Intake Specialist - Pensacola - Peoples Home Health, LLC

Description

Job Description

As a vital member of our team, the Intake Specialist plays a crucial role in ensuring seamless admission processes for our clients. This position requires exceptional communication skills, attention to detail, and the ability to navigate complex insurance policies.

Key Responsibilities:

• Accurately enter demographic, financial, and referral data into our computer systems to facilitate timely billing and scheduling.
• Answer phone calls and route referrals accordingly, prioritizing urgent needs and collaborating with CTM's, schedulers, and referral sources to coordinate admission dates and times.
• Prepare client referrals for clinical intake in accordance with company policy, state and federal guidelines, and private insurance contracts.
• Calculate co-pays and deductible amounts based on insurance reimbursement rates and complete necessary documentation for initial authorization.
• Participate in communications and resolution of problems related to insurance interpretation, identifying carriers, verifying benefits, and eligibility.
• Collaborate with CTM/Case Managers to ensure accurate utilization for patient needs and follow up with AE/Liaisons to assure notification of referrals received and documentation needed.
• Provide exceptional customer service, maintain confidentiality, and promote a customer-friendly atmosphere for all visitors.
• Participate in accreditation programs and assist referral sources with finding alternative placements for patients due to insurance reasons.

Requirements:

• High School Graduate (or equivalent) required.
• RN or LPN License preferred.
• Minimum three years of prior experience in a medical field or medical office setting is preferred.
• Knowledge of billing, insurance reimbursement, medical terminology, diagnosis coding preferred.
• Experience with troubleshooting computer errors, maintaining records, and organizing is preferred.
• Proficiency using Microsoft Word and Excel is required.
• Able to prioritize and manage time effectively and make independent decisions when necessary.

Working Conditions:

The ideal candidate will work in an office environment, potentially exposed to biological hazards.