What are the responsibilities and job description for the Prospective Payment Specialist Coordinator position at Corewell Health?
About Lakeland Hospitals
The health system comprises three hospitals, a regional cancer center, rehabilitation centers, two long-term care residences, home care and hospice services, and 34 affiliate physician practice locations. We provide both inpatient and outpatient medical services throughout Southwest Michigan.
Scope of work
Responsible for ensuring optimal reimbursement through analytical review of medical records and collaboration with interdisciplinary teams, including billing, coding, and medical team members. Also responsible for obtaining necessary prior authorizations, submitting documentation to appeal denials, and educating clinicians regarding proper documentation for all Inpatient Rehabilitation locations.
How we will care for you, while you care for our patients
SITE - Watervliet Hospital - 400 Medical Park Dr - Watervliet
Department Name
Inpatient Rehab Administration - Watervliet
Employment Type
Part time
Shift
Day (United States of America)
Weekly Scheduled Hours
24
Hours of Work
8:00 a.m. to 5:00 p.m
Days Worked
Monday through Friday variable days based on Job Share
Weekend Frequency
N/A
CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
The health system comprises three hospitals, a regional cancer center, rehabilitation centers, two long-term care residences, home care and hospice services, and 34 affiliate physician practice locations. We provide both inpatient and outpatient medical services throughout Southwest Michigan.
Scope of work
Responsible for ensuring optimal reimbursement through analytical review of medical records and collaboration with interdisciplinary teams, including billing, coding, and medical team members. Also responsible for obtaining necessary prior authorizations, submitting documentation to appeal denials, and educating clinicians regarding proper documentation for all Inpatient Rehabilitation locations.
How we will care for you, while you care for our patients
- Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
- On-demand pay program powered by Payactiv
- Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
- Optional identity theft protection, home and auto insurance, pet insurance
- Traditional and Roth retirement options with service contribution and match savings
- Required Associate's Degree (or equivalent education and experience)
- Preferred Bachelor's Degree
- 2 years of relevant experience Health care, preferably in inpatient acute and/or sub acute rehabilitation Required
- Familiarity with different diagnostic groups for Case Mix Group (CMG) selection and IRF-PAI tool. Preferred
- Experience with quality reporting, coding experience and reimbursement systems for inpatient acute and/or subacute rehabilitation Preferred
- Experience with medical documentation and electronic medical records Required
- LIC-Physical Therapist Assistant - STATE_MI State of Michigan Upon Hire required Or
- CRT-Occupational Therapy Assistant, Certified (COTA) - NB-COT National Board for Certification in Occupational Therapy Upon Hire required Or
- LIC-Physical Therapist - STATE_MI State of Michigan Upon Hire required Or
- CRT-Occupational Therapist, Registered (OTR) - NB-COT National Board for Certification in Occupational Therapy Upon Hire required Or
- CRT-Speech Language Pathologist - ASHA American Speech-Language-Hearing Association Upon Hire required Or
- LIC-Registered Nurse (RN) - STATE_MI State of Michigan Upon Hire required Or
- LIC-License Practical Nursing (LPN) - STATE_MI State of Michigan Upon Hire required
SITE - Watervliet Hospital - 400 Medical Park Dr - Watervliet
Department Name
Inpatient Rehab Administration - Watervliet
Employment Type
Part time
Shift
Day (United States of America)
Weekly Scheduled Hours
24
Hours of Work
8:00 a.m. to 5:00 p.m
Days Worked
Monday through Friday variable days based on Job Share
Weekend Frequency
N/A
CURRENT COREWELL HEALTH TEAM MEMBERS – Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.
Corewell Health is committed to providing a safe environment for our team members, patients, visitors, and community. We require a drug-free workplace and require team members to comply with the MMR, Varicella, Tdap, and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process, to perform the essential functions of a job, or to enjoy equal benefits and privileges of employment due to a disability, pregnancy, or sincerely held religious belief.
Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.
An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do. We invite those that share in our commitment to join our team.
You may request assistance in completing the application process by calling 616.486.7447.
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