Intake Specialist

Description:

• Verifies insurance eligibility and benefits of prospects/referrals and determines LHC rate requirements as it relates to in or out of network coverage on a daily basis in an accurate and timely manner.
• Communicates patient benefits in a timely manner using the appropriate legacy system and associated software application as found in patient notes, tasks, workflow, email, etc.
• Documents and forwards patient deductible, out-of-pocket expense, life time maximum, home health or hospice days and patient responsibility to the agency.
• Reviews and replies to branch locations urgent requests
• Obtains all authorization needed from payer for services ordered or requested
• Documents specific details related to the authorization including effective and end dates
• Serves as a liaison between the branch location and the payer on a regular basis.
• Manages work assignment to ensure all tasks and coordination notes are completed.

Additional Skills & Qualifications:

Candidates MUST be available to work from 8:00am - 5pm daily. They must also have the flexibility to work a 10am -6:30pm schedule 1-2 days per week depending on staffing.

The month of January is a BLACKOUT month - no time off requests will be accepted. Please make sure candidates are aware of this.

• High school diploma required
• Former revenue cycle experience is preferred; not required
• EPIC experience is preferred; not required (translates well to their HomeCare/HomeBase system)
• Excellent oral and written communication skills
• Excellent organizational and analytical skills
• Must be a independent and critical thinker