Intake Account Representative

VieMed Healthcare; Lafayette (LA); Vor Ort; USD 35.000 - 50.000; Vollzeit

Zusammenfassung

VieMed Healthcare is seeking an Intake Coordinator to manage referrals, review medical records for medical necessity, and communicate with sales and referral sources. You will interact with physicians, patients, families, and staff, scheduling setups and maintaining referral status in the system.

The role requires basic knowledge of medical billing, CPT/HCPCS/ICD-10 codes, HIPAA compliance, and experience with billing systems.

Qualifikationen

• High school diploma or equivalent required with 1–2 years in DME or medical office experience preferred.
• Strong understanding of medical insurance benefits and in-network vs out-of-network concepts.
• Proficient with CPT, HCPCS, ICD-10, HIPAA, and billing regulations; comfortable with medical terminology.

Aufgaben

• Retrieves incoming referrals from portals.
• Reviews medical records to determine medical necessity.
• Communicates with sales team or referral sources about acceptability or missing items.
• Interacts professionally with physicians, patients, families, and co-workers.
• Schedules setups by physicians or staff per policy.
• Documents in the computer system the status of referrals.
• Assists to complete all open referrals.
• Checks network status; sends weekly updates to sales team.
• Reports concerns to Intake Manager/Supervisor.
• Other duties and projects as assigned.

Kenntnisse

Effective communication

Customer service

Microsoft Office

Reading medical documentation

HIPAA knowledge

Insurance knowledge

Ausbildung

High School Diploma or equivalent

1–2 years DME/medical office experience

Tools

Billing system

Patient database

Jobbeschreibung

Essential Duties and Responsibilities

Essential Duties and Responsibilities: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this

• Retrieves incoming referral(s) from portals.
• Reviews medical records from referral(s) to determine if medical necessity has been met.
• Communicates to sales team &/or referral source(s), if the referral is acceptable or what is missing to complete referral(s)
• Interacts professionally with physicians, patients, patient’s family, and co-workers.
• Schedules set ups, as called into VieMed, by physicians or physician’s office staff, per policy and procedure.
• Documents in the computer system the status of the referral
• Assist to complete all open referrals
• Check network status
• Sends weekly updates to sales team on missing referrals.
• Reports all concerns or issues directly to Intake Manager or Intake Supervisor
• Other responsibilities and projects as assigned.

Essential Duties and Responsibilities

Essential Duties and Responsibilities: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this

• Retrieves incoming referral(s) from portals.
• Reviews medical records from referral(s) to determine if medical necessity has been met.
• Communicates to sales team &/or referral source(s), if the referral is acceptable or what is missing to complete referral(s)
• Interacts professionally with physicians, patients, patient’s family, and co-workers.
• Schedules set ups, as called into VieMed, by physicians or physician’s office staff, per policy and procedure.
• Documents in the computer system the status of the referral
• Assist to complete all open referrals
• Check network status
• Sends weekly updates to sales team on missing referrals.
• Reports all concerns or issues directly to Intake Manager or Intake Supervisor
• Other responsibilities and projects as assigned.

Qualifications

• High School Diploma or equivalent
• One (1) to two (2) years working for a Durable Medical Equipment company or relevant medical office experience preferred.
• Basic understanding of medical insurance benefits
• Skill in establishing and maintaining effective working relationships with other employees, patients, organizations, and the public.
• Effectively communicate with physicians, patients, insurers, colleagues, and staff
• Able to read and understand medical documentation effectively.
• Knowledge and understanding of same and similar DME equipment.
• Knowledge and understanding of In-network vs Out of Network, PPO, HMO
• Thorough understanding and maintaining of medical insurance company’s regulations and requirements including but not limited to Medicare and Medicaid.
• Working knowledge of CPT, HCPCS & ICD10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, and insurance benefits.
• Learns and maintains knowledge of current patient database & billing system.
• Up to date with health information technologies and applications
• Answers telephone in a polite and professional manner. Communicates information to appropriate personnel and management in a timely manner.
• Establishes and maintains effective communication and good working relationships with co-workers, patients, organizations, and the public.
• Proficient in Microsoft Office, including Outlook, Word, and Excel
• Utilizes initiative, strives to maintain steady level of productivity and is self-motivated.
• Work week is Monday through Friday and candidates will work an agreed-upon shift (current shifts include 7am-4pm, 8am-5pm, 9am-6pm of 10am-7pm)
• Possible weekend work or overtime, to include working an on-call rotation schedule.

Access to Protected Health Information (PHI)

• This position will require the employee to handle Protected Health Information (PHI) for duties related to document and report preparation. Policies and procedures will be strictly adhered to make sure PHI is protected as required by the HIPAA Privacy Rule.

Working Conditions

• This position will work in an office environment.

We are an equal opportunity employer and all qualified applicants will receive consideration without regard to their race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other characteristic protected by law.

By submitting your application and participating in the interview process, you acknowledge and consent that interviews, video meetings, phone screenings, and other recruiting interactions may be recorded for evaluation, training, quality assurance, compliance, and hiring purposes. These recordings may be reviewed by authorized company personnel and may be processed using artificial intelligence or automated tools to assist with notetaking, transcription, scheduling, candidate evaluation support, and other recruiting functions. No employment decision will be based on automated processing. By submitting an application and participating in the interview process, you acknowledge and consent to the recording and processing in accordance with applicable laws and company privacy policies.