What are the responsibilities and job description for the Intake / Referral Specialist - Home Health position at Capital Health Home Care - Dublin?
We offer a comprehensive Benefit package to Full Time Employees:
- PTO
- 401-k with Company match
- Health Insurances
- Company Paid Life Insurance
- Tuition Reimbursement
- Employee Assistance Program
Job Description Summary
The Intake Specialist is responsible for managing all aspects of the patient intake process including maintaining ongoing communications with referral sources, establishing and maintaining positive relationships with customers, responding to customer requests and concerns, verifying home care coverage, and collecting and verifying insurance information and authorization for services.
Essential Job Functions/Responsibilities
- Directs all daily patient referral and intake operations.
- Completes referral information that includes intake data, essential background information, hospital course, and the plan of care.
- Consults with physicians, nurses, social workers, discharge planners and other disciplines to establish a coordinated home plan of care.
- Coordinates, screens, and assesses home care needs of referrals in the areas of nursing, rehabilitation, psychosocial, and financial.
- Assesses insurance coverage or Medicare eligibility prior to admission.
- Ensures maximum third party reimbursement through direct oversight of insurance verification and authorization processes.
- Collaborates with physicians in determining patients’ home care needs.
- Ensures compliance with all state and federal referral/intake regulatory requirements.
- Assists with the implementation of improved work methods and procedures to ensure patients are admitted in accordance with policy.
- Participates in the quality improvement and utilization review of the organization.
- Serves as a resource and consultant to field staff and management team.
- Exhibits good interpersonal relationship skills, written, and verbal communications.
- Attends multidisciplinary patient care conferences and staff meetings on regular basis.
- Assists with the development of intake policies, procedures, and protocols that adhere to Medicare, State and Federal regulations.
- Maintains comprehensive working knowledge of community resources and assists referral sources in accessing community resources should services not be provided by the Agency.
- Contacts LTC facilities as needed to inquire of potential referrals or family contact that may be needed.
- Contact case managers regarding potential referrals.
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
- GED or high school equivalent.
- Health care experience preferred.
- Able to make decisions, set priorities, evaluate patient needs, and keep accurate records.
- Knowledgeable of Medicare and third party home care reimbursement a plus.
- Able to work independently and be flexible as to the daily needs of the agency.
- Strong written and verbal communications skills, including excellent telephone communication skills and customer service skills. Must possess great attention to detail.
At Capital Health Care Network, our company culture is built on the following seven essential skills of teamwork:
- Active Listening: Team members listen to each other’s ideas.They are observed validating ideas through active listening and “piggy-backing” (or building) off each other’s ideas.
- Communication: Team members communicate.They are observed interacting, discussing, and posing questions in an effort to fortify understanding and dispel miscommunication.
- Persuading: Team members use persuasion. They are observed exchanging, defending, and rethinking ideas with the greater good in mind.
- Respecting: Team members respect the opinions of others.They are observed encouraging and supporting others’ ideas and efforts.
- Helping: Team members help.They are observed offering assistance to each other.
- Sharing: Team members share.They are observed sharing ideas, information and influence.
- Participating: Team members participate.They are observed participating in social media, campaigns, and projects.
