USA Health hiring Clerk – Providence Hospital Job in Mobile, AL

USA Health is changing how medical care, education and research impact the health of people who live in Mobile and the surrounding area. Our team of doctors, advanced care providers, nurses, therapists and researchers provide the region’s most advanced medicine at multiple facilities, campuses, clinics and classrooms. We offer patients convenient access to innovative treatments and advancements that improve the health and overall wellbeing of our community.

Responsibilities:
Coordinates all rehab services (inpatient and outpatient) referrals; greets patients at every stage of the visit; responds promptly to needs, requests, and inquiries of patients, physicians, and team members; ensures that patient insurance information is accurate; verifies that all rehab orders are correct prior to processing; obtains insurance authorizations for evaluations and treatments being performed; processes plans of care/certifications; interacts by telephone, in person, and by email with patients and other ancillary services; communicates written and oral ideas and plans effectively; records all authorization activity; responds to inquiries regarding pending authorizations; communicates with physician office staff, patients, therapists and rehab staff to schedule appropriate rehab services; obtains pertinent medical information and utilizes rehab protocols to determine the most appropriate setting /location and schedule for patients and therapists; enters the request for services, patient demographic data, third party payer and authorization information into the scheduling software; Expedites responses from insurance carriers and other payers, and maintains contact with patients, departments and providers to keep them continuously informed; tracks, reports, and escalates service issues arising from requests for authorizations, financial assistance/ plans of care certifications, or other issues that delay service, to ensure patient access and to avoid delays that may interrupt care of therapies; obtains clinical documentation for submission to payers; interacts with all necessary portals to submit authorization requests electronically to receive as timely of responses as possible, using websites and telephone services as needed; scans health record documents; collects co-payments and time of service payments; employs excellent customer service skills; investigates complaints and works with office manager to find solutions; ensures smooth patient flow; reviews clinic schedule daily, follow proper check-in and discharge protocol; works televox reports, and cancellation/wait list call backs; Sustains the department in a state of readiness; maintains the physical environment for safety of staff and patients and for aesthetic presentation of the area; ensures daily functioning of office equipment, and reports malfunctions/submits work orders as necessary; orders and maintains stock of necessary office supplies, equipment, and forms; sorts and distributes faxes and mail on a daily basis; accepts and completes all duties positively and without conflict; cooperates, helps others and improves the performance of the unit; completes all mandatory unit, educational and hospital requirements; adheres to current Infection Control and Safety Standards; participates on committees as assigned; regular and prompt attendance; ability to work schedule as defined and overtime as required; related duties as required.

Qualifications:
High school diploma or equivalent.