Intake Specialist – Insurance Verification

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

📋 Description

• Evaluate medical records, clinical documents, and payer guidelines to assess patient eligibility, qualification status, and compliance before service provision.

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

• Reach out to patients when 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.

• Utilize in-depth knowledge of payer requirements to guarantee compliant service delivery.

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

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

• Work closely with leadership to ensure appropriate inventory and services are selected and scheduled.

• Partner with sales, insurance verification, and internal support teams to streamline referrals and intake processes.

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

• Ensure correct shipping and delivery methods are chosen in accordance with company policies.

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

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

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

• Undertake 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.

• Preferred experience includes management, administrative roles, clerical work, insurance, billing, claims, call center, or customer service, though not mandatory.

• Experience in a healthcare organization, pharmacy, HME, medical supply, or Medicare-certified setting 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 manage multiple tasks in a fast-paced environment.

• Strong computer skills; familiarity with Microsoft Office and healthcare systems is a bonus.

• Willingness to learn new technologies and navigate various systems.

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

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

• A Motor Vehicle Record Check performed by the company is required for all driving-related roles.

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

🏝️ Benefits

• Competitive Compensation and Incentives.

• Comprehensive Total Rewards & Benefits.

• Support, Development, and Advancement Opportunities.

• Extensive medical, dental, and vision coverage (eligible the first of the month following hire).

• 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.

• Spousal Advantage Reimbursement Plan.

• Identity Theft Protection and Legal Plan.