Health Information Disability and FMLA Processing Representative I

SSM Health; Madison (WI); On-site; USD 38,000 - 48,000; Full time

Benefits offered by this job

Paid Parental Leave

DailyPay

Tuition Coverage

Job summary

SSM Health in Madison, WI is seeking a Health Information Disability & FMLA Processing Rep for an on-site role. You will handle disability, FMLA, and return-to-work forms with accuracy and confidentiality.

The position emphasizes reviewing medical history, interpreting CPT codes, and communicating form status with patients, insurers, and clinical staff. On-site, 40 hours/week, regular shift.

Qualifications

• High School diploma/GED or 10 years of work experience.
• Two years of experience.

Responsibilities

• Reviews and understands patient’s charted medical history, diagnosis and CPT codes to summarize abstracted answers on FMLA and disability forms.
• Processes disability, FMLA and return to work forms from a variety of employers and insurance companies after the intake process has been initiated.
• Answers and handles incoming phone calls from patients/customers, insurance companies, employers and clinical staff to provide information regarding workflow and form status.
• Validates the authorization to release records to a third party entity; ensures compliance with HIPAA regulations. Scans signed and completed forms and authorizations into the electronic health record.
• Communicates with clinical staff and providers via electronic health record messages as needed to complete the forms in a timely manner.
• Reviews finalized forms and ensures HIPAA compliance as well as accuracy and completeness of information provided on the form. Mails, faxes, emails or uses electronic health record messaging completed forms to patient or approved recipients.
• Performs other duties as assigned.

Education

High School diploma/GED or 10 years of work experience

Job description

It's more than a career, it's a calling.

WI-SSM Health Central Storage Madison

Worker Type

Regular

Job Highlights

Join SSM Health as a Health Information Disability & FMLA Processing Rep! This onsite position plays a key role in supporting employees through disability and FMLA processes with care, accuracy, and confidentiality.

Job Summary

Responsible for the accurate and time sensitive completion of return to work, Family and Medical Leave Act (FMLA) and Disability related forms received by the Health Information Department.

Job Responsibilities and Requirements

Primary Responsibilities

• Reviews and understands patient’s charted medical history, diagnosis and CPT codes to summarize abstracted answers on FMLA and disability forms.


• Processes disability, FMLA and return to work forms from a variety of employers and insurance companies after the intake process has been initiated.


• Answers and handles incoming phone calls from patients/customers, insurance companies, employers and clinical staff to provide information regarding workflow and form status. Handles difficult calls in a professional manner and provides solutions to resolve issues in a quick and efficient manner.


• Validates the authorization to release records to a third party entity; ensures compliance with Health Insurance Portability and Accountability Act (HIPAA) regulations. Scans signed and completed forms and authorizations into the electronic health record.


• Communicates with clinical staff and providers via electronic health record messages as needed to complete the forms in a timely manner.


• Reviews finalized forms and ensures HIPAA compliance as well as accuracy and completeness of information provided on the form. Mails, faxes, emails or uses electronic health record messaging completed forms to patient or approved recipients.


• Performs other duties as assigned.

EDUCATION

• High School diploma/GED or 10 years of work experience

Experience

• Two years' experience

Physical Requirements

• Frequent lifting/carrying and pushing/pulling objects weighing 0-25 lbs.


• Frequent sitting, standing, walking, reaching and repetitive foot/leg and hand/arm movements.


• Frequent use of vision and depth perception for distances near (20 inches or less) and far (20 feet or more) and to identify and distinguish colors.


• Frequent use of hearing and speech to share information through oral communication. Ability to hear alarms, malfunctioning machinery, etc.


• Frequent keyboard use/data entry.


• Occasional bending, stooping, kneeling, squatting, twisting and gripping.


• Occasional lifting/carrying and pushing/pulling objects weighing 25-50 lbs.


• Rare climbing.

Required Professional License And/Or Certifications

• None

Department

8701490033 HB HIM WI

Work Shift

Day Shift (United States of America)

Scheduled Weekly Hours

40

Benefits

SSM Health values our exceptional employees by offering a comprehensive benefits package to fit their needs.

• Paid Parental Leave: we offer eligible team members one week of paid parental leave for newborns or newly adopted children (pro-rated based on FTE).


• Flexible Payment Options: our voluntary benefit offered through DailyPay offers eligible hourly team members instant access to their earned, unpaid base pay (fees may apply) before payday.


• Upfront Tuition Coverage: we provide upfront tuition coverage through FlexPath Funded for eligible team members.

SSM Health is an equal opportunity employer. SSM Health does not discriminate on the basis of race, color, religion, national origin, age, disability, sex, sexual orientation, gender identity, pregnancy, veteran status, or any other characteristic protected by applicable law.