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 responsibilities, collect payments when necessary, and accurately document all interactions.

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

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

• Leverage knowledge of payer requirements to guarantee that services are delivered appropriately and in compliance.

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

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

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

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

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

• Ensure that appropriate shipping and delivery methods are chosen in accordance with company protocols.

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

• Participate in 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 other related duties 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 related field such as Healthcare Administration or Business Administration, or equivalent work experience is required.

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

• 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.

• Capacity to multi-task in a fast-paced setting.

• Proficiency in computer skills – familiarity with Microsoft Office and healthcare systems is beneficial.

• Comfort in learning new technologies and navigating various systems.

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

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

• Clinical positions 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 match.

• Paid Time Off Plans that include 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.

• Opportunities for Support, Development, and Advancement.