Central Intake Referral Coordinator (Non-Clinical)
About The Position
The Central Intake Referral Coordinator performs intake, insurance verification and preauthorization, and processes referrals for service lines within the Home Care Division. The role includes collecting and reviewing referral data, determining whether referrals meet established acceptance criteria, coordinating services, and sharing information. For declined referrals, the coordinator facilitates transfer to another agency and follows up with all parties until the referral is complete or services are provided or cancelled. The coordinator provides customer service by telephone, in person, and through electronic media; fields calls using care difference principles; and serves as an information resource about services, contact information, coverage criteria, availability, and alternatives. The role also maintains accurate data in computer systems and specified forms, keeps current on Medicare and insurance reimbursement information and regulations, Home Care Division products and services, and community resources, and helps the team complete the department's daily workload.
Requirements
- High school diploma or GED.
- Two years of healthcare experience.
Nice To Haves
- One year of home care experience.
Responsibilities
- Perform intake, insurance verification, required preauthorization, and referral processing for Home Care Division service lines.
- Collect and review referral information and use clinical knowledge to determine referral appropriateness and acceptance based on established criteria.
- Coordinate services and disseminate information.
- Facilitate transfer of declined referrals to another agency and follow up with all parties until the referral is complete or services are provided or cancelled.
- Provide customer service by telephone, in person, and through electronic media, and field calls using care difference principles.
- Serve as an information resource about applicable services, contact information, coverage criteria, service availability, and alternatives.
- Maintain data integrity by entering and retrieving information in various computer systems and recording it on specified forms.
- Maintain current knowledge of Medicare and insurance information and regulations, Home Care Division products and services, and community resources.
- Assist the team in completing the department's daily workload.
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What This Job Offers
Job Type
Full-time
Education Level
High school or GED
