Current jobs related to Intake Manager - Pittsburgh, Pennsylvania - Advanced Home Health

At Advanced Home Health, our mission is simple yet powerful: to provide innovative, patient-centered, and proactive care in the home. We are committed to quality and the patient experience, leveraging technology and compassion to make care more efficient and effective. Our culture is built on respect, support, and collaboration—we work hard, but we also believe in balance, flexibility, and valuing every member of our team.

• Culture that Cares: We are a close-knit team that celebrates collaboration, growth, and innovation. Your voice matters here, and your contributions will directly impact patient outcomes.

Summary:

The primary purpose of this position is to manage and oversee the intake department. Additionally, this position will provide intake coordinator duties, as needed, including assessing incoming patient referrals and resumptions of care, verifying insurances, and assigning them to the appropriate resource.

Essential Duties and Responsibilities:

The essential duties and responsibilities of the role are as follows:

Leadership

• Assumes managerial responsibility for the maintenance and oversight of day-to-day intake coordination of the companies Home Health operations, based upon coordination with the Branch Director and relevant Clinical Managers and their defined teams at the Branch.
• Responsible for the direct oversight of all intake coordinators which fall under managerial oversight.
• Assist with the interview and hiring process regarding potential team members to assist with determination of fit within the Company.
• Provide critical involvement, assistance and insight regarding critical hiring and firing of team members, including but not limited to overseeing disciplinary actions which may impact their assigned team.
• Provide oversight and training, both initial and continuing, to intake coordinators who fall under managerial supervision.
• Serves as liaison between intake coordinators and executive team regarding all aspects of the intake department.
• Assist in facilitating empathetic accountability of staff, inclusive of assisting with and executing performance evaluations on staff in accordance with organizational policies and procedures, providing insight and recommendations regarding raises or employee status changes.
• Attentive follow-up with staff to ensure assigned goals are being met in accordance with Federal, State and Local regulations.
• Sets standard for staff members by displaying organizational values, work ethic, persistence, follow-through, listening skills, oral/written communication skills, integrity, honesty and follow-through of goals and objectives.
• Assist with the development of and track KPIs related to specific department and provide reports to Company COO and other applicable leaders.
• Hold subordinate staff members accountable to meet necessary goals and objectives.
• Handling complaints and grievances related to assigned team.
• Provide continued communication with senior leaders regarding opportunities to improve.
• Ensures efficiency of execution of organization mission, vision, values and strategies within assigned team.

Growth

• Assists COO, Branch Director and Clinical Manager to responsibly drive patient census in accordance with CEO directives, organization mission, vision, values and strategies, as well as regulatory requirements.
• Assist with the development of team members to encourage their continued growth within the Company.
• Assist in the growth and development of the department to create operational efficiencies.
• Works with executive team to implement new processes and procedures as well as improvements to the department.
• Look for and share with leadership ideas for improvement in the organization.
• Communicate with leadership upon witnessing a positive outcome or detecting barriers preventing success.
• Works closely with the sales and marketing team to facilitate proper patient intake coordination and develop strategies for appropriate communication and efficiencies between the departments.

Quality

• Ensures proper patient care delivery in relation to intake, in adherence with applicable Federal, State and Local laws/regulations as well as accrediting body standards.
• Participate in high value QAPI program.
• Ensures accurate data collection for relevant information and regular, complete reports are received by applicable company members.
• Assists Branch Director and Clinical Managers with coordination between relevant staff members.
• Ensures compliance with all Federal, State, Local and accreditation body requirements and assumes responsibility to oversee that the same are followed by all subordinate staff.

Additionally, the position will require the individual to perform the following core duties:

• Responsible for entering and managing all referrals made to the company, which includes but is not specifically limited to:
• Check all referrals being sent in by phone, fax, or email, as well as reviewing relevant referral portals for patient referral opportunities.
• Continuous review of relevant referral portals for patient referral opportunities.
• Actively reviewing and accepting referrals, from all sources, to ensure the Agency is accepting appropriate patients within applicable services areas.
• Assesses all incoming referrals and establishes needs and insurance.
• Provides verification of all insurance.
• Alerts all parties of insurance information.
• Enter patient data into Electronic Health Record system (EMR).
• Scans all necessary attachments into the applicable systems.
• Reaches out to referral sources to collect missing data.
• Receives and coordinates patient referrals to ensure timely initiation of services.
• Verifies all patient insurance information and coverage and relays information to billing staff to ensure proper and timely billing for services.
• Coordinates the authorization process with Case Managers, agency staff, patients and family members. This includes the application for and appropriate follow-up all authorizations for patients as needed and working with agency staff to coordinate visits within the authorization guidelines.
• Ensure all authorizations received or denied are relayed in a timely manner to the billing staff.
• Communicate with Branch Director and/or Clinical Manager any information received from physician, patient or employees about the patient's care or needs.
• Takes physician orders by phone, documents, notifies appropriate Case Manager and adjusts schedules accordingly as indicated. Files all office records as necessary.
• Follows up with applicable staff to ensure assessment visit scheduled timely.

Competencies (Knowledge, Skills, and Abilities):

• Leadership and Management
• Verbal and Written Communication
• Judgment and Independent Decision Making
• Problem-Solving
• Strategic Thinking
• Assertiveness
• Interpersonal Skills
• Collaboration/Team Player
• Organization
• Time Management
• Sense of Urgency
• Customer Service Orientation
• Attention to Detail
• Quality Orientation
• Confidentiality
• Exercise discretion and judgement with respect to matters of significance in review of the day to day

Physical Demands and Work Environment:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. While performing the duties of this position, the employee is regularly required to talk or hear. The employee frequently is required to use hands or fingers, handle, or feel objects, tools or controls. The employee is occasionally required to stand; walk; sit; reach with hands and arms; climb or balance; and stoop, kneel, crouch, or crawl. Specific vision abilities required by this position include close vision, distance vision, color vision, peripheral vision, and the ability to adjust focus. The noise level in the work environment is usually moderate.

• Incumbent will operate in an office setting, and be required to use a computer with keyboard, telephone or handheld mobile device for extended periods of time, and office machinery as needed.
• Individual may occasionally be required to lift, push, pull, and carry up to 10 pounds.
• Position may be stressful.

Position Type and Expected Hours of Work:

This is a full-time position; typical hours and days are Monday through Thursday, 9:00 AM to 4:00 PM Fridays 9:00 AM to 3:00 PM; additional hours/days may occasionally be required.

Education, Certification(s), and/or License(s) Required:

Associate's degree and/or equivalent work experience. Additionally, prior management and leadership experience is preferred.

Other Requirements:

• One (1) to Three (3) years of medical and/or insurance verification experience.
• Has knowledge of applicable Federal, State and Local laws.
• Ability to develop and implement improved methods of operations.
• Ability to demonstrate self-confidence and positive attitude toward self and others and maintain commitment and enthusiasm to goal achievement.
• Has access to all patient medical records and patient financial accounts as well as personnel records of department staff, and thus must be knowledgeable on HIPAA regulations.
• Knowledge of Microsoft Office Suite, insurance verification websites, referral portals and any other referral sites, as needed.

Job Type: Full-time

Pay: $50, $60,000.00 per year

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Health insurance
• Paid time off
• Vision insurance

Ability to Commute:

• Pittsburgh, PA Required)

Work Location: In person