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Coord Ancillary Services - PTOT- Lisle

Company: Duly Health and Care
Location: Lisle
Posted on: November 27, 2022

Job Description:

Overview:Good enough isn't for us. Duly Health and Care's team members show up every day driven to exceed expectations. We challenge assumptions and invite dissent to accomplish bold goals and unleash the most extraordinary work of your career. We see and support the remarkable in every person within and beyond the walls of our work.Duly Health and Care works to understand what matters most to you. We recruit and retain team members who share a relentless passion and pride for helping others live happier and healthier lives. We invest in helping our team members develop their talents in a way that is rich in personal meaning. We invite you to join us, fulfill your purpose and make your mark!Are you ready to challenge the expected to deliver the extraordinary?Under the direction of the Ancillary Administrative Manager, the Coordinator Ancillary Services is responsible for managing all back end tasks for assigned Physical and Occupational Therapy locations. Provides to sites a clean DAR, ensures all visits are authorized, and updates assigned sites on needs from providers and payers. The Coordinator Ancillary Services ensures work is accomplished in accordance with Duly Health and Care policies and payer rules for therapy benefits.Responsibilities:The Journeys and Adventures that AwaitManages daily appointments for assigned locations, including all necessary tasks associated with ensuring authorization of all visitsManage Epic DAR for assigned locations.Touch each therapy encounter for assigned locations to ensure visit is authorized.Work collaboratively with Duly Health and Care to assist in identifying therapy-specific information needed from payers.Update patient record with therapy authorization.Make corrections to orders to therapy or request updated orders from ordering provider (e.g. PT to OT, expired orders, etc.).Add external provider orders into Epic.Send required provider notes to payer in order to obtain authorization for visits.Communicates regularly with assigned locations on updates and/or changes to patient visit authorization.Manage C POT referral in basket daily.Cover other locations when other Coordinator Ancillary Services are out of the office.Keeps up to date with referral process changes.Completes tasks associated with all active therapy patientsRuns the Medicare cap report weekly for PT/OT department, updating with patients monetary progress toward Medicare capCross check Medicare for prior therapy care outside of Duly Health and CareProcess Undistributed report for PT/OT departmentRun and complete Open/Unresolved Encounters reportBuild patient estimates as requested and communicate them to patientsEnter patients into Vital Rock and send access instructions to patientsDischarge patients from Vital RockDischarge patients from PT/OTRun and complete Lost Patient report for assigned locationsEnter all Joint Journey paperwork into Pinpoint for assigned locationsUtilizes resources to ensure most up-to-date and accurate information regarding insurance and authorization is provided to patient and treating therapistUses online insurance resources to look up insurance approvalsCollaborates with team of Coordinator Ancillary Services to share best practiceDemonstrates an enthusiasm for learning new technologies, tools, and procedures to address challengesQualifications:The Experiences You BringPatient/client-facing experience preferredKnowledge of OSHA, HIPAA, and employment legislationHigh School Diploma or GEDExperience of 3 or more years preferredPreference of experience in a patient/client-facing role and/or familiarity with insurance/authorizationsHours: Monday-Friday 8:00am-4:30pmINDLP

Keywords: Duly Health and Care, Chicago , Coord Ancillary Services - PTOT- Lisle, Other , Lisle, Illinois

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