- Salary
- $41k – $70k
- Location
- Flagship, United States of America
- Type
- Full-time
- Education
- Bachelor
Skills
Compliance
Benefits
Identifies opportunities for improvements to enhance efficiency and outcomes.Educates referring professionals, case managers, patients and families on the spectrum of rehabilitation services available in the SRAlab system of care.Communicates medical (e.g. TB skin test requirements, infectious disease issues, dialysis, etc.) and financial clearance guidelines to referral sources and collaborates with admission consultants to ensure medical stability is assessed prior to admission for inpatients.Enters patient demographic, insurance, funding, and medical information in the MIS.Collaborates with Admission Consultant nurses, physicians and other clinical personnel to ensure timely determination of appropriate level of care/program.Researches and verifies patient payment coverage by accessing electronic payer data bases, conferring with third party payors, case managers, attorneys, Patient Financial Services, and public aide applications, expediting to consultant and other parties involved in third party payment for medical expenses.Communicates extraordinary funding or concurrent review requirements as well as patient family special needs (i.e. guardianship, private duty nursing, dialysis, interpreters, radiation, chemotherapy, and transportation arrangements) to appropriate clinical team members prior to admission.Determines need for additional funding to cover inpatient admission and initiates Medicaid and/or SRAlab charity care applicationCommunicates financial and, when requested by Admission Consultant, clinical denials for inpatient admission to referral source and patient or family when appropriate. Provides rationale and recommendations for alternate care when communicating denials.Obtains consents for treatment prior to admission from patient's Legally Authorized Representative (LAR) or ensures that LAR will accompany patient to sign consents in cases where patient cannot consent themselves.Perform all other duties that may be assigned in the best interest of the Shirley Ryan AbilityLab.
