Rehabilitation Services Authorization Coordinator at IPM Doctors
IPM Doctors · San Francisco, United States Of America · Onsite
- Junior
- Office in San Francisco
The Rehabilitation Services Coordinator is responsible for the general coordination of multidisciplinary evaluations and pre-admission, program participation and transition planning for patients in the Rehabilitation Services Programs. The RS Coordinators will handle all MDE, and RS authorization requests, appeals, and admissions, and will track patients throughout their RS programs. They will issue internal authorization to the Local RS Coordinators. Responsibilities include screening candidates, submitting RFAs, coordinating appeals, granting internal authorization, and interfacing with billing to ensure pre-claims requirements are met. The goal of the role is to authorize/schedule only those patients' setup for proper, expected, reimbursement.
What you will do:
- Responsible for managing new patient referrals and authorizations- Maintains authorization module for multidisciplinary evaluations and programs communicating authorizations and denials for requested treatment to all applicable parties such as: patient, MD, NCM attorneys, within a timely manner according to contractual agreements and/or Workers Compensation laws.
- Maintains patient census as directed by management by performing pre-admission coordination and scheduling for multidisciplinary evaluations and programs including payer resource for lodging and/ or transportation services.
- Works closely with referring MD communicating evaluation and program denials, obtaining required appeal letters and forwarded to carriers within the required time frame.
- Acts as primary contact for program participants in relation to; abscesses, transportation problems, interpreter concerns and other day to day issues that arise.
- Prepares and facilitates weekly program conferences to include arrangements for outside visitors, conference calls, and maintenance and distribution of weekly program status reports.
- Create weekly templates in IMS, Compiles evaluation, weekly program and discharge summary reports from providers for entry in IMS and distribution to appropriate parties.
- Administers and provides guidance of psychological testing during evaluations as well as, pre, mid and post programs to persons served.
- Creates video link for online classes, sends to patients and providers.
- Acts as liaison and resource to the RS care team, prospective patients, persons served, and others as it relates to evaluations and programs.
- Maintain inventory levels for evaluation and program related materials.
- Makes purchases as needed for functional restoration program with authorization of program director.
- Submit invoices, immediately upon receival, to accounting department.
- Keep facility clean, organized, and laundry service is scheduled.
- Track expenses and upload receipts to Emburse.
- Communicates with patients, visitors and staff in a courteous, respectful, supportive and professional manner.
Qualifications:
- High School Diploma or equivalent
- Previous experience with EMR/EHR systems desirable
- 1-2 years in the healthcare field preferred
- Problem Solving; identifies and resolves problems in a timely manner, gathers and analyzes information skillfully; develop alternative solutions
- Proficient with Microsoft Office Suite, especially Excel
Compensation Range:
$21.00 to $24.00 Hourly
All compensation ranges are posted based on internal equity, job requirements, experience, and geographical locations.
Why You'll Love Working Here:
- Amazing work/life balance
- Generous Medical, Dental, Vision, and Prescription benefits (PPO & HMO)
- 401(K) Plan with Employer Matching
- License & Tuition Reimbursements
- Paid Time Off
- Holiday Pay & Floating Holiday
- Employee Perks and Discount Programs
- Supportive environment to help you grow and succeed
Boomerang Healthcare (BHC) is a multidisciplinary and comprehensive team of experienced, committed healthcare providers that treat pain. Our team of doctors approaches each patient with one goal in mind: to help patients return to normal daily activities. We work with our patients to identify the cause of their pain and create a personalized treatment plan, recognizing that no two patients are alike, and neither is their pain. Our providers create a comprehensive care plan, then monitor, manage and coordinate patient access to health services at BHC.
Boomerang Healthcare strives to be a diverse workforce that reflects, at all job levels, the patients we serve. We are an equal opportunity employer. Boomerang Healthcare is committed to compliance with the American Disabilities Act. If you require reasonable accommodation during the application process or have a question regarding an essential job function, please contact us.
Monday-Friday, 8am-5pm
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