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RS
RSI-Rehabilitation Services, Inc.
Benefits & Auth for Physical Therapy
Career Insights for Registrar / Patient Service Representative
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Based on Maryland data
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What they do
A Registrar or Patient Service Representative provides direct assistance to patients at a health care or long term care facility. Answers questions and helps resolve complaints; provides liaison with health care providers; may assist with coordinating appointments or addressing billing or insurance issues.
$46,455 / year median in Maryland
+8% projected growth
Job Description
In-Person Benefits & Authorizations for PT, OT & Speech practice Job Overview We are seeking a dedicated and detail-oriented Benefits & Authorization Specialist for Physical Therapy, Speech Therapy & Occupational Therapy to join our dynamic healthcare team. In this vital role, you will manage insurance benefits, authorizations, and medical coding processes to ensure seamless patient care and optimal reimbursement. Your expertise will help facilitate efficient communication between patients, providers, and insurance companies, ensuring compliance with healthcare regulations and policies. This position offers an exciting opportunity to contribute to a high-quality clinical environment while honing your skills in medical billing, insurance verification, and health insurance policies. Must be flexible to help in other admin roles as needed. Potential for growth. Must have 2 years+ experience in a medical admin position. Experience with therapy services a plus. No drama No, "that's not my job" (it's a small business and we need flexible person who is willing to be a true team player) Duties Verify patient insurance coverage and eligibility using electronic health records (EHR) systems and other tools Obtain prior authorization from insurance providers for therapy services, ensuring timely approval before treatment begins Contact patients to advise them of their benefits & schedule based on auth Review and process medical records in accordance with HIPAA regulations to maintain strict clinical confidentiality policies Receive payments Scan EOBs and upload Collaborate with healthcare providers to ensure proper documentation Maintain comprehensive records of authorization requests, approvals, denials, and related correspondence within EMR/EHR systems Requirements Proven experience in medical office administration, preferably within therapy or outpatient clinics Strong knowledge of health insurance policies, managed care processes, and insurance verification procedures Familiarity with HIPAA regulations and clinical confidentiality policies to protect patient information Proficiency in medical coding including CPT coding, ICD-9/ICD-10 coding standards, and ICD coding practices Experience with electronic health records (EHR) systems and Microsoft Office applications for documentation and reporting Excellent customer service skills to communicate effectively with patients, providers, and insurance representatives Ability to interpret health insurance policies and navigate complex authorization processes efficiently Knowledge of medical terminology, medical billing procedures, and insurance prior authorization workflows Join our team to play a crucial role in streamlining benefits management for therapy patients! Your expertise will ensure smooth operations while supporting our mission to deliver exceptional healthcare experiences.