Job Summary: The Rehab Certification Specialist acquires initial pre-certification and on-going re-certifications for patients having therapy procedures in the hospital and/or office settings based upon requirements set forth by the patient’s insurance plan or payer source, i.e. worker’s compensation. The Certification and Billing Coordinator also accurately documents the information obtained from the insurance companies in multiple areas of the EMR. The services provided ensure FHN’s ability to accurately bill claims and receive timely reimbursement from the insurance companies. These services also enhance the patient’s experience by ensuring procedures are pre-authorized in a timely manner, avoiding patient financial penalties and/or delay in service and treatment.
The Rehab Certification Specialist will adhere to departmental goals, objectives, and standards of performance, policies, and procedures. This position requires the individual to function autonomously; exercising flexibility, adaptability, efficient time management, and prioritization and organization of daily work for maximum productivity. Strong communication skills and analytical and critical thinking skills are required.
Education/Experience: Associates Degree or higher recommended with 2-5 years of experience preferred; Experience with MS Office Suite, ICD-10 training, medical terminology
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