Intake Specialist

Priority Dispatch Corp.; Oklahoma City (OK); On-site; USD 32,000 - 42,000; Full time

Job summary

Priority Dispatch Corp. in Oklahoma City is seeking an Intake Coordinator to ensure patients have insurance coverage for infusion services and to relay information to the AristaCare Health team.

The role involves obtaining authorizations, coordinating with insurers, providers, and patients, and maintaining confidentiality. You will participate in team huddles to ensure safe, timely referrals and smooth transitions to home or ambulatory infusion settings.

Qualifications

• High School Diploma or Equivalent.
• One year of intake experience or training in home health care.

Responsibilities

• Communicates the patient’s insurance benefits and coverage to the referral source.
• Communicates the proposed treatment plan to insurers, agency staff, referral sources, patients and family.
• Obtains all necessary authorizations from the patient’s insurance provider and documents the information.
• Participates in the Patient Referral Huddle Process to review referrals and status.
• Maintains confidentiality and follows HIPAA guidelines for patient information and AristaCare Health data.
• Maintains positive relationships with internal and external AristaCare Health staff.
• May assist referral sources with arranging medical supplies or nursing services for safe home transition or ambulatory infusion.
• Communicates with Marketing, Account Executives, and Pharmacy Staff about insurance plan changes.
• Completes all mandatory regulatory training programs.
• Performs other duties as assigned.

Education

High School Diploma or Equivalent

Job description

Job Details

Job Location: Oklahoma City, OK 73116

Position Type: Full Time

Travel Percentage: None

Job Category: Arista Care

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

QualificationsEducational Requirements

High School Diploma or Equivalent

Experience Preferred:

• One year of intake experience and/or training; or equivalent combination of education and experience in the home health care field.
• Basic knowledge of the Insurance approval/authorization process.