Intake Coordinator SO

PruittHealth; Norcross (GA); On-site; USD 42,000 - 54,000; Full time

Job summary

PruittHealth in Norcross, GA seeks an Intake Coordinator SO to convert referrals into admissions by completing the intake process and delivering strong phone and customer service.

You will verify insurance, determine plan details, ensure timely filing, load data into the system, and collaborate with referrals, insurers, and the sales team to support patient access.

Qualifications

• 2+ years’ experience in a 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 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.
• Uses reports to assure accurate and timely information is documented in the appropriate software system.

Skills

Communication

Customer service

Call center experience

Medical terminology

Multi-tasking

Problem solving

Tools

Microsoft Office

Job description

Job Description - Intake Coordinator SO (2609809)

Intake Coordinator SO - 2609809

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.

Qualifications

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.

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.

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