Intake Coordinator

Reference Number: 5wxTdt
Location: Auburn, Alabama, US;Birmingham, Alabama, US;Decatur, Alabama, US;Dothan, Alabama, US;Hoover, Alabama, US;Huntsville, Alabama, US;Madison, Alabama, US;Mobile, Alabama, US;Montgomery, Alabama, US;Tuscaloosa, Alabama, US

Intake Coordinator

Job Description

 

The Intake Coordinator acts as a liaison between the referral source and the Pharmacy to ensure a seamless transition from the acute care setting to home care for our patients.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following (other tasks may be assigned):

 

  • Attends work on a regular and predictable basis *Establishes and maintains relationships with referral sources by receiving and processing intake information for potential patients requiring home infusion therapy
  • Facilitates intake process by procuring all patient information necessary to determine home infusion admission based on supportive clinical data, prescribed therapy, assignment of home infusion benefits, and following all patient acceptance criteria policies and procedures
  • Identifies participating payers and contractual pricing agreements
  • Verifies health insurance coverage using verification forms
  • Inquires about case management, with authorization number, and pre-certification /maintains authorization numbers
  • Performs case management updates for changes in therapy and patient status
  • Once verification is complete and admission criteria is reviewed and approved by clinical staff, contacts referral source to notify of acceptance or denial of referral
  • When needed, coordinates the discharge plan with the referral source/discharge planner, nursing agency when applicable, pharmacy, and patient/caregiver
  • Establishes relationships with licensed and certified nursing agencies to provide clinical nursing services to pharmacy patients
  • Notifies patient or approved patient advocate, and explains their financial responsibilities
  • Completes all applicable sections of Intake and Confirmation forms and enters into CPR+
  • Negotiates pricing with case management under the direct supervision of Center Manager
  • Assists with the creation and maintenance of Medicare CMNs
  • Obtains and tracks authorizations
  • Completes monthly re-verification of Medicaid recipients
  • Documents credit and cash co-payments made at location level
  • Obtains clinical documentation necessary for billing
  • Performs any other pertinent duties as assigned by supervisor
  • Responsible for the intake of personal referrals
  • Data-entry and updating patients' demographic information I
  • Insurance benefit verification and coordination with nursing and pharmacy staff
  • Prepares and manages paperwork and documentation for billing and collections
  • Resolves patient/payee issues in a timely manner
  • Performs other duties as assigned

 

Qualifications

 

EDUCATION/EXPERIENCE - *high school diploma or equivalent *2-5 years of medical terminology, insurance verification, and/or medical services experience required *1-2 years of experience with home infusion preferred *Experience with ICD-9 coding preferred *College degree is desirable *Two to Three years experience with home care, discharge planning, or insurance billing a plus LANGUAGE SKILLS - *Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations *Ability to write reports, business correspondence, and procedure manuals *Ability to effectively present information and response to questions from groups of managers, clients, customers, and the general public CERTIFICATES, LICENSES, REGISTRATIONS -- *Maintains all certificates, licenses, registrations, and continuing education credits as required by all state and federal regulatory institutions *Maintain a current insurable driver's license

Admin/Clerical Staff
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