Intake Specialist – Insurance Verification

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

📋 Description

• Evaluate medical records, clinical documentation, and payer guidelines to establish patient eligibility, qualification status, and compliance prior to service provision.

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

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

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

• Exhibit advanced knowledge of payer requirements to guarantee that services are rendered accurately and in compliance.

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

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

• Partner with leadership to ensure the correct inventory and services are selected and scheduled.

• Work collaboratively 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 appropriate shipping and delivery methods are chosen in line 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.

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

• Carry out other related duties as assigned.

⛳️ Requirements

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

• A High School Diploma, Associate’s degree in a related field, Healthcare Administration, 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 within a healthcare organization, pharmacy, HME, medical supply, or Medicare-certified environment is advantageous but not required.

• Exceptional verbal and written communication skills, including analytical, problem-solving, and decision-making abilities, with a strong attention to detail.

• Capability to multi-task in a fast-paced environment.

• Proficient computer skills – knowledge of Microsoft Office and healthcare systems is a plus.

• Comfort with learning new technologies and navigating multiple systems.

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

• A company-conducted Background Check is required for all positions.

• A company-conducted Motor Vehicle Record Check is required for all driving positions.

🏝️ Benefits

• Competitive Compensation and Incentives.

• Comprehensive Total Rewards & Benefits.

• Industry-Leading Care & Innovation.

• Paid Time Off Plans including 6 paid holidays.

• 401(k) plan with company match.

• 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.