What are the responsibilities and job description for the Patient Intake Specialist position at ITF Intrafusion Holding Corp.?
Schedule : Monday - Friday 8 : 00 AM - 5 : 00 PM CST - Must live within 2 hours of The Woodlands, TX
The Patient Intake Specialist verifies insurance benefits for new patient referrals and re-verifies existing patient benefits as indicated by policy. Obtains pre-certifications, pre-determinations, and authorizations for services per insurance guidelines. Evaluates profitability of therapies and communicates issues.
Key Responsibilities
Manage work queue to department standards for productivity and quality.
Verifies insurance benefits for new patient referrals.
Re-verifies insurance benefits for existing patients.
Accurately evaluates charge and reimbursement estimates for infusion therapies.
Reviews all medical documentation against medical policy and initiates / obtains pre-determination, pre-certification, and authorizations as needed.
Follow-up on pending pre-certifications and / or pre-determinations until outcome decided.
Updates and maintains insurance and authorization information in billing software.
Obtains PCP referrals as needed.
Completes special projects as assigned.
Performs other job-related duties as assigned.
Minimum Requirement
Typically requires 1 years of related experience.
Education
High School diploma or equivalent
Critical Skills
1 years of related experience in a healthcare industry, preferably intake / patient access experience.
Proven experience and knowledge in insurance authorization and benefits verification.
Must be able to communicate effectively, both orally and in writing.
Must demonstrate an understanding of reimbursement practices including government program regulation and managed care contracting
Experience working in, and managing changing priorities, in a high volume, fast-paced work environment.
Excellent personal computing skills and a working knowledge of MS Office software
Maintains clear communication with customers regarding mutual expectations. Takes personal responsibility and accountability for correcting customer-service problems.
Additional Knowledge and Skills
Ability to work well as part of a collaborative team as well as independently.
Physical Requirements
Professional office environment
We are proud to offer a competitive compensation package at McKesson as part of our Total Rewards. This is determined by several factors, including performance, experience and skills, equity, regular job market evaluations, and geographical markets. The pay range shown below is aligned with McKesson's pay philosophy, and pay will always be compliant with any applicable regulations. In addition to base pay, other compensation, such as an annual bonus or long-term incentive opportunities may be offered. For more information regarding benefits at McKesson, please
Our Base Pay Range for this position
15.97 - $26.61
Salary : $16 - $27
