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Referral Management Specialist
2 months ago
Job Type
Full-time
About AdaptHealth
At AdaptHealth, we are dedicated to providing comprehensive home medical equipment solutions that empower individuals to lead fulfilling lives outside of healthcare facilities. We are seeking motivated individuals who are committed to enhancing the quality of patient care.
Position Overview: Intake Specialist
The Intake Specialist plays a crucial role in our operations, handling a variety of tasks that include precise data entry, managing inventory and services in essential databases, liaising with referral sources, and effectively utilizing technology to document patient interactions. The schedule for Intake Specialists may vary according to branch needs.
Key Responsibilities:
- Process referrals within designated timeframes, ensuring adherence to productivity and quality benchmarks.
- Engage with referral sources, physicians, or their staff to guarantee that documentation is directed to the correct physician for necessary signatures and completion.
- Accurately input referrals into the appropriate systems based on the nature of the referral.
- Collaborate with local branch leadership to ensure the correct inventory and services are provided.
- Support other regional team functions as required.
- For non-Medicaid patients, communicate financial responsibilities, collect payments, and document accordingly in patient records.
- Adhere to company policies and procedures to ensure the correct shipping methods are used for service delivery.
- Respond to phone inquiries promptly and assist callers effectively.
- Review medical records for non-sales assisted referrals to ensure compliance standards are met prior to service provision.
- Exhibit expertise in payer guidelines and clinical documentation to assess qualification status and compliance for all equipment and services.
- Work with community referral sources to obtain compliant documentation in a timely manner to facilitate the referral process.
- Contact patients when received documentation does not meet payer guidelines to provide updates and suggest additional options to aid the referral process.
- Collaborate with the sales team to gather necessary documentation to support the referral process and maintain relationships with referral sources.
- Navigate multiple online EMR systems to retrieve relevant documentation.
- Coordinate with the verification team to ensure all requirements are met for both teams to provide accurate information to patients and secure payments.
- Ability to interact appropriately with patients, referral sources, and team members.
- Strong decision-making capabilities.
- Analytical and problem-solving skills with a keen attention to detail.
- Excellent verbal and written communication skills.
- Outstanding customer service and telephone etiquette.
- Proficient in computer skills and familiar with Microsoft Office.
- Ability to prioritize and manage multiple responsibilities effectively.
- Strong aptitude for learning new technologies and understanding data flow through systems.
- High School Diploma.
- At least one (1) year of relevant experience in healthcare administration, financial services, insurance customer service, claims, billing, call center, or management, regardless of industry.
- Experience in a Medicare-certified HME, IV, or HH environment that routinely bills insurance is preferred.
AdaptHealth is an equal opportunity employer and does not discriminate against employees or applicants based on race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all aspects of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.