BMC-Rehab Admin Coord - 100405

WVU Medicine Berkeley and Jefferson Medical Centers; Martinsburg (WV); On-site; USD 32,000 - 42,000; Full time

Job summary

BMC Berkeley Medical Center in Martinsburg, WV, is seeking an administrative professional to schedule outpatient rehabilitation procedures and coordinate department operations.

You will contact insurance for authorizations, ensure patient registration and billing alignment, and support front office and staff with confidential information.

Join a team dedicated to efficient workflows, seamless communication, and compliant practices within a hospital setting.

Qualifications

• High school graduate or equivalent.
• BLS certification within 30 days of hire date.

Responsibilities

• Schedules appointments and maintains calendar for assigned manager, director or executive.
• Schedules all procedures performed in the outpatient rehab office.
• Makes contact with insurance providers to obtain authorization for patient therapy.
• Ensures patient registration, billing and other applications are coordinated according to procedure.
• Obtains and scans patient’s insurance/medical cards and driver’s license into the registration system.
• Coordinates and assists in the completion of all activities relating to the patient’s finances.
• Facilitates the collection and distribution of information and to expedite a smooth and timely billing and collection process.
• Verifies insurance. Validates pre-cert/pre-auth information after completion of insurance verification and record results in the system.
• Understands and uses applicable CPT and ICD-10 codes.
• Acts as department resource by being of assistance to patients and families.
• Documents and reports malfunctioning equipment immediately to appropriate management staff.
• Answers telephone, receives and delivers messages via electronic e-mail, fax, phone or fax.
• Completes supply ordering accurately and in a timely manner, following up on backorders as needed.
• Assists therapists as needed during patient sessions.
• Ensures the front office is manned effectively at all times.
• Completes Medicare Secondary Payer forms, medical necessity screening and verifies applicable payer and service.
• Follows up on accounts as directed.
• Follows established computer downtime procedures
• Performs quality and compliance audits as directed.
• Reviews monthly denial report and resolves any insurance discrepancies in a timely manner.

Skills

Computer skills

Telephone/communication

Verbal/written communication

Customer service

Independent work

Education

High school diploma or equivalent

BLS certification

Job description

Schedules all procedures performed in the outpatient department of rehabilitation, coordinates, and performs administrative function of the department and other assigned special projects

Minimum Qualifications

• High school graduate or equivalent.
• BLS certification within 30 days of hire date.

Preferred Qualifications

• Degree from an accredited university in accounting or business-related field
• Medical coding certification

Experience

• Three (3) years of recent experience in a physician/medical office-scheduling, registration, business office functions

CORE DUTIES AND RESPONSIBILITIES

The statements described here are intended to describe the general nature of work being performed by people assigned to this position. They are not intended to be constructed as an all-inclusive list of all responsibilities and duties. Other duties may be assigned.

• Schedules appointments and meetings for assigned manager, director or executive. Maintains calendar for assigned manager, director, executive or other support department staff.
• Schedules all procedures performed in the outpatient rehab office.
• Makes contact with insurance providers to obtain authorization for patient therapy.
• Ensures patient registration, billing and other applications are coordinated according to procedure.
• Obtains and scans patient’s insurance/medical cards and driver’s license into the registration system.
• Coordinates and assists in the completion of all activities relating to the patient’s finances.
• Facilitates the collection and distribution of information and to expedite a smooth and timely billing and collection process.
• Verifies insurance. Validates pre-cert/pre-auth information after completion of insurance verification and record results in the system. Performs other insurance related functions as needed.
• Understand and use applicable CPT and ICD-10 codes.
• Acts as department resource by being of assistance and providing reassurance to patients and patient’s families.
• Documents and reports malfunctioning equipment immediately to appropriate management staff.
• Answers telephone, receives and delivers messages via electronic e-mail, fax, phone or fax.
• Completes supply ordering accurately and in a timely manner, following up on backorders as needed.
• Assists therapists as needed during patient sessions.
• Ensures the front office is manned effectively at all times.
• Complete Medicare Secondary Payer forms, medical necessity screening and verifies applicable payer and service.
• Follows up on accounts as directed.
• Follows established computer downtime procedures
• Performs quality and compliance audits as directed.
• Reviews monthly denial report and resolves any insurance discrepancies in a timely manner.

PHYSICAL REQUIREMENTS

• Must meet Department of Labor’s LIGHT duty standard (LIGHT WORK - involves lifting/exerting no more than 20 pounds at a time with frequent lifting or carrying of objects weighing up to 10 pounds).
• Able to bend, stoop, reach and be capable of normal rotation, standing and walking for an 8-10 hour shift.
• Able to wear latex or vinyl gloves, with frequent changes and hand washing.
• Able to tolerate working with and around noxious odors.
• Must be able to wear Personal Protective Equipment (PPE).

WORKING ENVIRONMENT

• May be scheduled to work various shifts based on departmental and patient needs.
• May be required to travel between facilities/buildings.
• May be exposed to virus, disease, and infection from patients and specimens in working environment.
• May be exposed to traumatic situations including psychiatric crisis, physical injuries and death.
• This position may require unsupervised access to restricted areas that may contain medications, supplies and patient confidential information.

Skills And Abilities

• Use a computer keyboard, monitor and mouse.
• Answer telephones and transcribe messages.
• Communicate verbally, written and electronically with healthcare personnel, families and patients.
• Excellent customer service skills.
• Ability to work independently with minimal supervision.

Additional Job Description

This role is in our Cardiac and Pulmonary Rehabilitation facility at the Dorothy McCormack Center on BMC's campus. Some insurance verification and authorization responsibility is included in this role, but we will provide training.

Scheduled Weekly Hours

40

Exempt/Non-Exempt

Shift

United States of America (Non-Exempt)

Company

BMC Berkeley Medical Center

Cost Center

134 BMC HVI Cardiac Rehab and CVIS Care Center

Address

2500 Hospital Drive

Martinsburg

West Virginia

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.