The perils of rehab

While I was at my rehab conference, I talked to lots of folks. One of the biggest issues was reimbursement.

Now I know why there are issues. If companies only hire for a bare minimum set of qualifications for their staff (see below), it's no wonder why all the case managers in the audience said they were coloring their hair due to it turning white prematurely.

Clinical Appeals Reviewer 
Job Description:

Primary Responsibilities:

    Provide expertise or general support in reviewing, researching, investigating,and resolving all types of appeals.
    Communicate issues, implications, and decisions with appropriate parties.
    Analyze and identify trends for Appeals.


Job Requirements:
Required Qualifications:

    High School Diploma/GED.
    1+ year of Telephonic Customer Service experience.
    1+ year of Healthcare Insurance experience.
    Proficiency with Microsoft Outlook, Word, and Excel, including the ability to create spreadsheets and filter data.

Preferred Qualifications:
    Familiarity with Medical Terminology

Funny, but no where did it say this person ought to be a nurse. You get what you pay for...just sayin'

More to come...