Insurance & benefits coordinator

2 weeks ago


Appleton, United States Kelly Full time
POSITION DESCRIPTION: 
Provides the Occupational Therapists, Physical Therapists, and patients with the support services they need to for therapy services by calling on insurance benefits, tracking authorization deadlines, and obtaining therapy referrals. 
 
REQUIRED EXPERIENCE: 
Medical Office experience including knowledge of medical terminology, anatomy, CPT codes and insurance highly preferred.
 
ESSENTIAL DUTIES AND RESPONSIBILITIES:
  • Verify all therapy patients’ insurance coverage and document it accordingly in patient chart
  • Insurance Authorization and Medicare, Medicaid Compliance.
  • Check for referrals and therapy visit authorizations.
  • Fax or utilize insurance website portals to request authorization of therapy visits.
  • Monitor number of therapy visits used within EMR system.
  • Inform therapists of insurance requirement changes and coverage limitations on case-by-case basis.
  • Perform designated tasks listed in the “PT only” and “No Therapy Coverage” policies.
  • Fax/ upload into Forward Health portal and look over all Medical Assistance prior authorization forms. Contact Medical Assistance as needed regarding patients and what is covered.
  • Document information disclosure as needed when faxes sent out
  • Daily communication with therapy team
  • Communicate work completion status and help needs with team members as needed
 
PHYSICAL DEMANDS
  • Regularly required to talk or listen.
  • Regularly required to use hands.
  • Regularly required to sit long periods of the day.
  • Specific vision abilities required by this job include close vision, distance vision and peripheral vision.
  • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • Must regularly be able to lift and/or move up to 10 pounds and occasionally lift and/or move up to 25 pounds.

As part of our promise to talent, Kelly supports those who work with us through a variety of benefits, perks, and work-related resources. Kelly offers eligible employees voluntary benefit plans including medical, dental, vision, telemedicine, term life, whole life, accident insurance, critical illness, a legal plan, and short-term disability. As a Kelly employee, you will have access to a retirement savings plan, service bonus and holiday pay plans (earn up to eight paid holidays per benefit year), and a transit spending account. In addition, employees are entitled to earn paid sick leave under the applicable state or local plan. Click here for more information on benefits and perks that may be available to you as a member of the Kelly Talent Community.

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About Kelly

Work changes everything. And at Kelly, we’re obsessed with where it can take you. To us, it’s about more than simply accepting your next job opportunity. It’s the fuel that powers every next step of your life. It’s the ripple effect that changes and improves everything for your family, your community, and the world. Which is why, here at Kelly, we are dedicated to providing you with limitless opportunities to enrich your life—just ask the 300,000 people we employ each year.

Kelly Services is proud to be an Equal Employment Opportunity and Affirmative Action employer. We welcome, value, and embrace diversity at all levels and are committed to building a team that is inclusive of a variety of backgrounds, communities, perspectives, and abilities. At Kelly, we believe that the more inclusive we are, the better services we can provide. Requests for accommodation related to our application process can be directed to Kelly’s Human Resource Knowledge Center. Kelly complies with the requirements of California’s state and local Fair Chance laws. A conviction does not automatically bar individuals from employment. Kelly participates in E-Verify and will provide the federal government with your Form I-9 information to confirm that you are authorized to work in the U.S.

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