Intake Coordinator

Lincare; Blackfoot (ID); On-site; USD 40,000 - 60,000; Full time

Job summary

Lincare in Blackfoot, Idaho, is seeking an Intake Coordinator to serve as a liaison between referral sources and pharmacy. The role focuses on ensuring a smooth transition for patients requiring home infusion therapy through effective verification and management of patient information.

The ideal candidate will have experience in case management and insurance verification, along with strong organizational skills. This position is essential for maintaining relationships with nursing agencies and ensuring compliance with patient acceptance criteria.

Qualifications

• Experience with insurance verification processes and patient intake procedures.
• Strong organizational skills for managing patient information.
• Ability to work under pressure and handle multiple tasks.

Responsibilities

• Act as a liaison between referral sources and pharmacy.
• Verify health insurance coverage and obtain authorizations.
• Coordinate discharge plans with referral sources and patients.
• Document and manage billing and collections paperwork.

Skills

Relationship management

Insurance verification

Data entry

Case management

Education

Background in healthcare or related field

Job description

The Intake Coordinator acts as a liaison between the referral source and the Pharmacy to ensure a seamless transition from the acute care setting to home care for our patients.

• Establishes and maintains relationships with referral sources by receiving and processing intake information for potential patients who require home infusion therapy
• Facilitates intake process by procuring all patient information necessary to determine home infusion admission based on supportive clinical data, prescribed therapy, assignment of home infusion benefits, and following all patient acceptance criteria policies and procedures
• Identifies participating payers and contractual pricing agreements
• Verifies health insurance coverage using verification forms
• Inquires about case management, with authorization number and pre-certification
• Obtains/maintains authorization numbers
• Performs case management updates for changes in therapy and patient status
• Once verification is complete and admission criteria is reviewed/approved by clinical staff, contacts referral source to notify of acceptance or denial of referral
• When needed, coordinates the discharge plan with the referral source/discharge planner, nursing agency when applicable, pharmacy, and patient/caregiver
• Establishes relationships with licensed and certified nursing agencies to provide clinical nursing services to pharmacy patients
• Notifies patient or approved patient advocate and explains their financial responsibilities
• Completes all applicable sections of Intake and Confirmation forms, and enters into CPR+
• Negotiates pricing with case management under the direct supervision of Center Manager
• Assists with the creation and maintenance of Medicare CMNs
• Obtains and tracks authorizations
• Completes monthly re-verification of Medicaid recipients
• Documents credit and cash co-payments made at location level
• Obtains clinical documentation necessary for billing
• Responsible for the intake of personal referrals
• Data-entry and updating patients' demographic information
• Insurance benefit verification and coordination with nursing and pharmacy staff
• Prepares and manages paperwork and documentation for billing and collections
• Resolves patient/payee issues in a timely manner