Summary

• Focus on Patient Care. A selfless drive to serve and heal connects all MFB employees.

• Clinical Variety and Challenge. An inter-disciplinary approach and a top team of professionals create ever-changing opportunities and activities.

• Family Culture. We offer the stability of a large organization while nurturing the family/team atmosphere of a small organization.

• Trust in Each Other. Each employee knows that his/her co-workers can be trusted to make the right decision for our family, patients, staff, and community.

• A Proud Tradition. Years of dedicated, quality service to our patients and community have yielded a reputation that fills our employees with pride.

Essential Job Responsibilities

• Prioritize inpatient referrals based on tentative admission dates.

• Perform eligibility and benefit verification of identified insurance coverage for each inpatient referral. Initiate electronic and/or telephone inquiries to the appropriate parties including third party payers, employers, and/or managed care organizations, sharing information as necessary to secure, record, and electronically enter data confirming patient has benefits for inpatient rehabilitation. Communicate need to pre-certify admission to Utilization Review/Reimbursement Coordinator.

• Analyze the available documentation and use software and/or other listings or information, including the data gathered during the third-party eligibility and benefit verification, to calculate the amounts expected to be received from the payer and the amount owed by the patient or his/her responsible party.

• Update benefit information on Inpatient Referral Team Site.

• Enter insurance information into Access Management Registration.

• Meet with each new inpatient after admission to review and verify patient data and insurance information.

• Provides information to patients on Patient Rights, Advance Directives, Notice of Privacy Practices, Medicare Patient Appeal Rights, and other required documents.

• Accurately generates patient specific Benefit Summary Forms and distributes to patient/representative and appropriate internal parties on a timely basis. Help insured patient navigate their eligibility and benefits and help un-insured/under insured patient access programs that can assist them by referring them to MFB’s IP Financial Counselor.

• Update Access Management Registration with any changes. Scan signed registration packet documentation into EMR.

• Begin CFA review process to preliminarily determine patient eligibility and give an estimate of possible award level.

• Act as support staff for the IP Financial Counselor as needed

• Embrace Diversity, Equity, and Inclusion, by:

Treating everyone with dignity and respect

Opening more doors to opportunities for underrepresented cultures

Growing talent and people

Evaluating and eliminating disparities

Taking action against injustices, bias and racism

Honoring our differences and how to collaborate

Educating staff, patients, and the communities we care for

Restoring Hope and Freedom, together

Customer Service Responsibilities

Demonstrate excellent customer service and standards of behaviors as well as encourages, coaches, and monitors the same in team members. This individual should consistently promote teamwork and direct communication with co-workers and deal discretely and sensitively with confidential information.

Responsibilities in Quality Improvement

Contribute by identifying problems and seeking solutions. Promote patient/family satisfaction where possible; participates in departmental efforts to monitor and report customer service.

Essential Job Qualifications

• Associates Degree or equivalent business classes/medical office experience

• Understanding of medical terminology and clinical rehabilitation

• Time management skills to handle multiple, competing demands and priorities and work effectively under pressure.

• Strong, effective organization and interpersonal skills, oral and written.

• Collaborative team style and open communication, including with other departments.

• Ability to work independently as well as in a group.

• Excellent analysis and problem-solving skills.

• Demonstrated commitment to organizational mission with a “whatever it takes” attitude to get the job done.

• Credible and trustworthy.

• Intermediate knowledge of Microsoft Office Suite (Word, Excel, PowerPoint).

Preferred Job Qualifications

• Three to five years’ hospital medical billing experience

• 12 to 18 months hospital medical billing experience

• In-depth knowledge of payer billing regulations

• IRF medical billing experience

• Knowledge of ICD-9-CM and CPT coding classification systems

Physical Requirements for Essential Job Qualification

Levels:

• None (No specific requirements)

• Occasionally (Less than 1/3)

• Frequently (1/3 to 2/3)

• Majority (More than 2/3)

Remain in a stationary position: Majority

Traverse or move around work location: None

Use keyboard: Frequently

Operate or use department specific equipment: None

Ascend/Descend equipment or ladder: None

Position self to accomplish the Essential Functions of the role: None

Receive and communicate information and ideas for understanding: None

Transport, position, and/or exert force:

Up to 10 pounds: occasionally

Up to 25 pounds: _____

Up to 50 pounds: _____

Up to 75 pounds: _____

More than 100 pounds: _____

Other weight: Up to___ pounds _____

Other: None

The above statements are intended to describe the general nature and level of work being performed by employees in this classification. If you require a reasonable accommodation to perform the essential functions of this position, you must request accommodation in writing, within 182 days after you know or should know of the need for accommodation.

Mary Free Bed is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, genetic information, veteran status, disability, or other legally protected characteristic