AdvisaCare Home Health is currently accepting resumes for a full-time Intake Specialist to join our team at our Kalamazoo location!
The Intake Specialist is responsible for ensuring that benefit information, initial authorization and patient liability are obtained prior to the clinical staff starting care. This position also includes scheduling of clinical staff and tracking orders and other pertinent documentation from physicians/ referral sources. Utilization of Wellsky/Kinnser Agency Manager as EMR platform.
Essential Duties And Responsibilities
Responsible for obtaining detailed and accurate benefit information using websites or phone for all insurance companies
Validate and document all payor information such as patient name, DOB etc., in the Wellsky/Kinnser system
Clearly document benefit information such as deductibles, co-pay, co-insurance and out of pocket maximums in the patient's chart
Obtain start of care authorization for managed care cases not requiring clinical documentation
Verification of all pre-operative patients prior to scheduled surgery
Daily/continuous monitoring of task flow screen related to all insurance issues including, but not limited to the following: verify Medicare eligibility, complete insurance verification, review eligibility alerts, obtain initial authorization, re-verify insurance at recertification and resumption of care
Daily/ continuous monitoring of orders needing to be sent to physicians and follow-up with physician offices as necessary
Assist intake department, discharge planners and referral sources with contracted insurance issues and patient placement, including obtaining necessary documentation for patient initiation of services
Responsible for contacting physician offices or patients for information or to clarify benefit
Scheduling clinical staff once insurance has been verified/ authorization obtained
Assist billing department with various billing duties
Ability to think critically and act independently
Candidate will be required to work Referral On Call a weekend in rotation with other Intake Staff!
Requirements
QUALIFICATION REQUIREMENTS
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily
Knowledge of Medicare
Knowledge of insurance websites such as CareCentrix, Availity, Priority, etc
Knowledge of Wellsky/Kinnser Agency Manager is preferred
Conscientious with attention to detail
Demonstrates patience, flexibility and cooperative attitude
Effective verbal and written communication skills with others both internally and externally
Education/Experience
High school diploma or GED
Minimum of one (1) year insurance verification, insurance authorization or medical billing experience
Benefits
We offer medical/dental/vision benefits, 401K Plan, as well as vacation/sick time and paid holidays.
Join the AdvisaCare family and let's make a difference together!
Seniority level
Entry level
Employment type
Full-time
Job function
Health Care Provider
Industries
IT Services and IT Consulting
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