Intake Coordinator South

Pruitthealth Corporation; Norcross (GA); On-site; USD 25,000 - 34,000; Full time

Job summary

Pruitthealth Corporation in Norcross, GA is seeking an Intake Coordinator South to convert referrals into admissions by completing the intake process with strong phone and customer service skills. Responsibilities include determining eligibility for financial clearance, processing referrals, verifying insurance information, and maintaining accurate data in the software system.

Excellent communication and multi-tasking are essential in this role.

Qualifications

• 2+ years’ experience in intake or related roles.
• Proficient with MS Office (Word & Excel).
• Understanding of Medicare, Medicaid and Commercial Insurance.
• Excellent communication and customer service.
• Familiarity with medical terminology.
• Experience working in a call center environment.
• Ability to multi-task, problem solve and think critically.

Responsibilities

• Complete financial clearance for referrals by determining eligibility.
• Process referrals to ensure pre-qualifying of patients efficiently.
• Verify all insurance information (service coverage, co-pays, pre-existing clauses).
• Determine effective/termination dates, plan type, provider network status.
• Ensure timely filing dates and filing requirements are met.
• Analyze admission data and prepare reports.
• Enter patient demographics and benefits into software systems.
• Communicate with referral sources and the team to support partnerships.
• Build positive relationships with insurers, managed care entities, and case managers.
• Obtain complete information to facilitate admissions and reimbursement.

Skills

Communication skills

Customer service

Call center experience

Medicare/Medicaid knowledge

Medical terminology

Problem solving

Multi-tasking

Tools

Microsoft Office

Excel

Word

Job description

Job Description - Intake Coordinator South (2609856)

Intake Coordinator South - 2609856

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

• 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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