Intake Specialist, Bilingual

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 before service delivery.

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

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

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

• Exhibit expert understanding of payer requirements to guarantee that services are rendered appropriately and in compliance.

• Keep precise and timely documentation 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 select and schedule 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 gather and manage documentation effectively.

• Ensure the selection of correct shipping and delivery methods in line with company procedures.

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

• Participate in on-call rotations 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 duties as assigned.

⛳️ Requirements

• A minimum of 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.

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

• Experience in healthcare organizations, pharmacies, HME, medical supply, or Medicare-certified environments is advantageous but not required.

• Exceptional verbal and written communication skills, along with 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; experience with healthcare systems is a plus.

• Willingness to learn new technologies and navigate various systems.

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

• Bilingual proficiency in Spanish is required.

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

• A company-conducted motor vehicle record check is necessary for all driving roles.

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

• Candidates applying for positions in Florida must undergo background screening through the Florida Care Provider Background Screening Clearinghouse, if applicable.

• Candidates applying for positions in California that necessitate on-site presence at a Home Medical Device Retailer facility must obtain a California Department of Public Health (CDPH) Exemptee License.

🏝️ 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-term 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.