Intake Specialist

This is a fully remote position, open to applicants in Hawaii.

📋 Description

• Examine medical records, clinical documentation, and payer guidelines to assess patient eligibility, qualification status, and compliance prior to service provision.

• Engage with patients regarding their financial obligations, collect payments when necessary, and accurately document all interactions.

• Reach out to patients when documentation fails to meet payer standards, providing updates and alternative solutions to ensure timely care.

• Collaborate with referral sources, physicians, and clinical teams to secure complete and compliant documentation.

• Utilize extensive knowledge of payer requirements to guarantee that services are provided in a proper and compliant manner.

• Keep patient information and communication records accurate and up-to-date using electronic systems.

• Process referrals within designated timeframes while adhering to productivity and quality benchmarks.

• Work alongside leadership to ensure that the correct inventory and services are chosen and scheduled.

• Partner with sales, insurance verification, and internal support teams to streamline referrals and intake processes.

• Navigate various EMR and online systems to access and manage documentation effectively.

• Choose suitable shipping and delivery methods in accordance with company protocols.

• Respond to incoming calls promptly and provide professional support to patients and referral sources.

• Participate in on-call rotation during non-business hours as outlined by company policy.

• Uphold team operations and quality standards by adhering to company policies and procedures.

• Carry out additional duties as assigned.

⛳️ Requirements

• Minimum of one (1) year of relevant work experience is required.

• A High School Diploma or an Associate’s degree in a related field, Healthcare Administration, Business Administration, or equivalent work experience is necessary.

• Experience in management, administrative, clerical, insurance, billing, claims, call center, or customer service is preferred but not mandatory.

• Familiarity with a healthcare organization, pharmacy, HME, medical supply, or Medicare-certified environment is beneficial but not essential.

• Exceptional verbal and written communication skills, including analytical, problem-solving, and decision-making capabilities with a keen attention to detail.

• Capability to manage multiple tasks in a fast-paced environment.

• Proficient computer skills; knowledge of Microsoft Office and healthcare systems is advantageous.

• Willingness to learn new technologies and navigate various systems.

• Ability to work autonomously while adhering to established procedures and directives.

• A company-conducted background check is mandatory for all positions.

• Clinical roles necessitate valid licensure/certification, where applicable.

🏝️ Benefits

• Competitive Compensation and Incentives.

• Comprehensive Total Rewards & Benefits.

• Extensive medical, dental, and vision coverage (eligible from the first of the month following hire).

• 401(k) plan with company matching.

• Paid Time Off Plans including six paid holidays.

• Employee Stock Purchase Plan.

• Paid Parental Bonding Leave.

• Short and Long-term Disability Insurance.

• Life and AD&D Insurance.

• Flexible Spending Accounts (FSA) and Health Savings Accounts (HSA).

• Access to CVS Minute Clinic and Teledoc services.

• Spousal Advantage Reimbursement Plan.

• Identity Theft Protection and Legal Plan.

• Opportunities for Support, Development, and Advancement.