Intake/Scheduler

AdventHealth; Winter Haven (FL); On-site; USD 24,000 - 38,000; Full time

Benefits offered by this job

Medical, Dental, Vision Insurance

Life Insurance

Disability Insurance

Paid Time Off from Day One

403-B Retirement Plan

4 Weeks 100% Paid Parental Leave

Career Development

Well-being Resources

Mental Health Resources

Job summary

AdventHealth in Winter Haven, FL is seeking a Referral Coordinator to manage intake of referrals for home health services. You will verify physician credentials, coordinate care, and ensure payer coverage is in place before admission.

The role requires 1+ year in healthcare, strong computer skills, and knowledge of Medicare processes. Day shifts, full-time, in a hospital-adjacent setting with supporting benefits.

Qualifications

• High School Grad or Equiv [Required]
• Associate's Degree [Preferred]
• 1+ year of healthcare experience [Required]
• Experience working in a Medicare certified homecare agency [Preferred]
• Knowledge of Medicare billing processes and privacy regulations [Preferred]
• Strong computer skills and customer service orientation [Required]

Responsibilities

• Coordinate intake of all referrals from hospitals, physician offices and other sources.
• Verify physicians ordering homecare are licensed and able to participate in Medicare.
• Perform care coordination upon receipt of referrals and verify payer coverage.
• Maintain scheduling and liaison with billing to ensure timely processing and coding.
• Enter and update referrals in the system and track status of admissions.

Skills

Medicare billing

Multitasking

Computer proficiency

Customer service

Policy adherence

Education

High school diploma

Associate degree (preferred)

Tools

Medicare billing software

PC/Computer

Job description

Our promise to you:

Joining AdventHealth is about being part of something bigger. It’s about belonging to a community that believes in the wholeness of each person, and serves to uplift others in body, mind and spirit. AdventHealth is a place where you can thrive professionally, and grow spiritually, by Extending the Healing Ministry of Christ. Where you will be valued for who you are and the unique experiences you bring to our purpose-minded team. All while understanding that together we are even better.

All the benefits and perks you need for you and your family:

• Benefits from Day One: Medical, Dental, Vision Insurance, Life Insurance, Disability Insurance


• Paid Time Off from Day One


• 403-B Retirement Plan


• 4 Weeks 100% Paid Parental Leave


• Career Development


• Whole Person Well-being Resources


• Mental Health Resources and Support


• Pet Benefits

Schedule:

Full time

Shift:

Day (United States of America)

Address:

7482 CYPRESS GARDENS BLVD

City:

WINTER HAVEN

State:

Florida

Postal Code:

33884

Job Description:

Location: Winter Haven, FL

Hours: M-F, 8am - 5pm

• Coordinates the intake of all referrals into the agency.


• Serves as the central coordination point for all referrals coming from hospitals, physician offices and any other referral source.


• Verifies that physicians ordering homecare are licensed and able to participate in the Medicare program.


• Performs care coordination activities upon receipt of patient referral; assesses if homecare services are appropriate, verify/obtain physician orders, ensure payer coverage is verified, coordinates arrangements for HME, infusion and other needs.


• Assures referrals have been entered or enters referrals into the computer, verifies that required information is present prior to admission; maintains accurate reference files such as physicians, payers, and referral source information.


• Performs and documents payer verification process; verifies Medicare eligibility coverage and insurance or self pay verification for patients prior to admission; follows policy for charity approval process.


• Functions as liaison between clinicians in facilities and clinical teams to ensure patients are scheduled in a timely manner and the location/status of all patient referrals is tracked.


• Maintains logs as needed for patients who are hospitalized or in skilled facility, new and resumption of care referrals, etc.)


• Liaison with the central billing office to troubleshoot billing issues and assure necessary items are completed to facilitate timely billing.


• Manages schedule for all patients.


• Edits schedule for employees calling in sick, ensuring patients are reassigned timely.


• Completes requested schedule as task appears in workflow according to agency scheduling guidelines.


• Completes requested schedules for all add-ons and applicable orders:


• Ensures Supervisory Visits are scheduled according to agency protocol and regulatory mandates.


• Considers entire episode of care and adjusts service codes as needed related to discharge visits and supervisory visits


• Updates employee schedules daily.


• Considers productivity/geographic issues and discusses assignments with supervisor/manager for approval as directed.


• Assists with weekly coverage rotation to ensure scheduling function is completed appropriately when staff off.

Knowledge, Skills, and Abilities:

• Knowledge of Medicare billing processes, privacy regulations and Medicare home health regulations[Preferred]


• Proficientin use of personal computer, copier, phone, facsimilemachines[Required]


• Highlevel of multitasking, organization and proactive communicationskills[Required]


• Moderate– advanced computerskills[Required]


• Strongcustomer serviceskills[Required]

Education:

• High School Grad or Equiv [Required]


• Associate's Degree [Preferred]

Field of Study:

• N/A

Work Experience:

• 1+ year of healthcare experience[Required]


• Goodunderstanding of staffing and scheduling requirements related to home health from a field position perspective[Preferred]


• Competent with computers [Required]


• Experience working in a Medicare certified homecare agency [Preferred]

Additional Information:

• N/A

Licenses and Certifications:

• N/A

Physical Requirements:

Physical Requirements - https://tinyurl.com/23km2677

Pay Range:

$17.17 - $27.47

Background Screening Requirement (Florida Law)

Certain positions are subject to Florida Level 2 background screening, including fingerprinting, as required by state law.

Applicants may review general information about Florida’s background screening requirements at the Florida Care Provider Background Screening Clearinghouse:
https://info.flclearinghouse.com/

This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.