Intake Specialist

ETHOS THERAPY SOLUTIONS, INC; Center Square (PA); On-site; USD 29,000 - 32,000; Full time

Benefits offered by this job

Health insurance

Dental insurance

Vision insurance

401(k) with company match

Paid time off

HSA

Job summary

Ethos Therapy Solutions is seeking an experienced Client Navigator in Pennsylvania to review records, verify insurance and process orders in Brightree, coordinating with therapists and patients.

You will handle documentation, maintain notes, and ensure compliant reimbursements while delivering excellent customer service. Occasional travel may be required in the day shift, on-site at Blue Bell, PA.

Qualifications

• Knowledge of medical terminology used in medical billing.
• Ability to handle patient information with confidentiality and HIPAA rules.
• Strong communication and organizational skills to meet deadlines.

Responsibilities

• Begins intake processing by reviewing records and ensures all information is entered into Brightree correctly.
• Performs insurance verification and enters product order into billing system (Brightree).
• Obtains additional data from the field or referral source as needed.
• Maintains proper and timely notes in Brightree for each order.
• Communicates order status with Therapy Consultant, Referral Source and patient as needed.
• Creates Practitioner Note for each pending order.
• Generates delivery tickets to technicians and uploads documents to Brightree.
• Follows clinical and compliance guidelines to maximize reimbursement and minimize denials.
• Identifies new potential contract opportunities with payer partners.
• Provides excellent customer service to all incoming callers.
• Works on additional projects as given by their supervisor/Team Lead.

Skills

Medical terminology knowledge

HIPAA compliance understanding

Attention to detail

Customer service oriented

Verbal and written communication

Ability to learn software

Team collaboration

Education

High School/GED

Tools

Brightree

Outlook

Microsoft Word

Excel

Job description

Job Details

• Level: Experienced
• Job Location: PA - Blue Bell - Blue Bell, PA 19422
• Position Type: Full Time
• Education Level: High School/GED
• Salary Range: $21.00 - $23.00
• Travel Percentage: None
• Job Shift: Day
• Job Category: Insurance

Client Navigators review, organize, and manage the process for new product placement for durable medical equipment in the home environment. Client Navigators work with and supports sales to ensure compliance and timely product deliveries as well as engaging with patients, caregivers, referral sources and payers daily.

Duties

• Begins Intake processing by reviewing records and documentation from the referral and ensures all information is entered into Brightree correctly.
• Performs insurance verification and enters product order into billing system (Brightree).
• Obtains additional data from the field or referral source as needed.
• Manages and maintains proper and timely notes in Brightree for each order.
• Communicates order status with Therapy Consultant, Referral Source and patient as needed.
• Creates Practitioner Note for each pending order.
• Generates delivery tickets to technicians. Uploads all documents to Brightree and closes out the patients order upon delivery confirmation.
• Follows clinical and compliance guidelines to maximize reimbursement and minimize potential loss or denials.
• Identifies new potential contract opportunities with payer partners.
• Provides excellent customer service to all incoming callers.
• Works on additional projects as given them by their supervisor/Team Lead.

QualificationsSkills & Talents:

• Knowledgeable of medical terminology used for medical billing.
• Can perform basic math calculations.
• Ability to maintain patient confidentiality and follow HIPAA requirements, Medicare, Ethos and compliance standards, policies and procedures.
• Able to communicate verbally and in written correspondence in clear, concise, complete and respectful manner. Uses proper grammar and punctuation and is free of spelling errors and slang.
• Able to organize work and set priorities to meet deadlines.
• Works cooperatively with others.
• Develops positive and supportive relationships with Therapy Consultants and Field Service personnel.
• Ability to work with minimal supervision and with extensive detail.
• Capable of learning new computer software packages.

Experience & Education:

• Self-Starter
• Extremely organized and detail oriented.
• Desire to learn new skills.
• Work experience in customer service, healthcare/medical office setting for minimum one year.
• Experience working with standard computer applications. (i.e., Outlook, Microsoft WORD and EXCEL, etc.).
• Working knowledge of health insurance verification and third-party billing business model.

Physical Requirements:

• Must be able to remain in a stationary position for extended periods of time
• Ability to sit or stand for extended periods of time
• Constantly operates a computer and other office productivity machinery, such as a copy machine and computer printer
• Ability to travel occasionally by car or commercial flight

Ethos Therapy Solutions offers competitive benefits: Health, dental, vision, and prescription coverage; HSA; life, short-term disability, and long-term disability insurance; EAP; paid time off; 9 company paid holidays; 401(k) with company match; professional development assistance; and employee referral program.

Ethos Therapy Solutions is an equal opportunity employer and does not discriminate against any employee or applicant for employment based on race, color, religion, national origin, age, gender, sex, ancestry, citizenship status, mental or physical disability, genetic information, sexual orientation, gender identity, veteran status, or military status. Ethos Therapy Solutions complies with all applicable federal, state and local laws concerning non-discrimination.