Insurance Coordinator - Physical Therapy Department

Toledo Clinic Inc Toledo, OH
This is a Full-Time (30-32 hours a week) position.

Duties Exercised:

Coordinates with patients in setting up payment arrangements prior to services being rendered in Physical & Occupational Therapy.

General Summary:

Establish and maintain a payment policy for patients with out of pocket balances who are having physical & occupational therapy performed at the Toledo Clinic. Obtains, validates, and documents patient demographic and insurance benefits to insure prepayment of physical & occupational therapy services whenever possible.

Works under the supervision of the Director of Physical Therapy.

Principal Duties & Responsibilities:

* Review appointment scheduling prior to services being rendered.

* Accurately obtains / validates / documents patient demographic and insurance information for physical & occupational therapy benefits

* Calculates patient liabilities and actively collects and processes patient payments for physical & occupational therapy benefits

* Contact insurance companies to determine patient responsibility for services.

* Coordinate payment arrangements with patients.

* Establish payment guidelines for patient prior to physical & occupational therapy being performed.

* Meets productivity requirements to ensure excellent service is provided to customers

* Make sure that prearranged payments are made within time guidelines set.

Other Essential Duties May Include (but are not limited to):

* Assist in other billing functions like charge entry and denied claims.

* Other duties as assigned

Knowledge, Skills & Abilities:

Required:

* Experience with medical billing or medical account collection work required. Excellent communication skills, computer proficiency, typing, phone etiquette and customer service skills required. Knowledge of healthcare terms and revenue cycle processes, including insurance regulations and patient liabilities (deductible, copayments, coinsurance, etc.) required.

* Specialized Knowledge/Skills: Strong data entry skills required, as well as demonstrated ability to work in multiple systems accurately and efficiently, such as scheduling and registration systems, document imaging, scanning, financial collection systems, proprietary payer websites and data quality monitoring.

* Consistently arrives at work, in professional attire, on time and completes all tasks within established time frame.

* Seeks appropriate tasks when primary tasks are completed and assists co-workers as needed.

* Demonstrates adaptability to expanded roles.

Education:

* HS diploma required. Some secondary education preferred