Job Description Summary
Responsible for managing all aspects of the patient intake process including managing the members of the intake team, establishing and maintaining positive relationships with customers and referral sources, responding to customer requests and concerns, and managing the insurance verification and authorization processes.
Essential Job Functions/Responsibilities
1. Directs all daily patient referral and intake operations.
2. Abides by all state, federal, and CHAP referral/intake regulatory requirements.
3. Acts in accordance with work methods and procedures to ensure patients are admitted in accordance with policy.
4. Establishes and maintains positive working relationships with current and potential
referral sources.
5. Ensures seamless transition of patients to Hospice through collaboration with the internal team and if needed multiple service providers.
6. Ensures maximum third-party reimbursement through direct oversight of insurance verification and authorization processes.
7. Builds and monitors community and customer perceptions of the organization as a high quality provider of services.
8. Responsible for obtaining admission documents such as, but not limited to consents, POLST, HCPOA documentation, and transaction forms.
9. Maintains comprehensive working knowledge of contractual relationships and ensures that patients are admitted according to contract provisions.
10. Participates in quality assessment performance improvement teams and activities.
11. Responsible for completing the pre-registration process for all admissions.
12. Responsible for sending the transaction forms to billing in a timely manner.
13. Responsible for monitoring the referral list and coordinating with internal staff for admissions.
14. Assists with all other duties as requested.
The above statements are intended to be a representative summary of the major duties and responsibilities performed by incumbents of this job. The incumbents may be requested to perform job-related tasks other than those stated in this description.
Position Qualifications
1. Minimum of one-year data entry, word processing and/or medical records maintenance experience in a medical or healthcare customer service environment. Preferred: Minimum of an Associate college degree.
2. Excellent oral and written skills.
3. Ability to collaborate with the admission team and referral entities in a professional manner.
4. Attention to detail, along with excellent organizational, verbal and written communication skills.
5. Exceptional customer service and problem-solving skills with both internal and external customers.
6. Ability to multi-task, work under pressure with changing priorities and short deadlines.
7. Excellent computer skills.
8. Excellent communications and customer service skills.
9. Preferred: Knowledge of Home Care Home Base EMR system or a demonstrated willingness to learn.
10. Previous experience in Hospice and/or Home Care
11. Demonstrates autonomy, organization, assertiveness, flexibility and cooperation in performing job responsibilities.