Job Description

Responsibilities:

· Run open schedules report to track patient’s coverage.

· Run billed and unbilled reports to ensure patient weekly hours are in line with Auth.

· Contact unscheduled nurses/therapists for coverage on open schedules for the upcoming week/ month.

· Communicate with nurses/therapists/ patient's parents and answer their questions.

· Email/Call PDN/Therapy parents whose schedules have changed within the week.

· Check upcoming recertification visits for therapy through Schedule master report or Billed and unbilled report.

· Run Unscheduled clients report to ensure therapy schedule with active authorizations.

· Coordinate patient schedule- contact nurses for upcoming availability before the beginning of the upcoming month.

· Check the eligibility of designated therapy patients and PDN patients on the first of the month.

· Informing a patient’s parents of the insurance inactivity and visits cancellation after eligibility verification.

· Update RHC nursing needs report for open schedules available for PRNs.

· Develop contingency plans for unexpected staffing shortages or emergencies.

· Inform parents, find replacement, and contact Case managers regarding last minute cancellations.

· Follow up on orders that are close to 60 days.

· Address scheduling conflicts and resolve issues.

Process new admissions:

· Receive referrals;

· Communicate with the patient’s physician office regarding additional documentation and with the patient;

· Verify eligibility and benefits;

· Create a patient’s account in the scheduling and billing system;

· Communicate with the nurse/therapist about the admission and scheduling;

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