Central Intake Coordinator

MGA Homecare

3d•Remote

About The Position

Central Intake Coordinator Job Overview Duties and Responsibilities MUST LIVE IN CST or EST TIME ZONES Organization Communication Handles all daily patient referrals and intake operations, reviews, and processes pending referrals Enters all demographic and insurance information for new customers and updates as needed Completes registration of clients into the home care management program in an accurate and timely manner Informs location staff of received referral/s with full details on deductible, coinsurance, and copay Adheres to the rules regarding confidentiality of HIPAA protected health information Assists with the identification and reporting of potential quality management and noncoverage issues Communicates with relevant parties to obtain authorization of home health services, initial and ongoing Interfaces with providers/office staff/clinical staff/caregivers for the purpose of attaining additional information required for authorization approval Provides direct support regarding utilization, authorization, and referral activities Contacts providers and families with authorization, denial, and appeals process information Completes monthly authorization expiry reports and informs location of upcoming renewals Completes all changes to health insurance in KanTime Verification Verifies eligibility of members and member benefit coverage at initial start of care and ongoing eligibility and benefits verification on the 1st and 15th of each month Reports all discrepancies to the Director of Clinical Services, Director of Therapy, Account Manager, and Director of Central Intake Insurance knowledge experience General knowledge of state Medicaid plans, private insurance plans, Medicare and Veteran Affairs Performs all other duties assigned by Director of Central Intake Supports and executes the mission, ethics, and goals of the company effectively Represents themselves in a positive and professional manner in the company and community Adheres to dress code with a clean and neat professional appearance Reports on time and as scheduled to complete work within designated time Adhere to all company policies and procedures outlined in Employee Handbook, Employee Agreement, or communicated from executive team Requirements High School Education- Associates Degree preferred Exceptional Customer Service Must be detailed oriented Familiarity with ICD-10 coding Able to work independently Able to work remotely Ability to perform basic to intermediate applications with Excel Strong verbal and written communication skills (Additional languages preferred) 1+ year experience in a clinical environment preferred Requires in depth knowledge of benefits and authorizations Proficient use of standard computer programs for data entry and data organization Additional Job Description Information EEO Statement: MGA is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status, or any other status protected by applicable law. Meaningful Relationships Built with Care THE MGA HOMECARE APPROACH We continually strive to provide quality homecare that is tailored to your individual medical circumstances. That’s why our qualified staff of Registered Nurses (RN), Licensed Practical Nurses (LPN), Licensed Vocational Nurses (LVN), Certified Nursing Assistant (CNA), Licensed Health Aide (LHA), Attendant Care, Home Health Aide (HHA), and Occupational Therapist (OT), Occupational Therapy Assistants (OTA), Physical Therapists (PT), Physical Therapy Assistants (PTA), Speech-Language Pathologists (SLP) are given the training and resources they need to handle every home healthcare situation with professionalism and care. We strive to create a truly special experience for you and your loved one. To do so, we emphasize developing unique bonds between the patient and healthcare professional. Our Nurses, Therapists, and Caregivers are highly skilled, responsible, and willing to go the extra mile to establish trust and build meaningful relationships. We want you to feel like you are facing your medical challenges with a personal, caring partner right by your side. Home healthcare jobs are not just about nursing and therapy. They are about becoming an integral part of the family day after day and helping those who need it most.

Requirements

MUST LIVE IN CST or EST TIME ZONES
High School Education- Associates Degree preferred
Exceptional Customer Service
Must be detailed oriented
Familiarity with ICD-10 coding
Able to work independently
Able to work remotely
Ability to perform basic to intermediate applications with Excel
Strong verbal and written communication skills (Additional languages preferred)
1+ year experience in a clinical environment preferred
Requires in depth knowledge of benefits and authorizations
Proficient use of standard computer programs for data entry and data organization

Nice To Haves

Additional languages preferred
Associates Degree

Responsibilities

Handles all daily patient referrals and intake operations, reviews, and processes pending referrals
Enters all demographic and insurance information for new customers and updates as needed
Completes registration of clients into the home care management program in an accurate and timely manner
Informs location staff of received referral/s with full details on deductible, coinsurance, and copay
Adheres to the rules regarding confidentiality of HIPAA protected health information
Assists with the identification and reporting of potential quality management and noncoverage issues
Communicates with relevant parties to obtain authorization of home health services, initial and ongoing
Interfaces with providers/office staff/clinical staff/caregivers for the purpose of attaining additional information required for authorization approval
Provides direct support regarding utilization, authorization, and referral activities
Contacts providers and families with authorization, denial, and appeals process information
Completes monthly authorization expiry reports and informs location of upcoming renewals
Completes all changes to health insurance in KanTime Verification
Verifies eligibility of members and member benefit coverage at initial start of care and ongoing eligibility and benefits verification on the 1st and 15th of each month
Reports all discrepancies to the Director of Clinical Services, Director of Therapy, Account Manager, and Director of Central Intake
Performs all other duties assigned by Director of Central Intake
Supports and executes the mission, ethics, and goals of the company effectively
Represents themselves in a positive and professional manner in the company and community
Adheres to dress code with a clean and neat professional appearance
Reports on time and as scheduled to complete work within designated time
Adhere to all company policies and procedures outlined in Employee Handbook, Employee Agreement, or communicated from executive team