Intake Specialist

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

📋 Description

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

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

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

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

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

• Maintain precise and timely documentation of patient information and communications through electronic systems.

• Enter referrals within set timeframes while adhering to productivity and quality benchmarks.

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

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

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

• Ensure the correct shipping and delivery methods are chosen according to company protocols.

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

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

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

• Perform additional related duties as assigned.

⛳️ Requirements

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

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

• Experience in management, administrative, clerical roles, 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 required.

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

• Ability to manage multiple tasks within 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.

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

• A company-conducted Background Check is compulsory for all roles.

• A company-conducted Motor Vehicle Record Check is mandatory for all driving positions.

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

🏝️ Benefits

• Competitive Compensation and Incentives.

• Comprehensive Total Rewards & Benefits.

• Support, Development, and Opportunities for 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 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.