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Job Objective: A brief overview of the position.
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Rehabilitation services Patient Admitting Specialist performs or coordinates/delegates the performance of clerical/support activities (including phones and acknowledging patients), maintains the department patient schedule, facilitates communication and customer relations. Organizes work flow/processes to support the administration of Rehabilitation Services.
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Reports to
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Physical /Occupational Therapy Supervisor/Rehabilitation Services Director
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Supervises
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Rehabilitation Services Volunteers
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Ages of Patients
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Pediatric
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Adolescent
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Adult
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Geriatric
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Blood Borne Pathogens
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Minimal/ No Potential
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Qualifications
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Education
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Required: High School diploma or equivalent
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Licensure/Certification
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N/A
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Experience
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Preferred: Previous experience in Healthcare setting and prior Customer Service Experience
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Essential Responsibilities
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Demonstrates compliance with code of Conduct and compliance policies, and takes action to resolve compliance questions or concerns and reports suspected violations.
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Maintains a cheerful, professional image at all times, including appearance of self, work area, waiting room and the use of appropriate scripting.
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Manages daily schedules to ensure efficiency and productivity, including scheduling back to back appointments, checking Well Health and cancelling and moving appointments as appropriate ensuring full schedules; verifying work days, ensuring appropriate blocks, call offs if necessary and reporting scheduling needs to manager/supervisor.
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Answers phones in a timely fashion (within 3 rings if possible) and timely addresses all patient communication (via phone, Well Health, In-Basket, etc.) same day.
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Manages department work queues including:
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Ensure timely patient notification (within 72 hours of receipt of referral)
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Verifying necessary authorizations and updating referral status as appropriate
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Updating scheduling status
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Documenting authorizations timely and accurately including visits authorized, authorization number, authorization expiration date and any other pertinent authorization information
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Notes appropriate to scheduling status, authorizations and transfer of care
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Accurately and timely transcribes all referrals including:
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Identification of correct patient
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Accurately entering referring provider based on ability to sign Plan of Care reports
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Entering of order(s)
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Ensuring routing to correct department based on diagnosis/specialty
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Addition of correct working diagnosis
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Addition of providers outside the Eisenhower network
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Accurately and timely completes patient registrations including:
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Correct patient identification using two identifiers
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Patient demographics
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Required information included (Patient, physician, insurance and authorization, SMS preference)
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Ensuring orders and diagnosis are valid
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Ensuring correct scanning of insurance cards upon arrival
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Accurately completing all consents ensuring signatures are obtained at least annually
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Verification of insurance coverage upon arrival
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Completion of necessary paperwork (OP Interview, Functional Outcomes) prior to seeing the provider
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Correct therapy scheduling within therapist and payer limitations
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Maintains a good working relationship with payer sources necessary to obtain timely authorizations are in place and documented prior to scheduling of initial and/or return patient appointments.
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Meets expectation on timeliness and quality performance indicators as identified.
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Maintains competency in all office applications in current available systems.
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Accurately manages report processing, acting on information as appropriate to ensure regulatory compliance and department efficiency.
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Accurately and timely discharges appointments, that have been discharged by the provider, per rehab process.
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Appropriately and timely handles patient charges including cash pay, co-payments and any other necessary patient collections.
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Performs daily cash balancing per department guidelines.
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Maintains adequate supply of all office forms and supplies.
- Performs other duties as assigned.
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Located in the heart of the Coachella Valley, you have access to resort-style living and world-class amenities throughout Southern California.
