Intake Coordinator SO

PruittHealth

Albany, Northern (GA, KY)

Hybrid

USD 42,000 - 54,000

Full time

10 days ago

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Job summary

PruittHealth is seeking an Intake Coordinator to convert referrals into admissions by completing the intake process and delivering strong customer service. The role emphasizes efficient eligibility determination, insurance verification, and accurate data handling to support timely admissions.

The position focuses on coordinating with referral sources, ensuring timely filing, and maintaining diligent communication with insurers and care teams to facilitate smooth admission workflows.

Qualifications

  • 2+ years' experience in related role
  • Proficient in Microsoft Office, Word & Excel
  • Understanding of patient compliance issues, Medicare, Medicaid and Commercial Insurance
  • Excellent communication skills and customer service
  • Familiarity with Medical Terminology
  • Experience working in a call center environment
  • Ability to multi-task, problem solve and demonstrate critical thinking skills.

Responsibilities

  • Complete financial clearance for referrals by determining eligibility.
  • Process referrals to pre-qualify patients efficiently.
  • Verifies all primary and secondary insurance information for all incoming patients including coverage, benefit maximums and co-insurance/co-payment.
  • Determine effective and termination dates, type of plan, and provider network status.
  • Load all patient demographic insurance and benefit information into appropriate software system.
  • Communicates effectively with referral sources and team members to support partnerships with the sales team.

Skills

Customer service
Communication skills
Call center experience
Microsoft Office
Medical terminology

Job description

Job Description - Intake Coordinator (2610124)

Intake Coordinator - 2610124

Description
POSITION SUMMARY:

Facilitates the conversion of referrals to admissions through the completion of the intake process and the use of effective phone and customer service skills.

ESSENTIAL JOB FUNCTIONS, DUTIES, AND RESPONSIBILITIES:
  • Complete financial clearance for all referrals by determining eligibility.
  • Process referrals to assure pre-qualifying of patients efficiently.
  • Verifies all primary and secondary insurance information for all incoming patients to include service coverage, benefit maximums and limitations, co-insurance/co-payment, pre-existing clause, coverage
  • Determine effective and termination dates, type of plan, and provider network status.
  • Complete all information with attention to timely filing dates and special filing requirements.
  • Analyze admission data and prepare assigned reports
  • Loads all patient demographic insurance and benefit information into appropriate software system
  • Communicates effectively with the referral sources and team members to support the business partnerships being developed by the sales team
  • Establish positive relationships with insurers and managed care entities; Third party payors and Case Managers.
  • Obtain complete and accurate information to facilitate the admissions process and to maximize the likelihood of reimbursement.
  • Utilizes reports to assure accurate and timely information is documented in the appropriate software system.
TRAINING, SKILLS, AND EXPERIENCE AND EDUCATION REQUIREMENTS:
  • 2+ years' experience in
  • Proficient in Microsoft Office, Word & Excel
  • Understanding of patient compliance issues, Medicare, Medicaid and Commercial Insurance
  • Excellent communication skills and customer service
  • Familiarity with Medical Terminology
  • Experience working in a call center environment
  • Ability to multi-task, problem solve and demonstrate critical thinking skills.
Qualifications

Family Makes Us Stronger. Our family, your family, one family. Committed to loving, giving, and caring. United in making a difference.

As an Equal Employment Opportunity employer, all qualified applicants will receive consideration without regard to race, color, religion, sex, national origin, disability, or veteran status.

For Florida Job Postings Only:

For more information regarding Florida's Care Provider Background Screening Clearinghouse Education and Awareness, please visit https://info.flclearinghouse.com

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