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Business Office Representative, Rehab, FT, Days

Prisma Health
United States, South Carolina, Columbia
Nov 17, 2024

Inspire health. Serve with compassion. Be the difference.

Job Summary

Performs a variety of duties to support and facilitate business operations for Therapy Services. Provides direct customer service and/or clerical/administrative support for the department.

Accountabilities

  • Scheduler: Coordinates the schedule for multiple procedures and specialties with rehab to best serve the patient. Schedule patients to best fill therapists' schedules allowing maximized productivity. Moves patients' appointments/providers to optimize visit volumes in a given day. Follow-up with non-respondent patients for request to schedule initial visit. 20%

  • Insurance Verification: Verify patient benefits. Educate patients on benefits and insurance coverage for provided services. Calculate cost estimates. Ensure patients are aware of financial responsibility to increase patient satisfaction. 20%

  • Billing and Financial Services: Confirm authorization for services from payor. Maintain authorization throughout plan of care. Edit patient claims to ensure clean submission for payment. Collect payments upon delivery of care and following completion of care (via phone). Answer billing related questions. Post payments. Discuss payment options and programs available to patient. 20%

  • Referral/UM Specialist: Responds to referrals for therapy from providers appropriately triaging based on urgency. Screens referrals for proper location and specialty of care (e.g., neuro referral to ortho rehab). Document authorization and attach to all appointments. 15%

  • Administrative Support: Orders supplies and submits necessary invoices for payment. Maintains office cleanliness including submitting work orders. Submits work orders for broken equipment or reports to facilities. Submits EOD deposit and accounting information. Sort and address incoming mail. Maintain cash box. Trains other staff on office guidelines and procedures. 15%

  • Customer Service: Answers phone and responds to patient voicemails. Answers general questions regarding therapy and treatments. Greets incoming patients. 10%

  • Performs other duties as assigned.

Supervisory/Management Responsibilities

  • This is a non-management job that will report to a supervisor, manager, director, or executive.

Minimum Requirements

  • High School Diploma or equivalent or post high school education

  • 2 years-Admissions, Billing, Collections, Insurance and/or Customer Service

In Lieu Of

  • NA

Required Certifications, Registrations, Licenses

  • NA

Knowledge, Skills and Abilities

  • Basic computer skills

  • Knowledge of office equipment (fax/copier)

  • Word Processing

  • Spreadsheets

  • Database

  • Data Entry

  • Mathematical Skills

  • Registration and scheduling experience- Preferred

  • Familiarity with medical terminology- Preferred

Work Shift

Day (United States of America)

Location

Richland

Facility

1510 Richland Hospital

Department

15437370 Physical Therapy

Share your talent with us! Our vision is simple: to transform healthcare for the benefits of the communities we serve. The transformation of healthcare requires talented individuals in every role here at Prisma Health.

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