Intake Coordinator

Lincare Holdings Inc.; Reno, Northern (NV, KY); Hybrid; USD 42,000 - 60,000; Full time

Job summary

Lincare Holdings Inc. seeks an Intake Coordinator to serve as a liaison between referral sources and the pharmacy, ensuring a seamless transition from acute care to home infusion for patients.

You will manage intake information, verify insurance, coordinate with nursing and billing staff, and document authorizations to ensure timely home infusion therapy for patients and families.

Qualifications

• High school diploma or equivalent is required.
• 2-5 years of medical terminology, insurance verification, and/or medical services experience.
• 1-2 years’ 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 is a plus.
• Maintain a current insurable driver’s license.

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, therapy, and benefits.
• Identifies participating payers and contractual pricing agreements.
• Inquires about case management, with authorization number and pre-certification.
• Performs case management updates for changes in therapy and patient status.
• Notifies referral sources of acceptance or denial after verification and review by clinical staff.
• Coordinates discharge plans with referral sources, nursing agencies, pharmacy, and patient/caregiver when needed.
• Establishes relationships to provide clinical nursing services to patients.
• Explains financial responsibilities to patients or advocates.
• Completes intake and confirmation forms and enters into CPR+.
• Negotiates pricing with case management under supervision.
• Assists with Medicare CMNs creation and maintenance.
• Obtains and tracks authorizations.

Skills

Medical terminology

Insurance verification

Home infusion knowledge

Discharge planning

Billing support

Communication

Education

High school diploma or equivalent

College degree desirable

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
• Inquires about case management, with authorization number and pre-certification
• 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

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Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled
Lincare is an equal opportunity employer, access and affirmative action employer. All qualified applicants will receive consideration for employment regardless of race, color, religion, creed, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. Lincare provides reasonable accommodations for qualified individuals with disabilities. Because Lincare believes in providing a safe work environment, we conduct drug and background checks in our recruiting/hiring processes. AA/EOE, M/F/Disabled/Veterans

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