Intake Account Representative

VieMed Careers•Lafayette, LA

8d•Onsite

About The Position

The Intake Account Representative processes incoming referrals for durable medical equipment, reviewing medical records to determine whether medical necessity requirements are met and communicating referral status or missing information to the sales team and referral sources. The role schedules setups, documents referral status in the computer system, helps complete open referrals, checks network status, and sends weekly updates about missing referrals. Concerns or issues are reported to the Intake Manager or Intake Supervisor. Other responsibilities and projects may be assigned. The position handles Protected Health Information (PHI) for document and report preparation and must follow policies and procedures to protect PHI under the HIPAA Privacy Rule. It is performed in an office environment. The work week is Monday through Friday, with an agreed-upon shift; listed shifts are 7 a.m.–4 p.m., 8 a.m.–5 p.m., 9 a.m.–6 p.m., or 10 a.m.–7 p.m. Weekend work or overtime may be required, including participation in an on-call rotation. The employer is an equal opportunity employer. Recruiting interactions, including interviews, video meetings, and phone screenings, may be recorded and processed by authorized personnel or automated tools for recruiting-related purposes. The posting states that no employment decision will be based on automated processing.

Requirements

High school diploma or equivalent.
Basic understanding of medical insurance benefits.
Ability to establish and maintain effective working relationships with employees, patients, organizations, and the public.
Ability to communicate effectively with physicians, patients, insurers, colleagues, and staff.
Ability to read and understand medical documentation effectively.
Knowledge and understanding of same and similar durable medical equipment.
Knowledge and understanding of in-network versus out-of-network coverage, PPOs, and HMOs.
Understanding of medical insurance company regulations and requirements, including Medicare and Medicaid.
Working knowledge of CPT, HCPCS, and ICD-10 codes; HCFA 1500 and UB04 claim forms; HIPAA; billing and insurance regulations; medical terminology; and insurance benefits.
Ability to learn and maintain knowledge of the current patient database and billing system.
Up-to-date knowledge of health information technologies and applications.
Ability to answer telephone calls politely and professionally.
Ability to communicate information to appropriate personnel and management in a timely manner.
Proficiency in Microsoft Office, including Outlook, Word, and Excel.
Initiative, self-motivation, and ability to maintain a steady level of productivity.
Availability for an agreed-upon weekday shift; possible weekend work, overtime, and an on-call rotation.

Nice To Haves

One to two years of experience working for a durable medical equipment company or relevant medical office experience.

Responsibilities

Retrieve incoming referrals from portals.
Review referral medical records to determine whether medical necessity requirements have been met.
Communicate to the sales team and/or referral sources whether referrals are acceptable or what information is missing.
Interact professionally with physicians, patients, patients’ families, and co-workers.
Schedule setups requested by physicians or their office staff in accordance with policy and procedure.
Document referral status in the computer system.
Assist with completing all open referrals.
Check network status.
Send weekly updates to the sales team about missing referrals.
Report concerns or issues directly to the Intake Manager or Intake Supervisor.
Perform other responsibilities and projects as assigned.
Handle PHI for document and report preparation while following policies and procedures to protect it.