Intake/Benefits Coordinator

Job Summary Responsible for managing all aspects of the client intake process including managing the members of the intake team, establishing, and maintaining positive relationships with customers and referral sources, responding to customer requests and concerns, and managing the insurance verification and authorization processes.

Responsibilities

Directs daily referral and intake operations including providing direct oversight of the establishment and implementation of intake

Ensures compliance with State, Federal, and other referral/intake regulatory

Directs the implementation of improved work methods and procedures to ensure clients are admitted in accordance with

Establishes and maintains positive working relationships with current and potential referral

Ensures maximum third-party reimbursement through insurance verification and authorization

Assists in negotiations for service pricing with insurance Case Managers and other payers within established financial and credit

Builds and monitors community and customer perceptions of HOME LIFE HEALTHCARE, CORP. as a high-quality provider of

Gathers, collates, and reports referral statistics including key customer referral

Maintains comprehensive working knowledge of HOME LIFE HEALTHCARE, CORP. contractual relationships and ensures that clients are admitted according to contract provisions.

Maintains comprehensive working knowledge of community resources and assists referral sources in accessing community resources should services not be provided by HOME LIFE HEALTHCARE,

Handles all telephone calls regarding scheduling and coordination of service delivery personnel to meet client scheduling

Accepts assignments from the Director of Nursing or Chief Clinical Officer

Schedules personnel

Contacts individuals’ assignments and scheduling

Receives a comprehensive "report" of staffing and service activity from the on-call coordinator

Coordinates client requests for service

Accurately schedules clinician in EMR (Kinnser) as needed and notifies clients regarding the status of their services

Assists in determining client needs and provides general information regarding services

Coordinates personnel scheduling requests as needed

Accurately records employee availability and coordinates availability with service requests

Notifies personnel in a timely fashion if the client cancels a request. Makes every attempt to reschedule agency personnel on another assignment

Contacts personnel, as needed, to request availability to work

Maintains an accurate telephone log of all communications with agency personnel and referral sources

Consults with the case manager or supervisor for any of the following:

Clients needing initial or emergency assessments

Inability to staff a client

Client complaints unable to be resolved

Service delivery personnel complaints or issues unable to be resolved

Clinical issues or problems needing the attention of a nurse

Provides "on-call report" to the supervisor each evening

Reports status of assignments given by the supervisor that day

Reports service requests received during office hours and the status of the requests

Reports information received from or about personnel including:

Availability received (dates, times, )

Changes in personnel status (active, inactive, part-time, )

Changes in personnel addresses, phone numbers,

Problems in scheduling or actions requiring disciplinary action

Any other information which might be useful to the supervisor in providing quality services to clients

Benefits and Authorization

Verifies third party reimbursement coverage

Follows up on pending unresolved coverage issues

Obtaining initial authorization from payer sources to begin services

Obtains authorization from insurance companies and keep tracks of any pending authorizations and overdue

Assisting with resolving insurance issues, reauthorization, and eligibility issues.

Verifying eligibility on a continues basis with all insurance carriers

Communication payer verification or benefits issues

Facilitating follow-up with payer staff/case managers regarding ongoing services, eligibility and authorization

Responsible for completing all mandatory and regulatory training programs

Perform other duties as assigned

Qualifications

Complies with accepted professional standards and practice

Two years’ experience in intake/ scheduling position, preferably in private duty or home health

Has an ability to market aggressively and deal tactfully with vendors and referral sources

Has knowledge of corporate business management, governmental regulations, and private payer practices.

Demonstrates good communications skills, negotiation skills, and public relations

Demonstrates autonomy, organization, assertiveness, and flexibility and cooperation in performing job

Is self-directed with the ability to work with little

Has excellent coordination and communication skills.

Educational Requirements

Associates Degree

Experience

At least 2 years experience in Home Health or similar field.

Special Conditions Of Employment

Drug test

Initial and continuous exclusion and sanction/disciplinary monitoring

Any and all additional eligibility requirements based on the specific position

Seniority level

Entry level

Employment type

Part-time

Job function

Human Resources

Industries

Pharmaceutical Manufacturing

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