Full-Time Central Intake Coordinator

Job Title: Central Intake Coordinator

Reports to: Sr. Director of Central Intake

Responsibilities:

• Completes referrals, gathering information to coordinate service eligibility, insurance verification, authorization, and care coordination.
• Facilitates problem-solving for referral sources related to patient admissions.
• Ensures maximum third-party reimbursement through insurance verification and authorization.
• Communicates with providers, clinical staff, and caregivers for pertinent information.
• Handles daily patient referrals and intake operations, reviewing and processing pending referrals.
• Enters demographic and insurance information for new customers and updates as needed.
• Registers clients into the home care management program accurately and timely.
• Informs location staff of referrals with details on deductible, coinsurance, and copay.
• Adheres to HIPAA confidentiality rules.
• Assists with identifying and reporting quality management and non-coverage issues.
• Communicates with relevant parties for authorization of home health services (initial and ongoing).
• Interfaces with providers/office staff/clinical staff/caregivers for authorization approval.
• Provides direct support regarding utilization, authorization, and referral activities.
• Contacts providers and families with authorization, denial, and appeal process information.
• Completes monthly authorization expiry reports and notifies location of upcoming renewals.
• Completes changes to health insurance in KanTime.
• Verifies member eligibility and benefit coverage (initial and ongoing, 1st and 15th of each month).
• Reports discrepancies to relevant directors and account managers.
• Demonstrates general knowledge of state Medicaid plans, private insurance plans, Medicare, and Veteran Affairs.
• Performs other duties assigned by the Director of Central Intake.
• Supports company mission, ethics, and goals.
• Maintains a positive and professional demeanor in the company and community.
• Adheres to dress code, maintaining a clean and neat professional appearance.
• Reports on time and as scheduled.
• Adheres to company policies and procedures.

Qualifications:

• High School Education; Associate's Degree preferred
• Insurance experience
• Home health experience preferred
• Exceptional customer service skills
• Detail-oriented
• Familiarity with ICD-10 coding
• Ability to work independently and remotely
• Proficient in basic to intermediate Excel applications
• Strong verbal and written communication skills (additional languages preferred)
• 1+ year experience in a clinical environment (preferred)
• In-depth knowledge of benefits and authorizations
• Proficient with standard computer programs for data entry and organization

Benefits:

• Health, dental, and vision coverage
• Health Savings Accounts (HSA)
• Flexible Spending Accounts (FSA & LPFSA)
• Dependent Care Reimbursement Accounts (DCRA)
• 401(k) retirement plan
• Paid Time Off (PTO)
• 100% company-paid basic life insurance

Equal Employment Opportunity (EEO): All information will be kept confidential.

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