Coordinator I, Intake

FFF_Enterprises; Temecula (CA); On-site; USD 55,000 - 75,000; Full time

Job summary

FFF Enterprises in Temecula, CA is seeking an Intake Coordinator to manage acceptance, processing and coordination of referrals for patient care services. You will determine eligibility and benefits, obtain authorizations and secure financial obligations for admissions, coordinating with pharmacy, nursing and client service specialists to initiate services.

The role requires strong organizational and communication skills, meticulous attention to detail, and the ability to work with limited

Qualifications

• High School diploma or equivalent required.
• One year health care experience in pharmacy, home health care, infusion, or hospital preferred.
• Experience with benefit verification and prior authorizations preferred.
• Strong organizational, communication, and detail-oriented skills required.
• Ability to work with minimal supervision and as part of a team.
• Familiarity with HIPAA and healthcare privacy.

Responsibilities

• Accept and process referrals for patient care services.
• Determine eligibility, benefits, and financial obligations for admissions.
• Coordinate with pharmacy, nursing and client service teams to initiate services.
• Prepare intake paperwork and maintain accurate records in NuFACTOR.
• Communicate with referral sources, patients and payors with professionalism.

Skills

Strong organizational skills

Detail orientation

Verbal and written communication

Teamwork

Decision making

HIPAA knowledge

Microsoft Office

Healthcare terminology

Education

High School diploma or equivalent

Tools

NuFACTOR system

Job description

Position Summary

The Intake Coordinator is responsible for the acceptance, processing and coordination of all referrals for patient care services. Determines eligibility and benefits for new referrals or readmissions, obtains authorizations and secures financial obligations for new admissions or readmissions. Coordinates with pharmacy, nursing and client service specialists to initiate patient care services.

Essential Functions and Duties

• Answers telephones utilizing appropriate etiquette and speaks referral sources, patient, family members, clinicians and payors.
• Initiates the intake process gathering relevant data from the referral source required to admit patient to NuFactor services.
• Notifies departments of new referrals and coordinates information amongst referral sources, clinicians and sales. Provide appropriate documentation to clinical departments for initiation of services.
• Determines patients financial obligation, out of pockets expense and copays. Contacts patients prior to start of services to discuss financial obligations and make arrangements for payments.
• Completes start of care paperwork for patient signature ie; admissions agreement, financial obligation, advanced beneficiary notice, compassionate care application as required prior to initiation of services and tracks the return of signed copies within NuFACTOR system of record.
• Enters complete referral information into NuFACTOR system of record. Enters all communications and updates in assessments and notes while admitting patients for service.
• Complies with all NuFactor policies and procedures and compliance requirements when engaging in activities related to the company.
• Adheres specifically to all company policies and procedures, Federal and State regulations, and laws.
• Display dedication to position responsibilities and achieve assigned goals and objectives.
• Always represent the Company in a professional manner and appearance.
• Understand and internalize the Company’s purpose.
• Display loyalty to the Company and its organizational values.
• Display enthusiasm and dedication to learning how to be more effective on the job and share knowledge with others.
• Work effectively with co-workers, internal and external customers and others by sharing ideas in a constructive and positive manner; listen to and objectively consider ideas and suggestions from others; keep commitments; keep others informed of work progress, timetables, and issues; address problems and issues constructively to find mutually acceptable and practical business solutions; address others by name, title, or other respectful identifier, and; respect the diversity of our work force in actions, words, and deeds.
• Comply with the policies and procedures stated in the Injury and Illness Prevention Program by always working in a safe manner and immediately reporting any injury, safety hazard, or program violation.
• Ensure conduct is consistent with all Compliance Program Policies and procedures when engaging in any activity on behalf of the company. Immediately report any concerns or violations.
• Other duties as assigned.

Education, Knowledge, Skills and Experience

Required Education:

• High School diploma or equivalent required.

Preferred Knowledge:

• One (1) year health care related experience in a pharmacy, home healthcare, infusion related setting or hospital is preferred.

Preferred Experience:

• Benefit verification and prior authorizations for specialty medications.

Required Skills:

• Must have strong organizational skills
• Must have a detail orientation and the proven ability to prioritize work
• Must have effective verbal and written communication skills
• Must have the ability to work with limited supervision and as part of a team
• Sound decision-making abilities

Preferred Skills:

• Knowledge of medical and pharmacy terminology and calculations, general pharmacy dispensing requirements, including identification of items requiring prescription and valid prescribing data.
• Excellent verbal and written communication skills and the ability to interact effectively with patients, co-workers and management.
• Ability to work with a high degree of accuracy in an organized, detail oriented manner with appropriate follow-up when required.
• Ability to communicate effectively and at the appropriate level with healthcare professionals and peers.
• Ability to prioritize work and make decisions independently and effectively, often quickly in response to dynamic patient needs, with limited supervision and direction, except where required/restricted by law.
• Working knowledge of state, federal and Joint Commission guidelines/regulations/laws.
• Ability to exercise discretion and maintain confidentiality to the level of required HIPAA standards.
• Ability to use and understand Microsoft Office skills and internet technologies.

Professional Certification:

None.

Physical requirements

Vision, hearing, speech, movements requiring the use of wrists, hands and/or fingers. Must have the ability to view a computer screen for long periods and the ability to sit for extended periods. Must have the ability to work the hours and days required to complete the essential functions of the position, as scheduled. Must have the ability to lift and maneuver items of at least 20 lbs. Must have the ability to travel occasionally. Working condition include normal office setting.

Mental Demands

Learning, thinking, concentration and the ability to work under pressure, particularly during busy times. Must be able to pay close attention to detail and be able to work as a member of a team to ensure excellent customer service. Must have the ability to interact effectively with co-workers and customers, and exercise self-control and diplomacy in customer and employee relations’ situations. Must have the ability to exercise discretion as well as appropriate judgments when necessary. Must be proactive in finding solutions.

Direct Reports

No

EEO Statement

FFF Enterprises and Nufactor are an equal opportunity employer and prohibits discrimination and harassment based on the following characteristics: race, color, religion, national origin, physical or mental disability, gender, age (40 years and over) qualified veteran and any other characteristic protected by state or federal anti-discrimination law covering employment. These categories are defined according to Government Code section 12920. The Company prohibits unlawful discrimination based on the perception that anyone has any of those characteristics or is associated with a person who has or is perceived as having any of those characteristics.