Job Description

Join our team as a day shift, part-time, Outpatient Physical Therapy Case Reviewer in Amarillo,TX.

Why Join Us?

Thrive in a People-First Environment and Make Healthcare Better

• Thrive: We empower our team with career growth opportunities, tuition assistance , and resources that support your wellness, education, and financial well-being.
• People-First: We prioritize your well-being with paid time off, comprehensive health benefits, and a supportive, inclusive culture where you are valued and cared for.
• Make Healthcare Better: We use advanced technology to support our team and enhance patient care.

Get to Know Your Team:

• BSA Outpatient Therapy Services is a rehabilitation facility for patients recovering from major illness or injury outside of a hospital setting. We offer various rehabilitation services, including aquatic therapy, lymphedema therapy, diabetes education, Occupational Therapy, Pediatric Therapy, Physical Therapy, Speech Therapy, and the area’s only certified Cardiac Rehabilitation program.

• The Outpatient Therapy Services Case Reviewer assesses the social, psychological, cultural, environmental, and financial situations concerning the patient and family.
• Acts as a patient/family advocate, promoting rights and dignity while striving to involve the patient/family in aspects of care as appropriate.
• The Case Reviewer also facilitates the outpatient rehabilitative service needs to provide an optimal age-specific continuum of care for the populations listed below.
• Act as a patient and caregiver advocate.
• Work with the entire healthcare team to improve the quality of patient care, patient safety and customer service.
• Act as a good steward of the patient’s healthcare resources and the resources of the hospital.
• Screening and assessment of patient benefits and authorization for the provision of physical, occupational, and speech therapy services, as well as cardio pulmonary rehabilitation services.     
• Coordinate care to ensure consults, tests, and procedures are performed in a manner appropriate and consistent with patient choice and resources.
• Communicate in both written (in the medical record) and oral fashion all contributions to the progression of care in a way that is easily understood by the patient, the caregiver and the healthcare team.
• Use compliant and ethical behaviors to ensure that federal, state, hospital, and patient self-determinations are met.
• Ensure that community resources are readily known.

Job Requirements :

• High School Diploma or GED.

• One of the following:
  • RN Texas License
  • License Insurance Adjuster - within 1 year of employment
  • Medical Billing / Coding Certification - within 1 year of employment.
• 1-3 years of experience in a case reviewer, case manager, or equivalent benefits authorization role.
• Basic Life Support Certification – within 30 days of employment

Preferred Job Requirements: 

• Associate's degree or Bachelor's degree.
• Previous registration, insurance authorization, and benefits management.
• Previous use of Epic or a similar EMR system.
• Prior experience with HCPCS coding and billing.

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