Intake Specialist

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

📋 Description

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

• 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 requirements, providing updates and alternative solutions to ensure timely care.

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

• Exhibit expert knowledge of payer requirements to guarantee that services are delivered correctly and in compliance.

• Keep precise and timely records of patient information and communications utilizing electronic systems.

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

• Coordinate with leadership to ensure the appropriate inventory and services are selected and scheduled.

• Work in close partnership 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 the correct shipping and delivery methods are chosen in line with company procedures.

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

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

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

• Carry out other related tasks as assigned.

⛳️ Requirements

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

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

• 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 required.

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

• Capability to multitask in a fast-paced environment.

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

• Willingness to learn new technologies and adeptness in navigating multiple systems.

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

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

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

🏝️ Benefits

• Competitive Compensation and Incentives.

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

• 401(k) plan with company match.

• Paid Time Off Plans, including 6 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.