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Intake Specialist
4 months ago
The ideal candidate will have a strong background in infusion therapy and be able to provide exceptional customer service to our patients.
If you are a detail-oriented individual with a passion for providing exceptional patient care, we encourage you to apply for this exciting opportunity.
Reports to:
Departmental Lead, Supervisor or
Manager Job Type:
Full-Time, 40 hours per week, Monday
- Friday 8:30am to 5:00pm ESTLocation: Hybrid, out of either New Providence, NJ or Lenexa, KS Requirements High school diploma or GED Previous experience working with insurance companies and healthcare professionals (physicians, nurses, etc.)
Job Responsibilities, included but not limited to:
Obtains initial patient referral admission data and documents Directly interfaces with external clients and obtains initial authorization Notifies appropriate staff of all pending referrals and patient admissions Enters new patient information into the order processing system Generates and tracks forms (e.g., LMN, AOB, Consent for Treatment) until all pertinent documentation is receivedConsistently updates patient and clinical information in the order processing system Manages patients on the master log every day and forwards to appropriate staff Responsible for verifying eligibility and benefits through insurance companies including obtaining prior authorizations and/or pre-determinationsCommunicates in writing or via phone with clients, family members, agents, physicians and discharge planners on eligibility requirements, policy benefits, eligibility determinations and contract provisionsProactively researches and resolves issues impacting benefit coverage and revenue optimizationPerforms medical /pharmacy benefit verification requiring complex decision skills based on payer and process knowledge resulting in on boarding or case determined a "no go"Contacts benefit providers to gather policy benefits/limitationsCoordinates and ensures services provided will be reimbursable (e.g., deductible amounts, co-payments, effective date, levels of care, authorization, etc.)Communicates with patients regarding Welcome and Financial call informationWorks closely with the billing department for re-authorizations or billing needs, etc.
Other duties assignedPhysical DemandsThe physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is regularly required to talk and listen. The employee is required to occasionally walk, and bend or stand as necessary.This position requires the ability to occasionally open filing cabinets, lift office products and supplies of 25 pounds but no more than 50 pounds.
Benefits & Perks Competitive SalaryMedical, Dental, Vision Package 401(k) plan (discretionary)PTO- Vacation, Sick and Personal days, and paid holidaysReferral bonuses & Plum Benefits Discount Ticket Program Lunch & Learn ProgramsEmployee Recognition ProgramEqual Employment Opportunity The PromptCare Companies is committed to Equal Employment Opportunity (EEO) and prohibits employment discrimination on the basis of race, color, age, national origin, religion, gender, gender identity, sexual orientation, pregnancy, marital status, genetic disposition, disability, veteran's status or any other characteristic or classification protected by State/Federal/Local laws.
