Position Highlights:

Lifestyle: Sandusky was voted “Best Coastal Small Town in America”. You will have the opportunity to enjoy living and working in this growing area along the beautiful shores of Lake Erie. Work/life: You will find support to help you manage your personal life while building a career, flexible scheduling may be available Employee-centric: Tuition Assistance and assistance with certification expense, loan forgiveness, comprehensive major medical, dental and vision insurance, paid time off, 401(k), health and wellness offerings, monthly employee events, and more.

About Firelands Health:

Our goal at Firelands Health is to be the best & preferred independent healthcare employer for the Sandusky Bay region.

Firelands Health is the area’s largest and most comprehensive resource for quality medical care. We are “big enough to care for you, and small enough to care about you”. We are locally managed and governed as a not-for-profit healthcare facility, serving the counties of Erie, Ottawa, Sandusky, and Huron, covering a regional service area with over 300,000 residents. Our mission is to provide excellent healthcare, promote community wellness, and improve the lives we serve.

Our Core ACE Values:  Attitude: We choose to be positive and inclusive every day. Commitment: We are committed to exceed the expectations of those we serve. Enthusiasm: We will work passionately to make a difference.

What you will do:

Monitors daily admissions to inpatient status, observation status by payer. Concentration is Managed Care and Commercial/WC payers, verify Medicare benefits including secondary. Verifies commercial insurance and obtain benefits to determine eligibility. Documents accordingly. Contacts commercial payers to obtain initial inpatient pre-certification, coordinates information to financial counselors, case management for utilization review, advising number of initial days authorized upon admission. Informs care management and patient access regarding payer information changes so ADT and patient accounting systems can be updated to ensure accurate billing. Documents Medicare secondary information as to skilled benefits as well as DME, Home Health and psychiatric benefits and coordinates information with admission and care management. Finds in-network skilled facilities for case management. Forwards patient demographic updates as necessary to patient access or billing including but not limited to admission, policy number, subscriber, authorization, DOB, financial class, those optimizing reimbursement on front in and positively impacting FRMC bottom line. Monitors and tracks scheduled surgeries on a daily basis for add-ons. Verifies eligibility, ensuring authorization is in place prior to procedure. Notifies/Contacts MD office, and/or care management in the event additional information is needed to properly authorize the patient stay. Courteously answers telephone using established greetings and assists callers in a friendly, helpful manner. Act as a liaison between registration and care management. Track problem admissions and works with financial counselors for resolution. Participates in department performance improvement activities as assigned and attends required training. Demonstrates service excellence and ACE. Performs other duties as assigned.

What you will need:

High School diploma or GED. Good working knowledge of medical terminology and an understanding of managed care. Medical terminology background. Experience in the business office medical setting. Punctual attendance at assigned work location is required. Ability to work in a safe and efficient manner and maintain an accident free work place, including the ability to demonstrate a working knowledge of emergency codes. Ability to comply with OSHA regulations and CDC standard and transmission based precaution recommendations and to utilize proper personal protective equipment. Ability to comply with provisions of applicable S.D.S. forms. Successful completion of a ninety (90) day probationary period.