Qureos Mentor

Mary Free Bed Rehabilitation Hospital

<div>Prospective Payment &amp; Revenue Management Specialist 
<div>Job Title : Prospective Payment &amp; Revenue Management Specialist
Job Code : 1133
Department : System Operations
Location : Remote with travel to system sites, 40-60%
FLSA Class : Salaried / Exempt
Compensation : 67,000 + Experience
Reporting Relationship : Manager of Regulatory and PPS Compliance 
Mary Free Bed Summary
</div>We have the great privilege of helping patients and families re-build their lives. It&rsquo;s extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients &ldquo;Ask for Mary,&rdquo; they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients and innovatively serve them. This is true of every employee, from support staff and leadership to clinicians and care providers.
Mary Free Bed is a not-for-profit, nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient, outpatient, sub-acute rehabilitation, orthotics and prosthetics and home and community programs. With the most comprehensive rehabilitation services in Michigan and an exclusive focus on rehabilitation, Mary Free Bed providers, nurses and therapists help our patients achieve outstanding clinical outcomes. The growing Mary Free Bed Network provides patients throughout the state with access to our unique standard of care.
Mission Statement
Restoring hope and freedom through rehabilitation.
Employment Value Proposition
At Mary Free Bed, we take pride in our values-based culture:
<ul><li>Focus on Patient Care. A selfless drive to serve and heal connects all MFB employees.
</li><li>Clinical Variety and Challenge. An inter-disciplinary approach and a top team of professionals create ever-changing opportunities and activities.
</li><li>Family Culture. We offer the stability of a large organization while nurturing the family/team atmosphere of a small organization.
</li><li>Trust in Each Other. Each employee knows that co-workers can be trusted to make the right decision for our family, patients, staff, and community.
</li><li>A Proud Tradition . Years of dedicated quality service to our patients and community have yielded a reputation that fills our employees with pride.
</li></ul>Summary
The Prospective Payment &amp; Revenue Management Specialist is responsible for developing, implementing, and supporting organizational processes that ensure compliance with CMS regulatory standards related to documentation and coding requirements. This specialist partners closely with the system leadership &amp; PPS Coordinator at each location to lead and manage the claim and post-payment denial process.
Key responsibilities include maintaining a strong understanding of compliance and regulatory requirements, conducting documentation audits, identifying and driving process improvement, and providing PPS-related support across the organization. The specialist will collaborate with revenue cycle departments and insurance companies to supply additional documentation as needed and prepare or support appeals for denied claims.
The PPS Denial Management Specialist is expected to achieve and maintain an effective and harmonious relationship with team members and providers throughout the system. The role involves regular on‑site presence to support payment denial operations, collaborate with local teams, and ensure consistent implementation of organizational standards across the entire multi‑state system.
Essential Job Responsibilities
<ul><li>The PPS Denial Management Specialist will lead the development of a coordinated approach to claim and post-payment denial communication and system site support. Working in conjunction with the Manager of Regulatory and PPS Compliance , program leaders, providers, PPS staff and acute billing teams across the system, the specialist will facilitate sharing of best practices and standards of communication around claim and post-payment denial management.
</li><li>Professional Work Environment - Encourage a culture of personal accountability, solution-seeking behavior, mutual respect, open communication, openness to change, enthusiasm, and pride.
</li><li>Function as subject matter expert to management as directed in the following areas:
<ul><li>IRF-PPS reimbursement issues/appeals
</li><li>IRF-PPS regulatory changes
</li><li>IRF-PPS compliance
</li><li>Revenue collection process
</li><li>Insurance contract and authorization process
</li></ul></li><li>Support the system sites with insurance denials and/or requests for additional information (ADR responses, post-payment denials and medical records templates) in a timely manner.
</li><li>Assist in the development and implementation of workflows related to claim and post-payment denial handling to improve process efficiency and compliance.
</li><li>Audit and review clinical documentation, coding, claims and scoring, to ensure payer and governmental agency regulatory and compliance requirements are consistently followed and applied.
</li><li>Ensure adherence to all HIPAA and regulatory requirements when managing payment claims, denials and protected health information.
</li><li>Track all claim and post-payment denials across the Mary Free Bed system within a database for reporting.
</li><li>Maintain appropriate established timelines for follow up on outstanding appeal/reconsideration requests. Coordinate with internal departments and external representatives to ensure accurate information sharing and prompt follow-up on outstanding issues.
</li><li>Develop standards and procedures through collaboration, development, implementation and evaluation of goals and objectives, policies and procedures, and operating parameters related to Revenue Cycle compliance. In a timely fashion, assist with updating and distributing applicable policy and procedures with current compliance information, along with notification and/or training on the effect or implication of such policy or procedure on the Revenue Cycle department.
</li><li>Collaborate with other Revenue Cycle Management and clinical departments to resolve claim issues as needed.
</li><li>Additional Responsibilities &ndash; As determined by the VP of System Operations, with guidance from the Manager of Regulatory and PPS Compliance, the leadership teams from Mary Free Bed and the company system locations. It requires frequent travel to all sites across the entire multi‑state system.
</li></ul>Leadership Must-Haves will be followed for patient and staff interactions:
<ul><li>We&rsquo;ll embrace all people by:
<ul><li>T reating everyone with dignity and respect.
</li><li>O pening more doors to opportunity for others to succeed.
</li><li>G rowing talent and people.
</li><li>E nsuring a welcoming experience for all we serve, regardless of origin, race, religion, disability, sexual orientation or socioeconomic status.
</li><li>T aking action against discrimination.
</li><li>H onoring our differences and how we collaborate.
</li><li>E ducating staff, patients and the communities we care for.
</li><li>R estoring hope and freedom, together.
</li></ul></li><li>Rounding
</li><li>Thank You Notes
</li><li>Employee Selection/Peer Interviewing
</li><li>Key Words at Key Times
</li><li>AIDET&reg; + Promise
</li><li>Standards of Behavior
</li></ul>Customer Service Responsibilities
Demonstrate excellent customer service and standards of behaviors as well as encourages, coaches, and monitors the same in team members. This individual should consistently promote teamwork and direct communication with co-workers and deal discreetly and sensitively with confidential information.
Responsibilities in Quality Improvement
Contribute by identifying problems and seeking solutions. Promote patient/family satisfaction where possible; participate in departmental efforts to monitor and report on customer service.
Essential Job Qualifications
<ul><li>Education: Associate&rsquo;s Degree or higher required.
</li><li>Licensure (Preferred, Not Required): Active licensure as a Registered Nurse (RN), Physical Therapist (PT), Occupational Therapist (OT), or Speech-Language Pathologist (SLP).
</li></ul><ul><li>Strong consideration for experience in the Inpatient Rehabilitation Facility Prospective Payment Systems, revenue cycle, Health Information Management or coding, with exposure to CMS regulatory concerns.
</li><li>Ability to travel frequently to all system locations across the entire multi‑state system.
</li><li>Accurate decision-making and strong interpersonal communication skills.
</li><li>Information management skills and ability to interpret, communicate, and present data. Demonstrated excellent written and verbal communication skills.
</li><li>Demonstrated ability to work both independently and in conjunction with a team of professionals for problem solving.
</li><li>Sense of urgency, collaborative team style, and ability to quickly adapt to changes in priorities.
</li><li>Ability to multi-task and delegate tasks for timely project completion.
</li><li>Demonstrated commitment to organizational mission with a &ldquo;whatever it takes&rdquo; attitude to get the job done.
</li><li>Excellent organizational skills
</li></ul>Physical Requirements for Essential Job Qualification
Levels :
<ul><li>None (No specific requirements)
</li><li>Occasionally (Less than 1/3)
</li><li>Frequently (1/3 to 2/3)
</li><li>Majority (More than 2/3)
</li></ul>Remain in a stationary position: Frequently
Traverse or move around work location: Occasionally
Use keyboard: Majority
Operate or use department specific equipment: None
Ascend/Descend equipment or ladder: None
Position self to accomplish the Essential Functions of the role: Occasionally
Receive and communicate information and ideas for understanding: Majority
Transport, position, and/or exert force:
Up to 10 pounds: Occasionally
Up to 25 pounds: Occasionally
Up to 50 pounds: None
Up to 75 pounds: None
More than 100 pounds: None
Other weight: Up to___ pounds _____
 Other: _____
Consistent with the Americans with Disabilities Act (ADA), it is the policy of Mary Free Bed Rehabilitation Hospital to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Talent Acquisition team at recruitment@maryfreebed.com .
Mary Free Bed is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, genetic information, veteran status, disability or other legally protected characteristic.</div>

Prospective Payment & Revenue Management Specialist

<div>Patient Service Representative - Psychology SchedulingDay Shift (United States of America)
<div><div>Hours: 8 hour shift during the Hours of Operation: 7:00A-6:30P Mon-Thurs, 7:00A-5:30P Friday
</div>Mary Free Bed Summary
</div>We have the great privilege of helping patients and families re-build their lives. It&rsquo;s extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients &ldquo;Ask for Mary,&rdquo; they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients and innovatively serve them. This is true of every employee, from support staff and leadership, to clinicians and care providers.
Mary Free Bed is a not-for-profit, nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient, outpatient, sub-acute rehabilitation, orthotics and prosthetics and home and community programs. With the most comprehensive rehabilitation services in Michigan and an exclusive focus on rehabilitation, Mary Free Bed physicians, nurses and therapists help our patients achieve outstanding clinical outcomes. The growing Mary Free Bed Network provides patients throughout the state with access to our unique standard of care
Mission Statement
Restoring hope and freedom through rehabilitation.
Employment Value Proposition
At Mary Free Bed, we take pride in our values-based culture:
<ul><li>Focus on Patient Care. A selfless drive to serve and heal connects all MFB employees.
</li><li>Clinical Variety and Challenge. An inter-disciplinary approach and a top team of professionals create ever-changing opportunities and activities.
</li><li>Family Culture. We offer the stability of a large organization while nurturing the family/team atmosphere of a small organization.
</li><li>Trust in Each Other. Each employee knows that co-workers can be trusted to make the right decision for our family, patients, staff, and community.
</li><li>A Proud Tradition . Years of dedicated, quality service to our patients and community have yielded a reputation that fills our employees with pride.
</li></ul>Summary
Greet, provide information, and respond to the needs of patients, families, staff, and other visitors at the check-in/out desk including appointment check-in and out, registration, authorization/verification of insurance(s), explanation of benefits; collection of co-pays, assistance with way finding, or other services or resources for a program specific multi-discipline department. Interact in a customer focused manner during referral processing. Provide office support for all Scheduling and Patient Financial Services staff. Work cooperatively with other departments and outpatient staff/leadership to assure financial reimbursement for outpatient services.
Essential Job Responsibilities
<ul><li>Greet, provide information, and respond to the needs of patients, families, staff, and other visitors at the check-in/out desk
</li><li>Accurately collect and analyze all required demographic, insurance/financial, and clinical data elements necessary to pre-register and register all types of patients
</li><li>Coordinate/schedule initial evaluation and subsequent patient appointments for multi-disciplines based on patient needs
</li><li>Manage calls from insurance/care managers to coordinate multi discipline care for patients
</li><li>Collect any expected charge for service provided and complete timely posting of cash collections, accepting and generating appropriate receipts for monies and credit card payments received; provide financial guidance to achieve a mutually acceptable resolution of the expected self-pay balance including options of payment and charity care
</li><li>Receive and properly respond to telephone, electronic, or face-to-face inquiries from patients or their legal representatives
</li><li>Perform all other appropriate activities as directed and as necessary to meet the patient&rsquo;s needs and to achieve expected departmental and organizational outcomes
</li><li>Provide various other responsibilities and clerical/therapist support as delegated by Manager
</li></ul>Customer Service Responsibilities
Demonstrate excellent customer service and standards of behaviors as well as encourages, coaches, and monitors the same in team members. This individual should consistently promote teamwork and direct communication with co-workers and deal discretely and sensitively with confidential information.
Responsibilities in Quality Improvement
Contribute by identifying problems and seeking solutions. Promote patient/family satisfaction where possible; participates in departmental efforts to monitor and report customer service.
Essential Job Qualifications
<ul><li>Minimum of the GED/Diploma, Associates degree preferred
</li><li>Computer experience with high accuracy level of data entry.
</li><li>Excellent telephone and customer service skills.
</li><li>Outstanding organizational, interpersonal, communication, and overall customer service skills.
</li><li>Ability to perform in a high paced environment with a positive attitude and interact with professional staff in an appropriate manner.
</li></ul>Preferred Job Qualifications
<ul><li>Bachelor&rsquo;s Degree in a health-related field
</li><li>Minimum 12-18 months&rsquo; work experience in healthcare with scheduling and/or PFS related job duties.
</li><li>Working knowledge of ICD-10-CM and CPT coding classification systems.
</li><li>Knowledge of medical terminology and clinical rehabilitation.
</li></ul>Physical Requirements for Essential Job Qualification
Levels :
<ul><li>None (No specific requirements)
</li><li>Occasionally (Less than 1/3)
</li><li>Frequently (1/3 to 2/3)
</li><li>Majority (More than 2/3)
</li></ul>Remain in a stationary position: Majority
Traverse or move around work location: None
Use keyboard: Frequently
Operate or use department specific equipment: None
Ascend/Descend equipment or ladder: None
Position self to accomplish the Essential Functions of the role: Frequently
Receive and communicate information and ideas for understanding: Frequently
Transport, position, and/or exert force:
Up to 10 pounds: Occasionally
Up to 25 pounds:
Up to 50 pounds:
Up to 75 pounds:
More than 100 pounds:
Other weight: Up to___ pounds:
 Other: None
Compensation based on experience, starting from $19.50
The above statements are intended to describe the general nature and level of work being performed by employees in this classification. If you require a reasonable accommodation to perform the essential functions of this position, you must request accommodation in writing, within 182 days after you know or should know of the need for accommodation.
Mary Free Bed is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, genetic information, veteran status, disability or other legally protected characteristic.</div>

Patient Service Representative - Psychology Scheduling

<div>Transport Team LeadDay Shift (United States of America)
<div>Job Title : Transport Team Lead
Job Code : 1157
Department : Security
FLSA Class : Hourly/Non-Exempt
Reporting Relationship : Security &amp; Emergency Manager 
Mary Free Bed Summary
</div>We have the great privilege of helping patients and families re-build their lives. It&rsquo;s extraordinarily meaningful work and the reason we greet the day with optimism and anticipation. When patients &ldquo;Ask for Mary,&rdquo; they experience a culture that has been sculpted for more than a century. Our hallmark is to carefully listen to patients and innovatively serve them. This is true of every employee, from support staff and leadership to clinicians and care providers.
Mary Free Bed is a not-for-profit, nationally accredited rehabilitation hospital serving thousands of children and adults each year through inpatient, outpatient, sub-acute rehabilitation, orthotics and prosthetics and home and community programs. With the most comprehensive rehabilitation services in Michigan and an exclusive focus on rehabilitation, Mary Free Bed physicians, nurses and therapists help our patients achieve outstanding clinical outcomes. The growing Mary Free Bed Network provides patients throughout the state with access to our unique standard of care
Mission Statement
Restoring hope and freedom through rehabilitation.
Employment Value Proposition
At Mary Free Bed, we take pride in our values-based culture:
<ul><li>Focus on Patient Care. A selfless drive to serve and heal connects all MFB employees.
</li><li>Clinical Variety and Challenge. An inter-disciplinary approach and a top team of professionals create ever-changing opportunities and activities.
</li><li>Family Culture. We offer the stability of a large organization while nurturing the family/team atmosphere of a small organization.
</li><li>Trust in Each Other. Each employee knows that co-workers can be trusted to make the right decision for our family, patients, staff, and community.
</li><li>A Proud Tradition . Years of dedicated, quality service to our patients and community have yielded a reputation that fills our employees with pride.
</li></ul>Summary
Under the direction of the Security and Emergency Manager, the Transport Team Lead is responsible for direct supervision of the Patient Transport team and administration of the fleet vehicle program. This includes coordinating and collaborating with multiple departments to assess transportation needs, coordinating daily transport schedules, ensuring regulatory standards for company-owned vehicles are maintained, and assisting the organization with planning for vehicle acquisitions.
Essential Job Responsibilities
Patient Transport Program Oversight
<ul><li>Provides direct supervision, training, and development for patient transport personnel including developing a team that provides a warm and welcoming atmosphere for patients.
</li><li>Ensures compliance with appropriate regulatory requirements.
</li><li>Collaborates with the Inpatient Access team and other departments to ensure patient transport needs are met.
</li><li>Conducts inter-departmental training for staff on appropriate use of wheelchair tie-downs and transport procedures.
</li><li>Is available to provide direct transportation support as needed in the event of increased demand or low staffing.
</li></ul>Fleet Management
<ul><li>Primary oversight for the Mary Free Bed Rehabilitation Vehicle Fleet including assisting stakeholders with scheduling and securing routine maintenance for company-owned vehicles.
</li><li>Maintains accurate records of all company-owned vehicles and approved drivers.
</li><li>Completes the administration of gas card program.
</li><li>Assists leadership with fleet acquisition planning by tracking vehicle mileage and maintenance expenses.
</li><li>Ensures all vehicles have appropriate safety equipment as determined by regulatory agencies.
</li><li>Maintains vehicle registrations and collaborates with Risk Management to ensure appropriate insurance coverage is maintained for all company-owned vehicles.
</li></ul>General Responsibilities
<ul><li>Ensures a safe and secure environment during transport for the patient and their belongings
</li><li>Drives company vehicles for outings and other hospital activities with staff or patients for both short and long-distance trips of up to three (3) hours each way while remaining alert and maintaining a high level of professionalism, situational awareness, and decision-making abilities.
</li><li>Transports patients, visitors, or other guests to different areas of the MFB campus by wheelchair or escorting them as needed.
</li><li>Protects all hospital patient and staff confidentiality.
</li><li>Creates and maintains an atmosphere of warmth, personal interest, and positive emphasis.
</li><li>Maintains positive appearance and professional image
</li><li>Adheres to hospital policies
</li><li>Ability to function in an environment with possible exposure to blood borne pathogens or other potentially infectious/hazardous materials, and possible exposure to high or low temperatures as both inside and outside conditions indicate.
</li><li>Must be able to effectively present information in one-on-one and small group situations to guests, clients, and associate
</li><li>Uses verbal communication devices (phones, radios, etc.) in a clear, concise, and professional manner to meet and exceed the internal and external customer service expectations.
</li><li>Utilizes computers and related software (Microsoft Office).
</li><li>Performs other duties as assigned.
</li></ul>Customer Service Responsibilities
Demonstrate excellent customer service and standards of behaviors as well as encourages, coaches, and monitors the same in team members. This individual should consistently promote teamwork and direct communication with co-workers and deal discretely and sensitively with confidential information.
Responsibilities in Quality Improvement
Contribute by identifying problems and seeking solutions. Promote patient/family satisfaction where possible; participates in departmental efforts to monitor and report customer service.
Essential Job Qualifications
<ul><li>High school diploma or GED
</li><li>Must have a valid State of Michigan driver's license
</li><li>Chauffeur license required to obtain within first 30 days of employment
</li><li>Must, within 90-day training period become certified in Basic Cardiac Life Support.
</li><li>Customer service experience (Health Care industry preferred)
</li><li>Ability to work flexible schedules and extended hours as needed.
</li><li>Must have and maintain a driving record with no Operating While Intoxicated (OWI) or Operating While Visibly Impaired (OWVI) infractions and 4 points or less (to meet company fleet insurance requirements).
</li><li>Must have problem resolution skills
</li><li>Must have ability to manage multiple priorities and multi-task
</li><li>Ability to work in inclement weather (hot, cold, rain, snow, etc.) for an entire shift. Note: Shifts will not be cancelled due to inclement weather and all employees will be required to attend their scheduled shifts and maintain a high quality of work despite weather conditions
</li><li>Ability to speak, read and write standard English language; to read and comprehend simple instructions, short correspondence, and memos; to write simple correspondence
</li><li>Must be able to apply reasoning and understanding to carry out instructions furnished in written, oral, or diagram form
</li></ul>Preferred Job Qualifications
<ul><li>Bilingual
</li><li>Previous Fleet Management Experience
</li></ul>Physical Requirements for Essential Job Qualification
Levels :
<ul><li>None (No specific requirements)
</li><li>Occasionally (Less than 1/3)
</li><li>Frequently (1/3 to 2/3)
</li><li>Majority (More than 2/3)
</li></ul>Remain in a stationary position: Frequently
Traverse or move around work location: Frequently
Use keyboard: Frequently
Operate or use department specific equipment: Occasionally
Ascend/Descend equipment or ladder: Occasionally
Position self to accomplish the Essential Functions of the role: Occasionally
Receive and communicate information and ideas for understanding: Frequently
Transport, position, and/or exert force:
Up to 10 pounds: _____
Up to 25 pounds: Frequently
Up to 50 pounds: _____
Up to 75 pounds: _____
More than 100 pounds: Frequently 
Consistent with the Americans with Disabilities Act (ADA), it is the policy of Mary Free Bed Rehabilitation Hospital to provide reasonable accommodation when requested by a qualified applicant or employee with a disability, unless such accommodation would cause an undue hardship. The policy regarding requests for reasonable accommodation applies to all aspects of employment, including the application process. If reasonable accommodation is needed, please contact the Talent Acquisition team at recruitment@maryfreebed.com .
Mary Free Bed is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, age, genetic information, veteran status, disability or other legally protected characteristic.</div>

Transport Team Lead

Join Mary Free Bed Rehabilitation Hospital and explore 3   exciting career opportunities. They're hiring for various roles with options for remote or on-site work. Apply today and become part of their innovative team.

Mary Free Bed Rehabilitation Hospital

About Company

Prospective Payment & Revenue Management Specialist

Patient Service Representative - Psychology Scheduling

Transport Team Lead