Team leader/intake specialist - outpatient scheduler - united states, corpus christi

team leader/intake specialist- outpatient scheduler – position description

under the direct supervision of the director of rehabilitation services and admissions manager or designee, the team leader has responsibility for supporting the outpatient therapy centers, by accepting and logging all referrals for treatment, by verifying insurance benefits, and by facilitating authorization for treatment in an expeditious and accurate manner.  the team leader shall add support by providing input for staff evaluations, by monitoring staff attendance, by contributing to departmental objectives by assisting the supervisor, and by giving instruction and guidance to the department’s employees.  when requested, may relieve intake specialists.  performs other related tasks as assigned.  this is a non-exempt position.

responsibilities

intake/team leader function

daily distributes referrals equally among staff and ensures all are logged on the referral log on the intranet.resolves all complaints that come into the department and notifies the clinic director when issues are resolved; seeks assistance if unable to rectify situation easily.assures that all patients are rolled over into appointments pro.gathers daily number of scheduled patients from staff and number of referrals (intranet referral log) and enters data into corporate shared drive.ensures therapist daily productivity information is provided to the clinic director/designee on a daily basis for inclusion on the therapy productivity report and flash report.monitors attendance in absence of clinic director and reports information in a timely manner.distributes additional responsibilities among staff as needed.maintains the wilford hall referral log; daily emails log to whmcobtains all necessary patient and insurance information to facilitate the intake process. verifies and pre-certifies insurance benefits.  requests additional clinical documentation as required for insurance approval.  follows up as required to expedite the intake process.  distributes paperwork to appropriate facilities.pre-admits the patient and enters each authorization and verified benefits into the hms system in a timely and accurate manner.demonstrates knowledge of programs offered by the clinic by answering questions regarding the intake process and clinic offerings.remains current on managed care and other insurance contracts held by pam healthensures that the patient’s right to privacy is not violatedpatient scheduling: schedules patient’s initial visit within 1 working day of approval, for a single discipline. if no therapist’s schedule can accommodate visit within 1 working day, contact administrator/manager for other options. logs all referrals/inquiries on the outpatient daily log on the day the referral is received.works closely with the clinic director and clinicians to ensure that patients receive their therapy in a timely manner. works as a team player with other staff to facilitate the smooth operation of the department.monitors the hms billing error report and work load unit report for the region’s clinics daily. makes necessary corrections for timely bill drop.point of contact for vibra billing error report. responsible for reviewing and distributing needed corrections.performs daily reviews of the daily census for accurate outpatient diagnosis coding for the outpatient clinic.maintains the privacy of employee and patient files and information and does not divulge confidential company information.models professional behavior and requires professional behavior of departmental staff; provides ongoing feedback to supervisor regarding

          employee performance; routinely shows appreciation to staff for jobs well done.

expresses pride in being a member of the pam health team; treats others with respect and courtesy, assisting as necessary in completing job tasks; works toward problem resolution and continuous quality improvement; and enhances team effectiveness through building of team morale.serves as a mentor and role model while seeking opportunities for continued learning

support duties

assures all prescriptions are current on new outpatients.maintains regular contact with and provides documentation to the worker’s compensation commission, physicians, and insurance companies, as necessary.maintains patient charts and files all documentation related to insurance and authorizations.prepares/orders departmental supplies and equipment.updates sms with pertinent outpatient statistical data.actively participates in department meetings.identifies problems and presents possible solutions to supervisor as they occur.follows all customer service policies and initiatives as listed below, including asking customers if you may place them on hold

  health and safety 

works in a manner that promotes safety; wears clothing appropriate to the performance of the job.participates in osha required training.follows universal precautions as appropriate for position; complies with employee health requirements for continued employment.reports unsafe practices to management.knows own role in case of an emergency

qualifications

education and training: must possess a high school diploma or its equivalent, some college (secretarial) is preferred. strong medical terminology is required.

experience: at least one year previous healthcare office or registration function preferred.

knowledge, skills, and abilities:

• ability to input data accurately using various computer software programs.
• ability to accurately complete financial calculations.
• excellent proofreading and grammar skills.
• must have a good command of the english language.
• working knowledge of appropriate icd-9 codes.
• highly organized and detailed oriented.
• must be able to acquire and demonstrate knowledge of inpatient services and post acute medicals’ system programs and offerings, e.g. types of inpatient and outpatient services and facility locations.
• must be able to remain calm and level-headed in a fast-paced, multi-faceted environment with frequent interruptions.
• ability to follow directions accurately and timely, meet deadlines, identify priorities and on occasion, be flexible in his/her work schedule.
• must have the ability to acquire knowledge of state, federal and other regulatory agencies related in facility and patient care.
• must have the ability to follow through on issues related to insurance verification/approval of benefits.
• the ability to work well with managers, referral sources, physicians, and staff to promote a positive attitude and environment.

about us

pam health is committed to being the most trusted source for post-acute services in every community it serves by utilizing experienced and dedicated staff to provide high quality patient care and customer service. with over 44 long term acute care and rehabilitation hospitals and 16 outpatient clinics currently in operation across the country, we are proud to offer services including comprehensive wound care, aquatic therapy, ventilator weaning, amputation treatment, pain management and much more.

joining our pamily allows you to work in a collaborative environment with colleagues and leadership with exposure to a variety of patient care levels. aside from our competitive pay, generous paid benefit time, and excellent insurance options, you will also have opportunities for professional growth through our education advancement program.

we are excited to learn more about you and hope that you consider joining us on a shared mission to improve the lives of others by being an integral part of our we care program. please take a moment to visit us online at [link available when viewing the job] for a comprehensive look at how we're able to positively impact our local communities.

pam health does not discriminate and does not permit discrimination, including, without limitation, bullying, abuse or harassment, on the basis of actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or hiv status, or based on association with another person on account of that person's actual or perceived race, color, religion, national origin, ancestry, age, gender, physical or mental disability, sexual orientation, gender identity or expression or hiv status.

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