Demo

Rehabilitation Insurance Benefit Clerk

LOUISIANA ORTHOPAEDIC SPECIALISTS LLC
Lafayette, LA Full Time
POSTED ON 4/7/2025
AVAILABLE BEFORE 5/6/2025

Job Description

Job Description

Description :

ESSENTIAL FUNCTIONS :

  • Communicating with patients to acquire demographics and insurance information.
  • Verify patient insurance benefits and communicate insurance benefits to patients and rehabilitation staff.
  • Create and build patient chart and case information.
  • Scan documents into EMR as needed.
  • Collect and verify patient demographics and insurance information and resolve any differences between softwares and data collected by therapy front desk.
  • Assist in maintaining goals for quality patient care, patient satisfaction, and treatment compliance through service to patient needs and request in the capacity of the position.
  • Document and track insurance authorizations and visit limits for commercial payors.
  • Track financial caps.
  • Assist in request for 3rd party DME (E-stim units, JAS orthosis, etc.)
  • Maintains patient confidentiality.

The job holder must demonstrate current competencies for job position.

Requirements : EDUCATION :

Hight school diploma or GED required. Bachelor’s degree a plus.

EXPERIENCE :

Two years of experience in out-patient rehabilitation preferred.

KNOWLEDGE :

  • Knowledge of computer systems and EMR software.
  • Knowledge of phone systems.
  • Knowledge of rehabilitation terminology and insurance / payor rules and regulations.
  • Knowledge of referral processes and patient eligibility
  • SKILLS :

  • Skill in effectively communicating with patients and staff.
  • Skill in using a computer system / EMR.
  • Skill in accurate documentation of work.
  • ABILITIES :

  • Ability to establish / maintain effective working relationships with patients, providers, and staff.
  • Ability to communicate clearly in verbal and written form.
  • Ability to be a resource to patients and staff.
  • ENVIRONMENTAL / WORKING CONDITIONS :

    Normal office environment. Some travel within community.

    PHYSICAL / MENTAL DEMANDS :

    Requires sitting and standing associated with a normal office environment. Some bending and stretching required. Manual dexterity using a calculator and computer keyboard. Ability to lift 25 lbs. Demands of occasional kneeling, squatting, and overhead lifting.

    ORGANIZATIONAL REQUIREMENTS :

  • LOS employee handbook must be read, and acknowledgement receipt signed.
  • OSHA Requirements and training.
  • Adherence to LOS OIG Compliance Program
  • This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.

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