Central Intake Coordinator

Ohio Living • Westerville, OH

70d

About The Position

The Central Intake Coordinator verifies patient insurance eligibility, verifies patient benefits and confirms if insurance is active in the Ohio Living network and answers home health and hospice services inquiries from potential patients and professional referral sources determining the services the patients' needs and then retaining them as a patient, partners with field staff in identifying service needs of current patients. The Central Intake Coordinator also maintains an accurate patient listing for all home health and hospice services in accordance with company standards and federal, state, and local standards, guidelines, and regulations.

Requirements

• High school diploma or equivalent required.
• One year experience in an insurance or payor role within home health or hospice agency preferred.
• Experience with utilizing payor portals preferred.
• Experience with HomeCare HomeBase (HCHB) or another EMR Database required.
• Experience with accurate data entry required.
• Proficiency with Windows, Microsoft Office (Word, Excel, PowerPoint), and the internet required.
• Must be able to read, write, speak, and understand the English language proficiently.

Responsibilities

• Reviews all available insurances and selects the appropriate primary payor to bill and interprets patient's insurance plan and prioritizes the coordination of benefits.
• Verifies patient eligibility and benefits and confirms insurance is active in Ohio Living network.
• Identifies accurate patient liability to include on patient admission agreement for patient's informed consent on cost of care.
• Verifies and validates that new patients are not receiving HH/Hospice services from any other Provider.
• Enters all benefit and eligibility data to initiate opening new patient files in the EMR, and reverifies current patient's payors every 1st of each month while receiving services.
• Labels and attaches all clinical documents into EMR for use by clinicians, office staff, authorizations, billing, etc.
• Utilizes EMR systems, payor portals, and other computer programs to determine benefit eligibility.
• Ensures timely completion of intake process to satisfy requests of patients and referral sources, which may entail working after normal hours, on weekends, and on holidays as required.
• Maintains current and accurate records through use of computers and/or other documentation in accordance with company standards and federal, state, and local standards, guidelines, and regulations.
• Maintains knowledge of requirements of regulatory agencies, accrediting bodies, and third-party payers.
• Obtains and reviews pertinent demographic and medical information from patients, referral sources, and location staff.
• Answers all phone inquiries from consumers and referral sources, along with making outbound calls to previous patients, to assist them in accessing appropriate home health and hospice services and benefits and ultimately retaining them as a patient.
• Establishes and maintains good working relationships with referral sources, patients and/or caregivers, Business Development, Billing, and site staff.

What This Job Offers

• Industry: Religious, Grantmaking, Civic, Professional, and Similar Organizations
• Education Level: High school or GED
• Number of Employees: 1,001-5,000 employees