Intake Coordinator

Talentify; Boise (ID); On-site; USD 42,000 - 62,000; Full time

Job summary

Talentify is seeking an Intake Coordinator to serve as the liaison between referral sources and the Pharmacy, ensuring a smooth transition from acute care to home infusion for patients.

You will establish relationships with referral sources, procure patient information for admission decisions, verify insurance, obtain authorizations, and coordinate billing and discharge planning. A strong background in medical terminology and insurance processes is essential.

Qualifications

• High school diploma or equivalent required.
• 2-5 years of medical terminology, insurance verification, and/or medical services experience required.
• 1-2 years of experience with home infusion preferred.
• 2-3 years experience with home care, discharge planning, or insurance billing a plus.
• Maintain a current insurable driver's license.
• College degree is desirable.

Responsibilities

• 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 clinical data and policies.
• Verifies health insurance coverage using verification forms.
• Obtains/maintains authorization numbers and coordinates case management updates.
• Prepares and manages paperwork for billing and collections and communicates acceptance or denial to referral sources.
• Coordinates discharge planning with referral sources, nursing agencies, pharmacy, and patient/caregiver.

Skills

Medical terminology

Insurance verification

Data entry

Communication skills

Discharge coordination

Billing documentation

Education

High school diploma or equivalent

College degree desirable

Home infusion experience

ICD-9 coding experience

Insurance billing experience

Tools

CPR+

Job description

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

Qualifications

EDUCATION/EXPERIENCE

• high school diploma or equivalent
• 2-5 years of medical terminology, insurance verification, and/or medical services experience required
• 1-2 years of experience with home infusion preferred
• Experience with ICD-9 coding preferred
• College degree is desirable
• 2-3 years experience with home care, discharge planning, or insurance billing a plus
• Maintain a current insurable driver's license