Admissions Intake Specialist

Pruitthealth Corporation; Albany (GA); On-site; USD 37,000 - 48,000; Full time

Job summary

Pruitthealth Corporation in Albany, GA is seeking an Intake Coordinator to facilitate conversion of referrals to admissions through efficient intake processing and strong customer service. The role focuses on financial clearance, insurance verification, and accurate data entry to drive timely admissions.

The position requires 2+ years of relevant experience, proficiency with Microsoft Office, and knowledge of Medicare/Medicaid and commercial insurance.

Qualifications

• 2+ years' experience in intake or related role.
• Proficient in Microsoft Office, Word & Excel.
• Understanding of patient compliance issues, Medicare, Medicaid and Commercial Insurance.
• Excellent communication skills and customer service.
• Familiarity with Medical Terminology.
• Experience working in a call center environment.
• Ability to multi-task, problem solve and demonstrate critical thinking skills.

Responsibilities

• Complete financial clearance for all referrals by determining eligibility.
• Process referrals to assure pre-qualifying of patients efficiently.
• Verifies all primary and secondary insurance information for all incoming patients to include service coverage, benefit maximums and limitations, co-insurance/co-payment, pre-existing clause, coverage.
• Determine effective and termination dates, type of plan, and provider network status.
• Complete all information with attention to timely filing dates and special filing requirements.
• Analyze admission data and prepare assigned reports
• Loads all patient demographic insurance and benefit information into appropriate software system
• Communicates effectively with the referral sources and team members to support the business partnerships being developed by the sales team
• Establish positive relationships with insurers and managed care entities; Third party payors and Case Managers.
• Obtain complete and accurate information to facilitate the admissions process and to maximize the likelihood of reimbursement.
• Utilizes reports to assure accurate and timely information is documented in the appropriate software system.

Skills

Microsoft Office

Communication skills

Customer service

Call center experience

Medical terminology

Job description

Pruitthealth Corporation in Albany, GA is seeking an Intake Coordinator to facilitate conversion of referrals to admissions through efficient intake processing and strong customer service. The role focuses on financial clearance, insurance verification, and accurate data entry to drive timely admissions.

The position requires 2+ years of relevant experience, proficiency with Microsoft Office, and knowledge of Medicare/Medicaid and commercial insurance.