For more than 50 years, the nonprofit Brooks Rehabilitation, headquartered in Jacksonville, Fla., has been a comprehensive system of care for physical rehabilitation. Ranked as the No. 1 rehabilitation hospital in Florida and one of the top 20 in the nation on U.S. News & World Report, Brooks operates two inpatient rehabilitation hospitals in Jacksonville, Fla., and a Center for Inpatient Rehabilitation in partnership with Halifax Health (Daytona Beach). Brooks also offers one of the region’s largest home healthcare agencies; more than 50 outpatient therapy clinics; the Brooks Rehabilitation Medical Group; two skilled nursing facilities; assisted living; memory care; and the Clinical Research Center, which specializes in advanced research to further the science of rehabilitation. In addition, Brooks provides many low- or no-cost community programs and services to improve the quality of life for people living with physical disabilities.

Responsibilities:

• Verifies insurance coverage for inpatient referrals.
• Communicates insurance coverage information to Nurse Liaisons and any appropriate Brooks interdisciplinary team members.
• Submits medical information, treatment plans, and therapy documentation to insurance companies to obtain pre-certifications and authorizations for all inpatient admissions.
• Coordinates Brooks Physician signing for all Medicare and Managed Medicare admissions
• Facilitates single case agreements with out-of-contract insurance companies.
• Schedules all accepted referrals for admission and coordinates the appropriate program placement
• Compiles data on daily basis for pending inpatient admissions.
• Facilitates the collection, organization and distribution of transitional care documentation
• Responsible for telephone inquiries for inpatient admission information and responds to internal and external correspondences.
• Appropriately utilizes the electronic fax platform, referral platforms, and bed tracking software to support all inpatient admissions.
• Notifies multiple departments of appropriate admission alerts through bed tracking software and email communication.
• Coordinates the denial process for Peer-to-Peer and expedited appeals with insurance providers and the appropriate physician; referring physician, attending physician, Brooks attending physician and/or the Brooks Medical Director of Admissions.
• Communicates bed availability with the Nurse Liaison team multiple times per day
• Elevates all admission issues to the Manager of Admission Services
• Responsible for other duties as assigned in support of all inpatient admissions
  

Qualifications:

• High school diploma
• 2+ years of medical office experience.
• Knowledge of Microsoft Office.
• Experience with referral platforms such as Allscripts, NaviHealth & CareLink
• 2+ years of experience with the verification & authorization processes for Medicare, Medicaid and commercial insurance provider, preferred.

Shifts: Full Time Days

Location: 6209 Brooks Bartram Dr Building 100, Jacksonville, FL 32258