Office Specialist -Rehab

United Hospital Center; Bridgeport (WV); On-site; USD 27,000 - 38,000; Full time

Job summary

UHC United Hospital Center in Bridgeport, WV, seeks a capable registration specialist to support patient intake and pre-registration activities in the rehab setting.

The role handles demographic and insurance information, verifies coverage, schedules appointments, and coordinates with therapists while ensuring accuracy and compliance with admission standards. Strong clerical skills and CPR are required; training on electronic scheduling will be provided.

Qualifications

• High School Diploma or equivalent is required.
• Current CPR certification is required upon hire or must be completed within the 90-day probation period.

Responsibilities

• Obtain demographic and insurance information accurately for pre-registration/intake processes.
• Register rehab series patients per admission standards.
• Determine eligibility and benefits for requested services; verify insurance coverage and communicate results to the patient.
• Obtain insurance authorization promptly and communicate visits dates with treating therapists.
• Monitor authorized visits and notify therapists when additional authorization is required.
• Communicate authorization numbers and dates with the business office.
• Assist in denial management by seeking retro-authorization and communicating results to the business office.
• Obtain physician signatures for Medicare Plan of Care Certification/Re-certification and monitor status.
• Schedule patients and maintain therapist schedules in the electronic scheduling system.
• Manage patient files and hard-copy forms as directed.
• Obtain physician orders as needed.
• Perform other clerical duties as directed.
• Serve outpatient reception duties; greet patients professionally and notify therapists of arrivals.
• Direct self-pay patients to the Patient Representative for charity care if eligible.
• Order base non-salary office supplies within budget guidelines.

Skills

Patient registration

Insurance verification

Electronic scheduling

Phone system

Organization

Education

High School Diploma or equivalent

CPR certification

Job description

Minimum Qualifications

Education, Certification, and/or Licensure

• High School Diploma or equivalent.
• Current CPR certification is required upon hire or must be completed within the 90-day probation period.

Experience

Preferred Qualifications

• Prior experience with patient registration/admission.
• Prior experience with insurance verification and authorization.
• Prior experience with electronic patient scheduling.

Core Duties and Responsibilities

• Obtains demographic and insurance information accurately for pre-registration/intake processes.
• Registers rehab series patients per admission standards.
• Determines eligibility and benefits for requested services. Verifies insurance coverage in a timely manner & communicates results with the patient.
• Obtains insurance authorization in a timely fashion. Communicates visits and to/from dates with the treating therapist(s).
• Monitors authorized visits report, and notifies treating therapist when additional authorization is required.
• Effectively communicates authorization numbers and to/from dates with the business office.
• Actively participates in denial management by seeking retro-authorization when indicated, and communicating results to the business office as directed.
• Seeks out physician signature for Medicare Plan of Care Certification/Re-certification. Monitors forms signature status & communicates status to the business office.
• Schedules patients in an effective & timely manner. Maintains/updates therapist schedules in electronic schedule system. Coordinates multi-service appointments in an efficient manner.
• Manages patient files and hard-copy forms as directed.
• Obtains physician orders as needed.
• Effectively performs all other clerical duties as directed.
• Effectively serves outpatient reception duties. Greets patients in professional, friendly manner. Notifies therapists of patients arrival in a timely manner.
• Directs self-pay patients that may quality for charity care to UHC's Patient Representative.
• Orders base non-salary expense and office supplies within budget guidelines.

Physical Requirements

• The National Institute of Occupational Safety and Health recommends minimizing the need for employees to manually lift patients, and limit safe patient handling to 35 pounds. All transfers, lifts, and re-positioning will be completed utilizing the provided patient lift equipment as indicated by the patient's clinical profile and appropriate algorithms for safe patient mobility.
• Light Work- Must be able to sit for prolonged periods of time, and have the manual dexterity to type efficiently.
• Visual and hearing acuity (with or without correction) must be within normal range. Must be able to effectively communicate including frequent telephone use, and monitor the physical environment for patient, visitor, and staff safety

Working Environment

• Office environment

Skills And Abilities

• Ability to use multi-line phone system, including transferring calls and use of paging system.
• Skill in use of office equipment including fax, scanners, copiers, computers, and telephone systems.
• Must have strong organizational skills and the ability to multi-task.
• Basic knowledge of computer programs such as word processing, spreadsheets, and email applications.
• Basic knowledge of ICD-10 Codes and CPT Codes.
• Knowledge of major payer payment provisions and policies.

Additional Job Description

Scheduled Weekly Hours

0

Shift

Varied (United States of America)

Exempt/Non-Exempt

United States of America (Non-Exempt)

Company

UHC United Hospital Center

Cost Center

210 UHC Physical Therapy

Address

327 Medical Park Drive

Bridgeport

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.