Provides pre-screening according to policy and procedure for admission to rehabilitation facility. Provides professional assessment of patients and provides services according to identified needs. Contacts insurance to obtain insurance authorization of potential patients. Works with physician, patient, family, and other health care professionals in preparing and implementing admission to rehabilitation. Maintains contact with referring agencies and related people, and with community resources used for referral.

Our values of Excellence, Empathy, Integrity and Accountability are essential to exceed our customers’ expectations. At Reid, we look for individuals who believe in our core values and demonstrate a genuine desire to make a positive impact to those we serve.  We take pride in employing people who show up every day with a commitment to these values along with our mission and vision. We are one team working toward a common goal of providing outstanding customer care and service to our communities. If you have a calling to serve and are looking for meaningful and purposeful work, Reid Health is the place for you.

To lead our communities to well-being, one person at a time. It is not just what we do – it is who we are.

• Compiles records for additional documentation requests and medical necessity denails and reviews for compliance with CMS standards; alerts ARU Program Manager of any deficiencies noted.
• Coordinates appeals process for all denials and provides guidance on remittance for Medicare Part A or Part B billing as appropriate.
• Completes IRF-PAI data collection in accordance with CMS standards and transmits files to CMS in a timely manner.
• Communicates with health information management and patient financial assistance for IRF-PAI and billing needs.
• Updating IRF-PAI as appropriate in accordance to CMS updates; informaing staff of necessary documentation to support IRF-PAI updates and changes.
• Completes logs for admissions, discharges, and medical necessity reviews for acute rehabilitation unit.
• Assists in data collection and analysis for quality reporting and identification of areas of opportunity for improvement for the organization.

Education Required: High School Diploma

Education Preferred: Bachelors Degree

Experience Required: 1 year

Experience Preferred: IRF-PAI and CMS experience

Unexpected Perks - Daycare, Doordash, SmartDollar, Daily Pay, therapy dogs, massages, Forbes rated Best Places to Work 2022

Not quite what you are looking for? Submit your information here for general consideration. One of our employment specialists will be in touch with next steps.

EEO Statement: Reid Health is an Equal Opportunity Employer

No Search Firms:

Reid Health does not accept unsolicited assistance from search firms for employment opportunities. Please do not call or email. All resumes submitted by search firms to any employee or other representative at Reid Health via email, the internet or in any form and/or method without a vaild written search agreement in place and approved by HR will result in no fee being paid in the event the candidate is hired by Reid Health. 

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