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: 6210 Beach Blvd, Jacksonville, FL 32216