Rehab Charge Specialist

Position: REHAB CHARGE SPECIALIST

Verify Physical, Occupational, and Speech Therapy billing and properly convert minutes to units following the standard portion methodology.

This job description is intended to cover the minimum essential duties assigned on a regular basis. Team members may be asked to perform additional duties as assigned by their leader. Leadership has the right to alter or modify the duties of the position.

• Verify PT, OT, and SLP billing and properly convert minutes to units following the standard portion methodology.
• Add modifiers and review for accuracy.
• Monitor denial work queues and process rebilling issues for changes in diagnosis, documentation errors, charge capture errors, etc.
• Monitor, review, and supply reconciliation reports to clinical leaders.
• Update monthly revenue dashboards and/or reports and distribute to clinical leaders.
• Maintain accurate patient records and documentation, ensuring compliance with confidentiality and privacy regulations (HIPAA).
• Accurately verify patient information, including demographic details, medical history, and insurance coverage.
• Provide customer service to patients by facilitating business processes including scheduling, authorization, and denial management workflows.
• Serve as the point of contact between patients, healthcare providers, and administrative staff.
• Work closely with other health care providers and leadership to ensure seamless patient flow and high-quality care.
• Provide education to healthcare providers on appropriate billing practices and workflows.
• Attend and actively participate in meetings as requested.

Job Requirements Work Experience

• Minimum 2 years experience in medical billing environment required.
• 3 or more years of customer service experience within a medical environment preferred.

Education

• High school diploma or GED required.

Specialized Knowledge and Skills

• Able to work independently with minimal supervision.
• Able to manage time efficiently and independently in order to manage large work queues of information.
• Able to communicate effectively with healthcare providers and clinical leaders.

UM Health - Sparrow is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veteran status.