Central Intake Referral Coordinator (Non-Clinical)

Riverside Hospital; Newport News (VA); Presencial; USD 25 000 - 33 000; Tempo integral

Resumo da oferta

Riverside Health System in Newport News, Virginia is seeking an intake specialist for the Home Care Division. You will perform intake, verify insurance, obtain preauthorizations, and process referrals for service lines, ensuring compliance with Medicare and payer requirements.

This role emphasizes accurate data entry, exceptional customer service by phone and in person, and coordination of services. Two years in healthcare with one year in home care preferred; HS diploma required.

Qualificações

• High School Diploma or GED is required.
• 2 years healthcare experience is required; 1 year homecare preferred.

Responsabilidades

• Performs intake of referrals, insurance verification and preauthorizations for home care service lines.
• Coordinates services and facilitates transfer of referrals when declined.
• Maintains data integrity across computer systems and forms.
• Delivers excellent customer service by phone, in person and via electronic channels.
• Keeps up-to-date with Medicare/insurance information and RHCD products and services.

Formação académica

High School Diploma or GED

Descrição da oferta de emprego

Location

Newport News, Virginia

Hiring Range

$18.20 - $23.68/Hourly

Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.

Overview

Performs intake, insurance verification and preauthorization, and processing of all referrals for service lines within the Home Care Division. Elements required for above include data collection and review of all referrals, determination of referral acceptance based on established criteria, attaining and remaining knowledgeable and current related to Medicare/Insurance reimbursement information and regulations, knowledge of service lines and products, and coordination of services. Provides exceptional customer service to all contacts by telephone, in person and via electronic media. Assists team to complete the workload for the department daily.

What you will do

Performs clinical review of data collected, accurately determines appropriateness and acceptance of referrals based on established criteria, coordinates services and dissemination of information. facilitates transfer of referral to another agency for declined referrals. performs any follow up and continues communication with all parties until referral is complete and/or services are provided or cancelled

Uses clinical knowledge to collect complete and appropriate data for referrals, and fields phone calls utilizing the care difference principles. serves as an information resource for all applicable services including contact information, coverage criteria, availability of services and alternatives to applicable services when appropriate.

Responsible for data maintenance and integrity, entering and retrieving data from various computer systems and recording on specified forms.

Builds comprehensive knowledge base, and continuously works toward remaining knowledgeable and current of Medicare/insurance information and regulations, RHCD products and services and community resources.

Performs intake, insurance verifications, preauthorization's (when required), and processing of all referrals for services lines within the home care division

Qualifications

Education

High School Diploma or GED, (Required)

Experience

2 years Healthcare (Required)

1 year Homecare (Preferred)

To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers .