The posting
POSITION SUMMARY: As an Intake Coordinator at Innovive Health of Colorado, you will oversee the inbound referral process from first contact to admission; conduct insurance verifications, obtaining authorizations, and patient eligibility; and managing supply inventory. The individual filling this position is an ambitious, hands-on problem solver, and effective communicator that will support the achievements of the team. What you'll do:
Answers all incoming calls including but not limited to intake of new referrals, resumptions of care and readmissions for home health services. Directs other inquires to the appropriate person or department. Collects appropriate demographic information, checks insurance eligibility, and collects required documentation to ensure regulatory compliance with Medicare and MassHealth. Accurately data enter patient information, including medication in Electronic Medical Records (EMEs). Performs outbound calls to referral sources, providers, and patient facilities to ensure collection of required documentation. Collaborates with internal clinicians to ensure timely adherence to patients care needs. Works with multiple departments to ensure authorizations are received prior to coordination of care. Monitors referral portal regularly to ensure the timely review of new referrals. Data entry into referral tracking tools and multiple EMR systems. Serves as point of contact between clinical, intake and vendors via e-mails and calls. Reviews department for process improvement efforts. Assists with managing the workload to ensure that referrals are handled in a timely manner. Ensures issue resolution with referrals, vendors, and missing documentation. Monitors Salesforce queue and HealthWyse exports. Serves as the point of contact for key physicians. Obtain prior authorization or pre-certification of services to be rendered as required by each individual payor. Complete and manage all paperwork or supportive documentation required for performing effective billing. Re-verify patient eligibility, monitor insurance lifetime caps and prior authorization periods. Resolve patient/payor issues in a timely manner. Run various reports to keep up with patient caseload and Utilization Review Maintenance. Participate in departmental, clinical and company meetings as requested. Participate in required training including, but not limited to, in-service and educational programs. Manage inventory of office supplies and medical supplies. Manage FedEx pickups/deliveries to branch offices. Greet all incoming visitors and assist in the coordination of meetings as necessary. Provides administrative support to Clinical Director, Executive Director, and other management staff as needed. Adheres to HIPAA laws and maintains patient confidentiality at all times. Performs other duties as assigned.
What you need:
Associate’s degree or equivalent in related work experience 1+ year experience in a healthcare administrative role Knowledge of medical terminology Proficiency in Windows environment, with emphasis on Word and Excel
Preferred Education and Experience:
Basic knowledge of Medical Insurance – MassHealth and Medicare a plus! Previous experience in a medical office, or other medical administration role
