Intake Referral Specialist
3 weeks ago
This role is responsible for ensuring accurate information flows from the hospital to the Village Home Health (VHH) system, maintaining accurate records and facilitating timely admissions. The incumbent will verify Medicare coverage, collect referral documents, and enter diagnostic codes into the EMR system for accurate billing and coding.
Essential Functions- Verify Medicare or other insurance coverage information and enter into the EMR system for accurate billing.
- Collect all necessary referral documents, including signed face-to-face from physicians, demographic information, insurance, and history and physical.
- Contact referral sources to clarify patient information and/or obtain additional clinical information necessary to complete referrals and schedule patients for admission in a timely manner.
- Provide high-level customer service relationships with current and potential referral sources to ensure proper and timely communication.
- Document all communication regarding referrals into the EMR system.
- Determine patient appropriateness for services consistent with facility/agency service policies and admission criteria.
- Plan for admission of patients/residents in coordination with Intake Scheduling Coordinator.
- Complete daily reports for pending admissions and provide this information to the care team members.
- Inform team members of unusual or potentially problematic patient/family issues.
- Participate in agency and community programs to promote professional growth and understanding of care.
- Demonstrate familiarity with policies of the agency and rules and regulations of state and federal bodies.
- Requires a high school diploma or GED.
- Requires a current valid driver's license.
- Certified Medical Administrative Assistant (CMAA) certification preferred.
- Medical Coder and Biller Certification (MCBC) certification preferred.
- Basic knowledge of medical administrative procedures.
- Intermediate knowledge of medical terminology and/or Anatomy & Physiology.
- Excellent communication and interpersonal skills.
- Strong organizational and time-management skills and ability to quickly identify problems and find solutions.
- Ability to work independently and as part of a team in a fast-paced environment.
- Intermediate keyboarding skills.
- Intermediate level knowledge of Microsoft Windows and Office applications - Word and Excel.
- Ability to read, analyze, and interpret general business documents, technical procedures, or governmental regulations.
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