Remote Intake Coordinator - Healthcare Access & Payer

CenterWell; Baton Rouge (LA); Remote; USD 39,000 - 49,000; Full time

Job summary

Humana, Inc. is seeking an Intake Coordinator to join CenterWell Home Health. You will answer incoming calls, assess patient needs, and determine if home care services are appropriate.

You will document outcomes and coordinate with referral sources and the clinical team to ensure smooth transitions. Responsibilities include identifying payer sources, obtaining authorizations, and communicating contract terms.

Qualifications

• High School Diploma or equivalent.
• Typing speed 40+ wpm.
• Proficiency with Microsoft Office applications (Word, Excel, Outlook, Teams).
• 3+ years in health care delivery or related business experience preferred.
• Knowledge of medical terminology preferred.
• Knowledge of insurance reimbursement process preferred.
• Data entry experience preferred.

Responsibilities

• Receive/respond to incoming calls from referral sources or potential patients, exchange information to identify patient needs, and determine our ability to meet them.
• Record the outcome of calls either manually or in an automated manner, make follow-up calls, and identify alternative community service resources when solutions are not available.
• Perform initial telephone screening to determine patients' appropriateness for home care services with referral sources. Advise branch staff of patient acceptance and provide all relevant information to ensure patients' smooth transition to home care.
• Contact referral sources to advise of referral status, and provide to the clinical team who will deliver the services requested.
• Identify potential payer sources, verify benefits with payer sources (by department organizational structure), negotiate rates and obtain initial authorizations and frequency of visits from case managers. Establish primary payers and document conversations with payer sources.
• Access national or regional account information, including the names of accounts and terms of the contracts and communicate these conversations to branch and intake department staff.
• Work with Intake team, branch staff, and patients identifying solutions for payor source problems.
• Monitor and keep track of referral sources' satisfaction levels. Communicate customer service issues to up-line Intake and branch staff.

Skills

Typing speed 40 wpm+

MS Office proficiency

Healthcare delivery experience

Medical terminology knowledge

Insurance reimbursement knowledge

Data entry experience

Education

High School Diploma or equivalent

Tools

Microsoft Office (Word/Excel/Outlook/Teams)

Job description

Humana, Inc. is seeking an Intake Coordinator to join CenterWell Home Health. You will answer incoming calls, assess patient needs, and determine if home care services are appropriate.

You will document outcomes and coordinate with referral sources and the clinical team to ensure smooth transitions. Responsibilities include identifying payer sources, obtaining authorizations, and communicating contract terms.