Home Care Advisor

7 days ago


Neptune City, New Jersey, United States Hackensack Meridian Health Full time
About the Role

We are seeking a skilled and compassionate Home Care Advisor to join our team at Hackensack Meridian Health. As a key member of our organization, you will play a vital role in providing exceptional patient care and ensuring seamless referrals for home care services.

Responsibilities
  • Referral Management: Process assigned Central Intake referrals, procure necessary documentation, and ensure clean billing for timely reimbursement.
  • Customer Service: Demonstrate optimum customer service skills, answer incoming telephone calls, and monitor referral management systems for new and referral updates.
  • Authorization and Verification: Perform authorization and verifications for identified product lines, enter required information into appropriate systems accurately, and assure clean claims for timely reimbursement.
  • Communication and Collaboration: Network and build relationships with facility staff, provide information to referral sources regarding programs and services available, and assist with outside referrals if necessary.
  • Problem-Solving and Adaptability: Identify opportunities for cross-selling, utilize shared drive for insurance contracts, and problem-solve with staff on any pertinent patient referral issues.
Requirements
  • Education and Experience: High School diploma, general equivalency diploma (GED), and/or GED equivalent programs. Proficient in Google Space.
  • Skills and Abilities: Strong customer service skills, ability to work in a fast-paced environment, and excellent communication and problem-solving skills.
Preferred Qualifications
  • Home Care Experience: One (1) or more years of healthcare experience, including home care experience.
  • Billing/Insurance Authorization Experience: Experience with billing and insurance authorization, including knowledge of current Medicare reimbursement criteria and insurance contracts.


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