Coordinator, Therapy Services (Full-Time)

Coordinator, Therapies

Shriners Children's Greenville is seeking a Coordinator, Therapies to join our Rehab department. The Coordinator works directly with insurance companies, therapy providers, and patients in order to have optimal patient care, including patient scheduling and intake, while meeting compliance standards to maximize claim processing and payment.

Responsibilities include:

• Tracking patients to determine continued and appropriate insurance eligibility and benefit period
• Reviewing pre-authorization intake information to identify potential resource costs, and communicate findings to therapy care team
• Verifying patient's current insurance to ensure continuity of coverage
• Identifying opportunities to enhance reimbursement
• Maintaining an accurate list of all therapy evaluations and assessments for the correct reference dates throughout patients care, to ensure the accurate and timely submission of the required re-assessments
• Collaborating with RIC to confirm signed plans of care
• Tracking therapy authorization times and keep staff aware of pending recertification requirements, facilitating any payor specific requests for information
• Facilitating the process associated with intake activity such as order entry, establishment of correct encounter
• Monitoring the order queue to ensure timely and correct scheduling of orders per service line and therapist availability
• Maintaining all reports and transmission data in a systematic format and stores in a safe, locked area, keeping information confidential in accordance with HIPAA
• Implementing all required forms, procedures and processes relative to job responsibilities

Qualifications:

Required:

• High School Diploma/GED
• Organizational skills
• Communication skills

Preferred:

• Associate's degree in a related field
• 1 year experience in rehabilitation services