Central Intake Coordinator

BrightSpring Health Services•San Antonio, TX

1d•$21 - $24

About The Position

The Central Intake Coordinator contacts insurance companies, branch operations, and patients to ensure accurate patient demographic and insurance information including insurance verification/benefits/authorizations, and the status of a used/remaining benefits.

Requirements

HR Diploma/GED required; Preferred Associates Degree or BS/BA from accredited college.
2+ years of experience in a role that interfaces with commercial or government insurance payers to verify medical coverage or to perform billing, collections or follow up activities on covered charges for patients
Medical billing certificate/ medical insurance specialty certificate preferred
Strong analytical skills to process admissions and accurately and timely
Demonstrated ability to navigate Web Based programs and Microsoft Office/including Excel
Demonstrated ability to communicate effectively and to simplify complex information to all stakeholders in verbal and written form
Ability and willingness to work cohesively in a team environment locally and across other departments and locations
Demonstrate patience with a strong attention to detail
Demonstrated ability to apply critical thinking skills, creativity, and a commitment to ensure that we meet the needs of stakeholders and patients.
Minimal travel, rarely or as needed

Responsibilities

Verifies eligibility and insurance benefits including but not limited to: Confirming the status of used/remaining benefits using electronic and telephonic resources, communicating, and identified insurance plan to billing manager for system updates.
Obtains pre-certification, authorizations, and referrals to ensure managed care compliance for necessary services.
Fulfills notification requirements.
Partners and maintains working relationship with various departments throughout the organization, including Business HUB, Clinical Coordinators and Branch Operations
Provides patient education as needed on various topics including patient rights, regulatory requirements, and financial policies.
Prepares oral/written communications including periodic status updates.
Maintains documentation and notes in computer system regarding all conversations with patients, insurance company representatives, and pre-certification.
Supports BrightSpring Health’s Compliance Program by adhering to policies and procedures pertaining to HIPAA, FCRA, and other laws applicable to BrightSpring Health’s business practices.
Completes all required training, maintains active working knowledge of BrightSpring health’s Code of ethics (LEGACY), and immediately follows reporting procedures related to compliance, incidents, HIPAA, and adheres to confidentiality obligations.
Maintains effective communication strategies and style with patients, insurance companies both verbally and in writing to ensure a positive overall internal/external customer service experience.