What are the responsibilities and job description for the Intake/Insurance Specialist position at UnityPoint Health?
Under the general supervision of the Manager of Rehabilitation, oversees all office functions. Assures accurate and timely reception, scheduling, charge and data entry, report preparation, filing and record keeping and other duties. The associate is expected to acquire an understanding of and proficiency in all functions of their assigned area s for Trinity Outpatient Rehabilitation Services (TORS).
UnityPoint Health - Trinity, in the Quad Cities, is a regional integrated health care delivery system including four full-service hospitals in Rock Island and Moline, Illinois and Bettendorf and Muscatine, Iowa with a total of 584 licensed inpatient beds. Trinity’s hospitals, clinics, home health care agency, mental health center, health sciences college and residency program employ more than 3,000 employees. Together, we are working toward physician-driven, patient-centered care to achieve our vision of delivering the best outcome for every patient, every time.
The Quad Cities is a connected, creative and prosperous bi-state community on the banks of the mighty Mississippi River. The region is made up of Davenport and Bettendorf in Iowa - Moline, East Moline, and Rock island in Illinois - and other surrounding communities. The Quad Cities is a great place to live and work. It offers something for everyone including arts and culture, amazing festivals and events, innovative and superior schools and universities, and quality healthcare. The Quad Cities is a premier destination for young professionals and families and sits only hours away from Chicago, St. Louis, and Des Moines.
COVID-19 and Flu Vaccination Requirement: It is required to be vaccinated for COVID-19 and Influenza. Exemption requests based on medical or religious reasons may be submitted, but must be approved for active employment.
Why UnityPoint Health?
- Culture – At UnityPoint Health, you Come for a fulfilling career and experience a culture guided by uncompromising values and unwavering belief in doing what's right for the people we serve.
- Benefits – Our competitive Total Rewards program offers benefits options like 401K match, paid time off and education assistance that align with your needs and priorities, no matter what life stage you’re in.
- Diversity, Equity and Inclusion Commitment – We’re committed to ensuring you have a voice that is heard regardless of role, race, gender, religion, or sexual orientation.
- Development – We believe equipping you with support and development opportunities is an essential part of delivering a remarkable employment experience.
- Community Involvement – Be an essential part of our core purpose—to improve the health of the people and communities we serve.
Visit us at UnityPoint.org/careers to hear more from our team members about why UnityPoint Health is a great place to work. https://dayinthelife.unitypoint.org
- Takes fax orders from referring sources for new patient; schedules new evaluations, schedule/reschedule patients via phone calls and/or therapists’ direction as required. Projects positive, flexible attitude in attempting to meet patient’s scheduling needs.
- Keeps accurate, up-to-date files of all referrals received in the department. Pre-registers for all disciplines before first appointment preparing chart.
- Copy and mail/fax initial evaluations and progress/discharge notes, when signed by therapist, to appropriate physicians.
- Performs reception functions and assures that the telephones are answered and patients/visitors are greeted in a timely, courteous and professional manner.
- Performs registration functions and assures timely, efficient and customer-friendly registration system. Has to be able to evaluate each registration/admission and be alerted to potential problems, including pre-certification or financial assistance for the patient.
- Processes insurance eligibility and benefits verification for all outpatient rehabilitation patients.
- Processes insurance pre-authorizations for all outpatient rehabilitation patients.
- Accurately records authorization specifics into EPIC and monitors frequency limitations of benefit.
- Assists in resolving account denials routed to specific Work Queue lists within EPIC.
- Keeps prior authorization Work Queue list up-to-date and follows-up on aging requests.
- Works with therapists to resolve pre-billing edits to ensure timely filing and clean-claim requirements
EDUCATION, TRAINING & EXPERIENCE: Must be a high school graduate or the equivalent. Keyboard accuracy. Computer knowledge and skills; experience in Microsoft Word, Excel, Power Point and Outlook. Insurance knowledge required. Experience with medical insurance processing, Medicare, Medicaid, CCI edits, Medicare Functional Therapy Reporting and Therapy Cap requirements, local payer coding and billing guidelines as they pertain to physical, occupational, or speech therapy preferred. Knowledge of commercial and worker’s compensation insurance. Excellent communication skills.
KNOWLEDGE, ABILITIES & SKILLS: Ability to establish positive relationships with associates, volunteers, third party intermediaries, local business community serving as a source of hospital revenue. Medical terminology preferred. Highly organized with the ability to multi-task and adapt to changing priorities. Able to establish and meet deadlines. Must be able to use and demonstrate the use of office machines and to work constantly with telephone/computer communication devices. Assemble information accurately and efficiently. Able to follow complex written and verbal instructions and solve problems logically.
LICENSES, REGRISTRATIONS AND CERTIFICATIONS: None.
