Full-Time Central Intake Coordinator

Central Intake Coordinator

Responsibilities:

• Completes referrals using gathered information to coordinate service eligibility, insurance verification, authorization, and care coordination.
• Handles requests for problem-solving of referral source information regarding patient admissions.
• Ensures maximum third-party reimbursement through monitoring insurance verification and authorization.
• Communicates with providers, clinical staff, and caregivers to obtain pertinent information.
• Handles all daily patient referrals and intake operations, reviewing and processing pending referrals.
• Enters demographic and insurance information for new customers and updates as needed.
• Completes registration of clients into the home care management program accurately and timely.
• Informs location staff of received referrals with details on deductible, coinsurance, and copay.
• Adheres to HIPAA confidentiality rules.
• Assists with identifying and reporting potential quality management and non-coverage issues.
• Obtains authorization for home health services (initial and ongoing).
• Interfaces with providers, office staff, clinical staff, and caregivers for additional information required for authorization approval.
• Provides direct support regarding utilization, authorization, and referral activities.
• Contacts providers and families with authorization, denial, and appeals process information.
• Completes monthly authorization expiry reports and informs location of upcoming renewals.
• Completes any changes to health insurance in KanTime.
• Verifies eligibility of members and member benefit coverage (initial and ongoing, 1st and 15th of each month).
• Reports discrepancies to relevant personnel (Director of Clinical Services, Director of Therapy, Account Manager, and Director of Central Intake).
• Insurance Knowledge: General knowledge of state Medicaid plans, private insurance plans, Medicare, and Veteran Affairs.
• Performs other duties assigned by the Director of Central Intake.
• Supports and executes company mission, ethics, and goals.
• Maintains a positive and professional demeanor.
• Adheres to dress code and professional appearance.
• Reports on time and completes work within designated timeframes.
• Adheres to company policies and procedures.
• Qualifications:
• High School Education; Associate's Degree preferred.
• Insurance experience.
• Home health experience preferred but not required.
• Exceptional Customer Service skills.
• Detailed-oriented.
• Familiarity with ICD-10 coding.
• Ability to work independently and remotely.
• Basic to intermediate Excel skills.
• 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 use of standard computer programs for data entry and organization.

What is the last date for applying to the job?

Which countries are accepted for this remote job?