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MINIMUM QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. High school graduate or equivalent.
2. BLS certification within 30 days of hire date.

PREFERRED QUALIFICATIONS:

EDUCATION, CERTIFICATION, AND/OR LICENSURE:
1. Degree from an accredited university in accounting or business-related field
2. Medical coding certification

EXPERIENCE:
1. Three (3) years of recent experience in a physician/medical office—scheduling, registration, business office functions

CORE DUTIES AND RESPONSIBILITIES: The statements described here are intended to describe the general nature of work being performed by people assigned to this position.  They are not intended to be constructed as an all-inclusive list of all responsibilities and duties.  Other duties may be assigned.

1. Schedules appointments and meetings for assigned manager, director or executive.  Maintains calendar for assigned manager, director, executive or other support department staff.
2. Schedules all procedures performed in the outpatient rehab office.
3. Makes contact with insurance providers to obtain authorization for patient therapy.
4. Ensures patient registration, billing and other applications are coordinated according to procedure. 
5. Obtains and scans patient’s insurance/medical cards and driver’s license into the registration system.
6. Coordinates and assists in the completion of all activities relating to the patient’s finances.
7. Facilitates the collection and distribution of information and to expedite a smooth and timely billing and collection process.
8. Verifies insurance. Validates pre-cert/pre-auth information after completion of insurance verification and record results in the system. Performs other insurance related functions as needed.
9. Understand and use applicable CPT and ICD-10 codes.
10. Acts as department resource by being of assistance and providing reassurance to patients and patient’s families.
11. Documents and reports malfunctioning equipment immediately to appropriate management staff.
12. Answers telephone, receives and delivers messages via electronic e-mail, fax, phone or fax.
13. Completes supply ordering accurately and in a timely manner, following up on backorders as needed.
14. Assists therapists as needed during patient sessions.
15. Ensures the front office is manned effectively at all times.
16. Complete Medicare Secondary Payer forms, medical necessity screening and verifies applicable payer and service.
17. Follows up on accounts as directed.
18. Follows established computer downtime procedures
19. Performs quality and compliance audits as directed.
20. Reviews monthly denial report and resolves any insurance discrepancies in a timely manner.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Must meet Department of Labor’s LIGHT duty standard (LIGHT WORK - involves lifting/exerting no more than 20 pounds at a time with frequent lifting or carrying of objects weighing up to 10 pounds).
2. Able to bend, stoop, reach and be capable of normal rotation, standing and walking for an 8-10 hour shift.
3. Able to wear latex or vinyl gloves, with frequent changes and hand washing.
4. Able to tolerate working with and around noxious odors.
5. Must be able to wear Personal Protective Equipment (PPE).

WORKING ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. May be scheduled to work various shifts based on departmental and patient needs.
2. May be required to travel between facilities/buildings.
3. May be exposed to virus, disease, and infection from patients and specimens in working environment.
4. May be exposed to traumatic situations including psychiatric crisis, physical injuries and death.
5. This position may require unsupervised access to restricted areas that may contain medications, supplies and patient confidential information.

SKILLS AND ABILITIES:

1. Use a computer keyboard, monitor and mouse.
2. Answer telephones and transcribe messages.
3. Communicate verbally, written and electronically with healthcare personnel, families and patients.
4. Excellent customer service skills.
5. Ability to work independently with minimal supervision. 

Additional Job Description:

This role is in our Cardiac and Pulmonary Rehabilitation facility at the Dorothy McCormack Center on BMC's campus. Some insurance verification and authorization responsibility is included in this role, but we will provide training.

Scheduled Weekly Hours:

Shift:

Exempt/Non-Exempt:

Company:

Cost Center:

Address:

Equal Opportunity Employer

West Virginia University Health System and its subsidiaries (collectively "WVUHS") is an equal opportunity employer and complies with all applicable federal, state, and local fair employment practices laws. WVUHS strictly prohibits and does not tolerate discrimination against employees, applicants, or any other covered persons because of race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, and gender identity), age, physical or mental disability, citizenship, past, current, or prospective service in the uniformed services, genetic information, or any other characteristic protected under applicable federal, state, or local law. All WVUHS employees, other workers, and representatives are prohibited from engaging in unlawful discrimination. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation, benefits, and termination of employment.