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Patient Access Coordinator

1 month ago

Texarkana, Texas, United States Lincare Holdings Full time
Job Title: Intake Coordinator

The Intake Coordinator plays a vital role in ensuring a seamless transition from the acute care setting to home care for our patients. This position acts as a liaison between the referral source and the Pharmacy, facilitating the intake process and ensuring that all necessary information is procured to determine home infusion admission.

Key Responsibilities:
  • Establish and Maintain Relationships: Develop and maintain relationships with referral sources to receive and process intake information for potential patients.
  • Facilitate Intake Process: Procure all patient information necessary to determine home infusion admission, including clinical data, prescribed therapy, and health insurance coverage.
  • Verify Health Insurance Coverage: Verify health insurance coverage using verification forms and identify participating payers and contractual pricing agreements.
  • Coordinate Discharge Plan: Coordinate the discharge plan with the referral source, discharge planner, nursing agency, pharmacy, and patient/caregiver as needed.
  • Establish Relationships with Nursing Agencies: Establish relationships with licensed and certified nursing agencies to provide clinical nursing services to pharmacy patients.
  • Notify Patients and Families: Notify patients and families of their financial responsibilities and complete all applicable sections of Intake and Confirmation forms.
  • Assist with Pricing Negotiations: Assist with pricing negotiations with case management under the direct supervision of the Center Manager.
  • Complete Monthly Re-verification: Complete monthly re-verification of Medicaid recipients and document credit and cash co-payments made at the location level.
  • Obtain Clinical Documentation: Obtain and track authorizations, clinical documentation necessary for billing, and prepare and manage paperwork and documentation for billing and collections.
  • Resolve Patient/Payee Issues: Resolve patient/payee issues in a timely manner and update patients' demographic information as needed.

This is an exciting opportunity to join our team at Lincare Holdings and contribute to the delivery of high-quality home infusion therapy services to our patients.