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 adherence to compliance standards.

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

• Reach out to patients when documentation fails to meet payer criteria, providing updates and alternative solutions.

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

• Utilize expert knowledge of payer requirements to guarantee compliant service delivery.

• Ensure accurate and timely documentation and communication with patients using electronic systems.

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

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

• Work in partnership with sales, insurance verification, and internal support teams.

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

• Choose suitable shipping and delivery methods in accordance with company procedures.

• Handle incoming calls and assist patients and referral sources in a professional manner.

• Participate in on-call rotation outside of regular business hours.

• Adhere to company policies and procedures while performing other related duties as assigned.

⛳️ Requirements

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

• A 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.

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

• Experience within healthcare organizations, pharmacies, HME, medical supply companies, or Medicare-certified environments 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 manage multiple tasks in a fast-paced environment.

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

• Comfortable with learning new technologies and navigating various systems.

• Ability to work independently while following established procedures and guidelines.

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

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

🏝️ Benefits

• Competitive Compensation and Incentives.

• Comprehensive Total Rewards & Benefits.

• Opportunities for Support, Development, and Advancement.

• Extensive medical, dental, and vision coverage.

• 401(k) plan with company matching.

• 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.