Rehab Specialist - Elmira, United States - Arnot Ogden Medical Center

Description

Arnot Health is looking for a Rehab Specialist to split time between our Corning Outpatient Office Building and St. Joseph's Hospital . This position is full-time, day shift.


MAIN FUNCTION:

Works within a team environment to obtain prior authorization, complete patient registration, and schedule initial evaluations for physical, occupational and speech therapists for all outpatient rehabilitation locations across the system.

Reports directly to the System Director of Rehab Services.


DUTIES AND RESPONSIBILITIES

• Promptly answers the telephone in a professional and courteous manner. Returns phone messages within 24 hours. Demonstrates the knowledge and ability to utilize various telephone applications including, but not limited to, forwarding and establishing conference calls.
• Works with a variety of applications for authorization, registration, scheduling, clinical documentation and communication, including, but not limited to, ReDoc, insurance websites, eClinicalWorks, Soarian, Quadramed and Qliq
• Understands general anatomy, medical terminology and ICD-10 coding specific to rehab billing to ensure that referring physicians are providing appropriate codes that will allow maximum reimbursement for treatments
• Has insurance knowledge for the purpose of fulfilling preauthorization requirements. Obtains prior authorization for services as required in a timely manner utilizing any potential sources for relaying accurate information (i.e. phone, fax, e-mail, website).
• Registers patients in Soarian. and in a timely manner.
• Promptly retrieves referrals from physician offices via phone call, fax, e-mail and eClinical Works, or follows up with offices to request referral when patients call to schedule their own appointments.
• Schedules simple and complex patient appointments for all outpatient locations across our three-hospital system, and in coordination with specific therapist specialties and/or certifications. Completes scheduling in a timely manner.
• Coordinates patient information with the treating facility including authorization approval, insurance information, co-pay amount, visits approved, etc. to ensure communication is included in the patient's chart and available for reference as needed.
• Knowledgeable of the method of proper sequencing of initial evaluations (i.e. prioritization based upon date of referral, diagnosis, and specific requests for therapists and /or locations), patient preparation, and communicates this information at the time of scheduling.
• Communicates courteously and effectively with internal and external customers,physicians, and rehabilitation offices. Ensures appropriate follow-up with referral sources when patients frequently cancel or no show for initial appointments.
• Will be cross trained to other responsibilities of the department as required by the director/supervisor.

OTHER:

• Has general knowledge of the Medical Center's departments and how these departments interact with each other and ability to conference with other departments and/or rehab locations to bring about conflict resolution to scheduling problems.
• Maintains professional behavior and appearance at all times. Is accountable for own actions.
• Possesses the highest ethical standards with respect to discretion and regard for

confidential information.

• Attends staff meetings and completes all mandatory educational programs as required by position.
• Participates in QI monitoring and reporting (including tracking referrals scheduled and access to care).
• Maintains complete understanding of the Medical Center's emergency codes. Understands role in emergency situations.
• This position will be cross-trained in the positions of Rehab Secretary and Outpatient Rehab Technician at all six outpatient rehab locations to aid in providing initial orientation and training for those positions, as well as to provide clerical or clinical coverage as needed.
• It is understood that this job description lists typical duties for the classification and is not to be considered inclusive of all duties which may be assigned.

EDUCATION:
High school diploma or equivalent required.


EXPERIENCE:
One to two years of experience in a health care setting preferred. Hospital experience or rehabilitation services background strongly preferred. Knowledge in both clerical and clinical aspects of rehabilitation services strongly preferred. Knowledge of ICD-10 coding strongly desired. Knowledge of anatomy and medical terminology strongly preferred. Must have solid proficiency in all Microsoft Office applications. Must possess strong organizational skills. Must be able to perform and prioritize multiple tasks with strong attention to detail. Must take a proactive approach to problem-solving and have strong decision-making capability. Must be a resourceful team player with the capability to also work independently.


CARDIOPULMONARY RESUSCITATION (CPR) REQUIREMENTS:
Basic Life Support (BLS) required within 90 days of hire date.


PHYSICAL DEMANDS:
Light physical effort required. Must be able to occasionally lift thirty (30) pounds independently.


EXPOSURE CATEGORY:
Category III.

Tasks that involve no exposure to blood, body fluids, or tissues, but employment may require performing unplanned Category I tasks.