CENTRAL THERAPY INSURANCE SPECIALIST - ONTONAGON OUTPATIENT

CENTRAL THERAPY INSURANCE SPECIALIST - ONTONAGON OUTPATIENT

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CENTRAL THERAPY INSURANCE SPECIALIST - ONTONAGON OUTPATIENT

Ontonagon, MI

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CENTRAL THERAPY INSURANCE SPECIALIST - ONTONAGON OUTPATIENT

• Category: Office Support Services
• Location: Ontonagon, MI
• Job Schedule: FULLTIME
• Job Number: 113560

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Compassion. Accountability. Collaboration. Foresight. Joy.

These are the Aspirus Core Values; and we are looking for the BEST around to join us as we demonstrate those values Every. Single. Day.

Aspirus Keweenaw Hospital in Laurium, MI is seeking a CENTRAL THERAPY INSURANCE SPECIALIST to join our ONTONAGON OUTPATIENT THERAPIES team!

The Central Therapy Insurance Specialist requires advanced knowledge of therapy insurance coverage, prior authorizations, therapy ICD and CPT knowledge, documentation and billing requirements for therapy and assist CBO in denial recovery processes. Monitors insurance workflows throughout the Aspirus outpatient therapy departments. Educates and trains office and therapy staff on proper insurance authorization requirements and office workflows. Assumes responsibility for the development and implementation of therapy insurance standards of practice. This position is critical to the Aspirus Outpatient Therapy Department as a means to ensure accurate prior and ongoing authorizations and payment for all therapy patients. This position is also a critical resource for staff regarding authorization, documentation, billing, and recertification processes.

HOURS: Full Time; 1.0 FTE or 80 hours per pay period. Day Shift.

Experience/Qualifications

• Knowledge of therapy requirements for medical insurance and government payer standards and procedures normally acquired through completion of an Associate Degree in Business, or a High School diploma, GED or equivalent with a minimum of three years'' experience in medical insurance and government payers beneficial.
• Knowledge of therapy CPT and ICD coding beneficial.
• Previous applicable experience beneficial.
• Possesses an overall understanding of insurance and government authorizations in a health care organization.
• Possesses excellent verbal and written communication skills, the ability to prioritize, the ability to work independently and attention to accuracy and timeliness in all work process.
• Possesses the ability to troubleshoot and multi-task.
• Ability to work with confidential information and maintain confidentiality.
• Is self-directed and displays good judgment with attention to detail.
• Possesses excellent organizational skills.
• Possesses the ability to meet deadlines and to work with many changes within the insurance and government payer process.
• Annual competencies as required by Aspirus and/or various regulatory agencies based on entity and/or job position.

Employee Benefits

• Full benefits packages available for part- and full-time status.
• PTO accrual from day one!
• Generous retirement plan with match available.
• Wellness program for employees and their families.

Aspirus Keweenaw Hospital is a 25-bed hospital grounded in a strong tradition of community and patient-focused care. We are a non-profit, community-directed health care organization based in Laurium, Michigan, with clinics and outreach services in Laurium, Calumet, Houghton and Lake Linden. Aspirus Keweenaw is part of the Aspirus, Inc. exclusive hospital and clinic network, home health and hospice care, pharmacy, critical care, rehab fitness center, medical goods and philanthropic foundation.

This is one of three hospitals in the Upper Peninsula of Michigan in the Aspirus family: joining Aspirus Ironwood and Aspirus Iron River Hospital.

Our Mission: We heal people, promote health and strengthen communities.

Our Vision: Aspirus is a catalyst for creating healthy, thriving communities, trusted and engaged above all others.

As an Aspirus team, we demonstrate caring, we plan to impact the future, work with happiness and enthusiasm, recognize our power to make a difference and improve the health of our communities.

Aspirus Health is a nonprofit, community-directed health system based in Wausau, Wisconsin, serving northeastern Minnesota, northern and central Wisconsin and the Upper Peninsula of Michigan. The health system operates 18 hospitals and 130 outpatient locations with nearly 14,000 team members, including 1,300 employed physicians and advanced practice clinicians. For more information visit aspirus.org.

Click here to learn more about the Keweenaw Peninsula.

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