What are the responsibilities and job description for the Intake Specialist / Longview Tx position at PrimeCare Home Health?
Join our Team! We have an immediate opening for an Intake Referral Specialist to join our team and provide administrative assistance and liaison case-related support for Home Health Referrals and ACO (Accountable Care Organization) Initiatives. We offer: Competitive Salary Company Car Available Health Care Benefits.
Referral specialists are responsible for ensuring patients are cleared for services. They resolve registration, prior authorization, and case-related affairs before the client’s admission. Also, they give support to clinical staff to manage the administrative components of clinical referrals and ACO Initiatives are met.
The specialist must gather relevant information from financial sources, insurance carriers, and other supplementary staff to make sure the services are provided. Additionally, they act as a liaison between the ACO, patients, physicians, hospitals, health insurance vendors, or other referral sources.
Responsibilities
- Network with various insurance companies.
- Obtain required medical necessity signatures for admission and discharges.
- Identify high-risk patients for potential admissions.
- Cross-referenced patient referrals with physicians' offices.
- Verify patient demographics and insurance information.
- Evaluate referrals based on medical parameters and psychiatric emergencies.
- Facilitate through completion of processing.
- Obtain and identify diagnosis (ICD-10 coding) for assessments.
- Obtaining referral information from providers, orthos, and agencies.
- Ensure all documentation meets CMS and state regulations.
- Provide invoice coding and billing oversight.
- Initiated prior authorization requests for out and inpatient services.
- Resubmit and file secondary claims information.
- Maintain confidentiality by following HIPAA regulations.
- Maintain and track patients’ medical records.
Job Type: Full-time
Pay: $16.06 - $18.50 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Life insurance
- Paid time off
- Vision insurance
Medical Specialty:
- Home Health
- Hospice & Palliative Medicine
Schedule:
- 8 hour shift
- Monday to Friday
Experience:
- Healthcare Administrative Support: 2 years (Required)
- Medical: 2 years (Required)
- Microsoft Excel: 1 year (Required)
- Home Health/Hospice: 1 year (Required)
Ability to Commute:
- Longview, TX 75605 (Preferred)
Work Location: In person
Salary : $16 - $19