Intake Specialist
AdaptHealth is a premier full-service home medical equipment company in the United States – offering a full-scope of cost-efficient HME and respiratory care products and services that aim to keep patients comfortable and thriving in their own homes. We are dedicated to pursuing better and use technology, process and the power of our national network to do so. We have a relentless commitment to using innovation to transform the durable medical equipment industry, break the status quo and provide the best quality care.
Position Summary:
The Intake Specialist has a broad range of responsibilities including accurate and timely data entry, understanding, and selecting inventory and services in key databases, communicating with referral sources, and appropriately utilizing technology to notate patient information/communication. Intake Specialist’s schedules can vary based on the need of the branch.
Essential Functions and Job Responsibilities:
- Enters referrals within allotted timeframe as established; meeting productivity and quality standards as established.
- Communicates with referral sources, physician, or associated staff to ensure documentation is routed to appropriate physician for signature/completion.
- Accurately enters referrals into appropriate system based on the type of referral obtained.
- Works with local branch leadership to ensure appropriate inventory/services are provided.
- Assists with other regional team functions, as necessary.
- For non-Medicaid patients, communicates with patients their financial responsibility, collects payment and documents in patient record accordingly.
- Follows company philosophies and procedures to ensure appropriate shipping method utilized for delivery of service.
- Answers phone calls in a timely manner and assists caller.
- For non-Medicaid patients, communicates with patients and Responsible for reviewing medical records for non-sales assisted referrals to ensure compliance standards are met prior to a service being rendered.
- Must be an expert at payer guidelines and reading clinical documentation to determine qualification status and compliance for all equipment and services.
- Responsible for working with community referral sources to obtain compliant documentation in a timely manner to facilitate the referral process.
- Responsible for contacting patient when documentation received does not meet payer guidelines to provide updates and offer additional options to facilitate the referral process.
- Works with sales team to obtain necessary documentation to facilitate referral process as well as support referral source relationships.
- Must be able to navigate through multiple online EMR systems to obtain applicable documentation.
- Works with verification team to ensure all needs are met for both teams to provide accurate information to the patient and ensure payments.
- Maintain patient confidentiality and function within the guidelines of HIPAA.
- Completes assigned compliance training and other educational programs as required.
- Maintains compliant with AdaptHealth’s Compliance Program.
- Perform other related duties as assigned.
Competency, Skills and Abilities:
- Ability to appropriately interact with patients, referral sources and staff.
- Decision Making skills
- Analytical and problem-solving skills with attention to detail
- Strong verbal and written communication
- Excellent customer service and telephone service skills
- Proficient computer skills and knowledge of Microsoft Office
- Ability to prioritize and manage multiple tasks
- Solid ability to learn new technologies and possess the technical aptitude required to understand flow of data through systems as well as system interaction
Education and Experience Requirements:
- High School Diploma
- One (1) year work related in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry is required.
- Exact job experience is considered any of the above tasks in a Medicare certified HME, IV or HH environment that routinely bills insurance.
Physical Demands and Work Environment:
- Work environment may be stressful at times, as overall office activities and work levels fluctuate
- Must be able to bend, stoop, stretch, stand, and sit for extended periods of time
- Subject to long periods of sitting and exposure to computer screen
- Ability to perform repetitive motions of wrists, hands, and/or fingers due to extensive computer use
- Must be able to lift 30 pounds as needed
- May be exposed to upset customers or patients
- This position if primarily performed within an office building
- Excellent ability to effectively communicate both verbally and written with customers with the ability to demonstrate empathy, compassion, courtesy, and respect for privacy
Benefits
- Medical
- Dental
- Vision
- Paid Time Off
- 401k
AdaptHealth is an equal opportunity employer and does not unlawfully discriminate against employees or applicants for employment on the basis of an individual’s race, color, religion, creed, sex, national origin, age, disability, marital status, veteran status, sexual orientation, gender identity, genetic information, or any other status protected by applicable law. This policy applies to all terms, conditions, and privileges of employment, including recruitment, hiring, placement, compensation, promotion, discipline, and termination.