Intake Specialist

Description

HOURS: 7:30 AM - 4:30 PM

The Intake Specialist provides customer service while proactively reviewing scheduled patients for cost share/liabilities prior to patient appointments. Assigns insurance plans accurately, performs electronic eligibility confirmation and documents results, upfront collections prior to the date of service for scheduled and preregistered accounts.

ESSENTIAL DUTIES AND RESPONSIBILITIES

1. Greet patients in a polite, prompt & helpful manner.
2. Provide necessary instructions and direction regarding appointments and/or follow-up care as noted by the provider.
3. Calculate patient cost/share liability and attempts to collect outstanding balance via phone within 78 hours prior to the date of service.
4. Has the ability to schedule and reschedule patient appointments, including provider appointments, radiology, and/or procedures, as directed.
5. Knowledge of clinic functionality for directions to the patient for appointment upon check-in.
6. Has insurance knowledge regarding copay, co-insurance, deductibles, and coverage verification.
7. Request insurance referrals from referring provider or primary care physician as needed for treatment of the patient.
8. Use the current operating system effectively for electronic medical records, including appointment management and use of the system for scheduling properly.
9. Maintain adequate knowledge of patient portal, digital check-in, and overall scheduling operations.
10. Ability to take payments and complete reconciliation of batch timely.
11. Understand billing and payment options.
12. Maintain patient confidentiality and compliance with HIPAA laws and regulations.
13. Manage daily tasks and clinical inboxes.
14. Answer and respond to referrals and voicemails.
15. Assist front-end staff and call center staff in understanding carrier websites and verification of eligibility.
16. Works in conjunction with a reception to ensure clean claim billing.
17. Participate in educational activities and attend weekly/monthly staff meetings.
18. Assists in the development and communication of SOP for key areas to improve accuracy and understanding of processes.
19. Perform any other related duties as required or assigned

Requirements

EDUCATION AND EXPERIENCE

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or ability required:

• Prior registration experience within a skilled nursing or healthcare facility

• Insurance verification and referral knowledge required

• High School Diploma or General Education Degree (GED)

• Ability to navigate electronic medical records system

• Ability to navigate a computer and basic computer programs

• Prior work experience in the release of information is a plus

• Knowledge of medical terminology is a plus

• Knowledge of HIPAA regulations required

• Strong time management and organizational skills with strict attention to detail

• Knowledge of customer service principles and practices

ADDITIONAL INFORMATION

Ability to work independently, to effectively organize and prioritize workflow tasks, and have the ability to professionally and clearly communicate with patients, co-workers, clinical/non-clinical staff, physicians, and executive team in a positive manner.

Work Environment and Physical Demands:

• Work is performed in an office setting

• Physical demands of position: sitting, standing, walking, typing, phone communication, face-to-face conversation.

Salary : $28,000 - $35,500