Intake Specialist

KPH HEALTHCARE SERVICES, INC; Oklahoma City (OK); On-site; USD 42,000 - 62,000; Full time

Job summary

AristaCare Health seeks an Intake Coordinator to multitask with excellent communication to verify patient insurance or payor coverage for requested infusion services. You will relay information to the AristaCare Health team to ensure a smooth referral and service process.

The role emphasizes coordinating authorizations, maintaining confidentiality, and collaborating with various departments to support patient care and transitions to home or the infusion suite.

Qualifications

• Experience with insurance verification and patient intake processes.
• Strong communication and multitasking abilities.
• Knowledge of HIPAA guidelines and patient confidentiality.

Responsibilities

• Communicate patient insurance benefits and coverage to referral sources and team.
• Explain treatment plan options to insurance companies and patients.
• Obtain all necessary authorizations from insurance providers and document details.
• Participate in the Patient Referral Huddle Process to track referrals and pending items.
• Maintain confidentiality and comply with HIPAA and internal policies.
• Build positive relationships with internal and external staff at AristaCare Health.
• Assist referral sources with arrangements for special medical supplies or nursing services as needed for home or Ambulatory Infusion Suite transitions.
• Coordinate with Marketing, Account Executives, and Pharmacy staff on insurance plan changes and marketplace updates.
• Complete all mandatory and regulatory training programs.
• Perform other duties as assigned.

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