Intake Coordinator

Lincare Holdings; Texarkana (TX); On-site; USD 42,000 - 64,000; Full time

Job summary

Lincare Holdings 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 gather intake data, verify coverage, and coordinate admission decisions with clinical staff.

The role includes managing authorizations, discharge planning, and billing documentation, while building relationships with payers, referral sources, and nursing agencies to support smooth patient care.

Qualifications

• 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.

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 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.
• Notifies referral source of acceptance or denial of referral after verification and approval by clinical staff.
• Coordinates discharge plan with 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 advocate and explains their financial responsibilities.
• Completes intake and Confirmation forms, and enters into CPR+.
• Negotiates pricing with case management under supervision of Center Manager.
• Assists with Medicare CMNs creation and maintenance.
• Obtains and tracks authorizations.
• Completes monthly re-verification of Medicaid recipients.
• Documents credit and cash co-payments at location level.
• Obtains clinical documentation necessary for billing.
• Responsible for 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 for billing and collections.
• Resolves patient/payee issues in a timely manner.

Skills

Medical terminology

Insurance verification

Home infusion knowledge

ICD-9 coding knowledge

Discharge planning

Billing experience

Data entry

Communication skills

Driver's license

Education

High school diploma

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
• 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

#CC

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