Intake Specialist

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

📋 Description

• Analyze medical records, clinical documentation, and payer guidelines to assess patient eligibility, qualification, and compliance prior to delivering services.

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

• Reach out to patients when the documentation fails to meet payer standards, offering updates and alternative solutions to ensure 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 correctly and in compliance.

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

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

• Coordinate with leadership to ensure proper selection and scheduling of 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 obtain and manage documentation effectively.

• Ensure the selection of appropriate shipping and delivery methods in line with company policies.

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

• Participate in on-call rotation outside of business hours in accordance with company policy.

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

• Carry out other related duties 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.

• Preferred experience in management, administrative, clerical, insurance, billing, claims, call center, or customer service, though 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 strong analytical, problem-solving, and decision-making abilities with a keen attention to detail.

• Ability to juggle multiple tasks in a fast-paced environment.

• Proficient in computer skills, particularly in Microsoft Office and healthcare systems, is a plus.

• Comfortable learning new technologies and managing various systems.

• Capable of working independently while adhering to established procedures and directives.

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

• Clinical roles necessitate valid licensure or 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 matching contributions.

• 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.

• Support, Development, and Advancement Opportunities.