Intake Specialist

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

📋 Description

• Assess medical records, clinical documentation, and payer guidelines to ascertain patient eligibility, qualification status, and compliance before service delivery.

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

• Reach out to patients when documentation fails to meet payer requirements, offering updates and alternative options to facilitate timely care.

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

• Utilize knowledge of payer requirements to guarantee services are rendered appropriately and in compliance.

• Maintain accurate and timely documentation of patient information and communications in electronic systems.

• Enter referrals within designated timeframes while adhering to productivity and quality standards.

• Coordinate with leadership to ensure the selection and scheduling of appropriate inventory and services.

• Work together with sales, insurance verification, and internal support teams to streamline the referral and intake process.

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

• Ensure that suitable shipping and delivery methods are chosen in line with company procedures.

• Respond to incoming calls swiftly and provide professional assistance to patients and referral sources.

• Participate in an on-call rotation during non-business hours as per company policy.

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

• Perform additional related duties as assigned.

⛳️ Requirements

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

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

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

• Experience within a healthcare organization, pharmacy, HME, medical supply, or Medicare-certified environment is advantageous but not essential.

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

• Capability to multitask in a fast-paced environment.

• Proficient in computer skills; familiarity with Microsoft Office and healthcare systems is a plus.

• Comfortable learning new technologies and navigating various systems.

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

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

• A Motor Vehicle Record Check conducted by the company is required for all driving roles.

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

🏝️ Benefits

• Competitive compensation and incentives.

• Comprehensive total rewards and benefits package.

• Opportunities for development and advancement.

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

• 401(k) plan with company match.

• Paid Time Off plans that include 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.