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 compliance before service delivery.

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

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

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

• Exhibit expert knowledge of payer requirements to guarantee that services are delivered appropriately and in adherence to regulations.

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

• Input referrals within designated timeframes while achieving productivity and quality benchmarks.

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

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

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

• Ensure the appropriate shipping and delivery methods are chosen in line with company procedures.

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

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

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

• Carry out other related tasks as assigned.

⛳️ Requirements

• Minimum of 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 required.

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

• Experience in 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 multi-task in a fast-paced environment.

• Proficient computer skills, including Microsoft Office and healthcare systems, are advantageous.

• Willingness to learn new technologies and navigate various systems comfortably.

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

• A company-conducted background check is required for all roles.

• For clinical roles, valid licensure/certification is required where applicable.

🏝️ Benefits

• Competitive Compensation and Incentives.

• Comprehensive Total Rewards & Benefits package.

• Extensive 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.

• Opportunities for Support, Development, and Advancement.