurately utilizing the referral process, including creating and linking referrals for accurate management of insurance authorization needs. Independently follows process to monitor and maintain "visits not authorized" to ensure proper authorization is received in a timely manner.
• Communicates patient's financial responsibility and escalates to the appropriate level, if needed. Offers patient financial assistance information.
• Assists Manager/Lead (RC) in monitoring charges via accessible Work Queues in the electronic record. Independently makes corrections to pending Work Queue items with or without guidance from supervisor.
• Ensures insurance verification/eligibility, Medicare as a Secondary payor
• Questionnaire (MSPQ), Coordination of Benefits (COB), Advance Beneficiary Notice (ABN), authorization/referrals and other responsibilities are addressed appropriately.
• Collaborates with Coding, Patient Accounts and Financial Clearance Center to ensure all patient accounts are registered accurately for timely billing and management of patient accounts.
• Coordinates all clerical work for the department, which may include department invoices/purchase requests and maintains appropriate levels of all supplies for the department.
• Manages faxing documentation to insurance companies and/or physician offices for authorization and signatures for Plan of Care as appropriate.
• May assist in clinic set up/clean up including hot pack/cold pack machine cleaning and temp logs, eye wash log.
• May review and maintain employee Kronos information/time cards for accuracy.

This position is part-time, 40 hours per pay period, days shift, Monday through Friday.

Qualifications

Required:

• High school diploma.

Preferred:

• Bachelor’s degree.
• Previous experience in a healthcare setting.
• Working knowledge of medical terminology.
• Bilingual.

Additional Information

Northwestern Medi