POSITION SUMMARY:
To perform this job successfully, an individual must be able to perform each essential function satisfactorily, with or without reasonable accommodation. The Intake Specialist plays a vital role in ensuring patients receive high-quality therapy services by processing patient information during the intake process and ensuring all information and documentation is collected, uploaded, and clarified correctly to meet payor and regulatory requirements. Their main responsibilities include verifying eligibility and benefits accurately and in a timely manner; requesting, following up on, and maintaining authorization extensions for all patients; and communicating effectively with patients, payors, regional sales managers, and other healthcare providers.
EDUCATION AND EXPERIENCE REQUIREMENTS:
- High school diploma or GED
- Minimum 2 years’ experience related to patient data collection, insurance verification, care coordination, or patient intake and scheduling
- Knowledge of infusion and injection treatments, including administration methods
RESPONSIBILITIES:
- Evaluate referrals against branch service model parameters
- Responsible for reviewing and entering all received documents and patient information into the database
- Contact patient, regional sales manager, or physician to obtain any missing information necessary to process the referral in a timely manner
- Conduct a health insurance benefit verification coverage for the medication, administration supplies, and related services along with submitting and tracking authorization requests
- Responsible for coordinating the timely evaluation and acceptance of patients referred for service
- Initiate, document, and follow up timely on any prior authorization and/or predetermination requests
- Communicate with patients, referral sources, regional sales managers, other departments, and any other external and internal customers regarding status of referral, coverage and/or other updates to ensure efficient start of care
- Calculate and document patient estimated financial responsibility based off benefit verification, payer contracts, and/or self-pay pricing
- Enroll any qualified patients who express financial need to manufacturer copay assistance programs
- Provide patient financial counseling, collect patient responsibility, and/or establish payment plans as needed
- Ensure all documentation needed for billing is collected prior to or soon after accepting the referral
- Answer incoming calls and emails in a timely and professional manner
- Document all conversations, requests, and follow ups in the patient’s chart
- Ensure work is completed timely to prevent delays in patient care
- Support and assist with training of new associates
- Demonstrates polite, compassionate, and professional behavior at all times
- Responsible for adhering to the department performance programs, policies, procedures, guidelines, and internal control standards established to guide the operation of the Company
- Attends all required in services and departmental meetings throughout the year
- Flexible in learning and efficiently performing other job duties as assigned
QUALIFICATIONS:
- Excellent communication skills, both written and verbal, to effectively collaborate and interact with patients, healthcare professionals, and external clients
- Exceptional attention to detail and organizational skills to manage multiple tasks simultaneously if needed
- Ability to work independently and as part of a team, demonstrating adaptability and problem-solving abilities
- Ability to prioritize and meet deadlines
- Proficiency using electronic medical record systems and other relevant software applications
Job Type: Full-time
Pay: $50,000.00 - $55,000.00 per year
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Work Location: Remote
