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Referral Management Specialist

2 months ago

Phoenix, Arizona, United States AdaptHealth corp. Full time

AdaptHealth Opportunity – Join Our Team

At AdaptHealth, we are dedicated to providing comprehensive home medical equipment solutions that empower patients to thrive outside of hospital settings.

We are currently seeking motivated individuals in your area who are committed to enhancing the quality of life for our patients. If you are enthusiastic about making a significant difference, we invite you to consider this opportunity.

Position Overview: Intake Specialist

The Intake Specialist plays a crucial role in our operations, encompassing a variety of tasks such as precise data entry, managing inventory and services within essential databases, liaising with referral sources, and effectively utilizing technology to document patient interactions.

Key Responsibilities:

  • Process referrals promptly, adhering to established productivity and quality benchmarks.
  • Manage incoming and outgoing calls efficiently.
  • Engage with patients, referral sources, and medical staff to ensure proper documentation is submitted for necessary approvals.
  • Accurately input referrals into the designated system based on the nature of the referral.
  • Collaborate with branch leadership to guarantee the appropriate services and inventory are available.
  • Support regional team initiatives as required.
  • For non-Medicaid patients, communicate financial responsibilities, collect payments, and maintain accurate records.
  • Follow company protocols to ensure the correct shipping methods are utilized for service delivery.
  • Respond to phone inquiries promptly and assist callers as needed.
  • Review medical records for non-sales assisted referrals to ensure compliance standards are met prior to service delivery.

As an expert in payer guidelines and clinical documentation, you will assess qualification status and compliance for all equipment and services.

Additional Responsibilities:

  • Work with community referral sources to secure compliant documentation swiftly to streamline the referral process.
  • Contact patients when documentation does not meet payer guidelines to provide updates and explore alternative options.
  • Collaborate with the sales team to gather necessary documentation to facilitate the referral process and strengthen referral source relationships.
  • Navigate multiple online EMR systems to retrieve relevant documentation.
  • Coordinate with the verification team to ensure all requirements are met for accurate patient information and payment processing.

Skills and Qualifications:

  • Strong interpersonal skills to interact effectively with patients, referral sources, and team members.
  • Proficient decision-making abilities.
  • Analytical mindset with a keen attention to detail.
  • Excellent verbal and written communication skills.
  • Outstanding customer service and telephone etiquette.
  • Proficient in computer applications, particularly Microsoft Office.
  • Ability to prioritize tasks and manage multiple responsibilities.
  • Quick learner with a solid understanding of new technologies and data flow within systems.

Minimum Qualifications:

  • High School Diploma.
  • At least one year of relevant experience in healthcare administration, financial services, insurance customer service, claims, billing, or call center operations.
  • Experience in a Medicare-certified HME, IV, or HH environment that routinely bills insurance is preferred.

AdaptHealth is committed to equal opportunity employment and does not discriminate against any employee or applicant 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.