Director of Intake

KabaFusion•Cerritos, CA

19h

About The Position

KabaFusion is an exciting and innovative company in the healthcare sector, specifically the largest privately held home infusion company in the country, with a national network of pharmacies and nursing offices servicing over 40 states. The company prides itself on a culture that recognizes and celebrates the hard work and dedication of its employees. The Director of Intake will be responsible for the overall operations of the Intake Department. This involves managing Intake personnel to ensure all necessary information for reimbursement of services is obtained at the start of care, and that all principles of Intake management are handled appropriately. The role may also involve managing an operating budget, revenue responsibility, and purchasing responsibility. The Director will ensure the department's goals and objectives align with the organization’s broader mission, vision, and strategies, and reports directly to the Sr. VP of Operations /VP of Clinical.

Requirements

Prior knowledge of intake and authorization guidelines, regulations and standards for home infusion and home health required.
Knowledge and experience of insurance verification, authorization and eligibility process.
Strong negotiation skills to negotiate patient specific financial arrangements.
Possess and exhibit advanced leadership skills, consulting skills and communication skills (oral, written and presentation) with ability to communicate with all levels of staff and customer base.
Ability to interact with co-workers, staff members and clients with courteousness, respect, professionalism, and diplomacy in a fast-paced environment in both group settings and one- to-one interactions.
Intermediate to advanced skills in Microsoft Office including Word, Excel, PowerPoint, Outlook, and CPR+ software systems.
Ability to make strategic, operational and administrative decisions in response to emerging conditions and environmental circumstances; innovative and flexible; ability to exercise good, professional judgment and accept responsibility.
Ability to work independently, organize workload of self and staff, complete reports/projects per established timelines, delegating work to staff and provide follow up as needed.
Excellent interpersonal skills and ability to provide excellent internal and external customer service.
Adheres to stated policies and procedures, federal and state regulations related to health and safety, HIPAA, and quality management.
Must have ability to maintain a high level of confidentiality concerning materials and conversations with staff, management, patients and third-party payer administrators.
Bachelor’s degree in business/ related field or education and experience to equal bachelor’s degree.
Minimum of 7 years’ experience in billing and/or intake management of infusion, nursing or DME/RT required and minimum.
At least 2 years’ management experience.

Responsibilities

Oversees the intake process by managing eligibility, authorization, changes in orders, negotiated rates, financial obligation documents and all necessary payor information for all services rendered by the company.
Protects the assets of the organization through effective internal controls, internal auditing and supervision of Intake Department operations. Resolve discrepancies, concerns, and irregularities.
Manage supervisors and Intake Reps in performance of their duties ensuring proper training and customer service levels are met, auditing quality of work performed by staff, and ensuring operational flow of department is optimal, monitoring of customer service via telephone calls, fax, email and internet access to improve service and outcomes.
Collaborates with third party payer administrators, Contract Management Group and Business Development staff on contract issues.
Submit information to Contract Management and Business Development staff regarding contract issues as they affect revenue and sales. Notifies appropriate staff of changes in contract arrangements or updates in third party payer guidelines.
Manage and ensure intake processes are compliant with ACHC and government regulations.
Effectively develop and manage the Intake Department fiscal budget.
Perform management duties including hiring, evaluating, training, development, and disciplining of staff.
Participate in overall management of location(s) by meeting with General Manager and other Department managers to review operations, discuss and formulate resolutions to outstanding issues while maintaining and fostering an atmosphere of cooperation between departments.
Performs other related duties as directed by manager.