Intake Specialist

KPH HEALTHCARE SERVICES, INC; Hoffman Estates (IL); On-site; USD 40,000 - 55,000; Full time

Job summary

AristaCare Health in Hoffman Estates, IL is seeking an Intake Coordinator to multitask, verify patient insurance or payor coverage for infusion services, and relay information to the care team.

You will communicate with patients, families, referrals, and insurers about treatment plans, obtain authorizations, maintain confidentiality per HIPAA, and support a safe transition to home or Ambulatory Infusion Suite.

Qualifications

• Multitasking and strong communication skills.
• Knowledge of patient insurance processes and payor coverage.
• Ability to maintain confidentiality and comply with HIPAA.

Responsibilities

• Communicates patient insurance benefits and coverage for infusion services to the care team.
• Explains treatment plan to insurers, referral sources, patients and families to enable safe discharge.
• Obtains all required authorizations from the patient’s insurer and documents information in the system.
• Participates in referral meetings to track status of referrals and required documents.
• Maintains confidentiality and follows HIPAA guidelines.

Job description

Job Summary

The Intake Coordinator is able to multitask utilizing excellent communication skills to ensure that the patient has adequate insurance or payor coverage for the infusion services that are being requested for AristaCare Health to provide. Then communicates the information obtained effectively to all members of the AristaCare Health team.

Job Summary

The Intake Coordinator is able to multitask utilizing excellent communication skills to ensure that the patient has adequate insurance or payor coverage for the infusion services that are being requested for AristaCare Health to provide. Then communicates the information obtained effectively to all members of the AristaCare Health team.

Job Duties

• Communicates in a timely manner the referral source (clinical liaison, discharge planner, medical social worker, clinic nurse) the patients insurance benefits and coverage or non- coverage for services that have been requested for AristaCare Health to provide.
• Effectively communicates with insurance companies and their representatives, agency staff, referral source, patients and family the treatment plan that is being proposed by the referral source for the patient to discharge home safely. Explains the options that may be available for a positive financial patient outcome.
• Obtains ALL the appropriate authorizations necessary from the patient’s insurance provider, then effectively documents ALL the information into the AristaCare Health system. Once authorization has been obtained then the Intake coordinator notifies the AristaCare Health team that the referral is ready to be serviced.
• Participates in the Patient “Referral Huddle Process”, collects the AristaCare Health team and reviews each pending referral and the status of the referral and what still needs to be obtained to ensure a viable and safe referral.
• Maintains all levels of confidentiality and follows HIPPA Guidelines regarding patient information and all proprietary AristaCare Health information.
• Obtains and maintains positive relationships with internal AristaCare Health staff and external AristaCare Health staff.
• May assist the referral source when asked in making additional arrangements for any special medical supplies, appliances or nursing services that may be needed for the patient to transition safely into the home setting or the Ambulatory Infusion Suite.
• Effectively communicates with Marketing, Account Executives, and Pharmacy Staff with possible promotional and educational programs relating to different insurance plans and any changes that possibly may occur within the Insurance Payor, Medicare, or Medicaid marketplace.
• Responsible for completing all mandatory and regulatory training programs
• Perform other duties as assigned