Intake Assessment Representative- Weekends

Compassus • Seattle, WA

1d • $23 - $36

About The Position

This position is responsible for initiating and coordinating referrals, gathering all necessary referral and payor information and then inputting into EMR, verifying patient information and initial eligibility with patient and referral source, and coordinating and scheduling date for HH admission. This position ensures that information obtained at time of referral is accurate and complete. MAJOR CHALLENGES: 1. Ability to critically think and solve complex problems when processing referrals. 2. Ability to coordinate multiple tasks and to prioritize according to established time lines and unexpected emergent requests. 3. Ability to access and productively use multiple software programs. 4. Ability to effectively communicate with internal and external HS customers. Position Specific Responsibilities Coordinates and processes incoming referrals, including assessing for needs from other HS departments. Evaluates referral information and contacts patient and or referral source and responsible for determining initial eligibility for HH services. Coordinates and ensures insurance information is obtained and accurately recorded into electronic medical record (EMR). Coordinates and evaluates patient information for referrals within guidelines. Accurately documents referral information utilizing critical thinking skills. Responsible for triaging and coordinating with appropriate team members for review if incomplete. Serves as a liaison between referral sources, MD office, patients/families, department supervisors, managers, insurance team, Access RNs to ensure timely patient care. Coordinates and communicates with appropriate team members to ensure service standards are met. Oversees all fax communications: triages faxes, contacts referral source to ensure complete referrals and coordinates the electronic referral system. Responsible for coordinating accurate insurance information and problem solves insurance eligibility with insurance team. Utilizes critical thinking skills to coordinate and assign appropriate start of care date under clinical guidelines utilizing clinical staff as appropriate. Coordinates with referral sources, inclusive of hospital, physician, facility customers and insurance case managers to obtain additional information, confirm referral receipt and communicate start of care date. Measures productivity and manages team assignments as needed. Prepares specific reports as directed for distribution within Home Health and other departments. Responsible for staying current on CMS regulations and maintaining current knowledge of Home Services products and services, and other referral sources. Seeks at all times to enhance Home Services Departments relationship with referral and reimbursement sources. Participates in Access Services and Insurance Staff meetings and education sessions. Performs other duties as assigned.

Requirements

• Coursework/Training Educational coursework in medical terminology. Or equivalent educ/experience OR:
• Mathematical Skills: Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals. Ability to compute rate, ratio, and percentage.
• Language Skills: Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations. Ability to write reports, business correspondence, and procedure manuals. Ability to effectively present information and respond to questions from leaders, team members, investors, and external parties. Strong written and verbal communications.
• Other Skills and Abilities: Ability to communicate in a clear, concise manner both verbally and in writing.
• Computer Skills: Excellent computer skills.
• Computer Skills: Excellent Microsoft Office Suite software skills.
• Other Skills and Abilities: Ability to understand, read, write, and speak English.
• Articulates and embraces integrated healthcare at home philosophy.
• Other Skills and Abilities: Ability to work independently in a high volume environment.
• Other Skills and Abilities: Ability to think critically and to work with complex detail.
• Other Skills and Abilities: Excellent time management skills.
• Other Skills and Abilities: Ability to efficiently establish priorities.
• Other Skills and Abilities: Ability to problem solve.
• Other Skills and Abilities: Ability to work effectively in a team.
• Other Skills and Abilities: Excellent organizational skills.
• Other Skills and Abilities: Ability to multi task in a fast paced work environment.

Nice To Haves

• Bachelor's Degree

Responsibilities

• Coordinates and processes incoming referrals, including assessing for needs from other HS departments.
• Evaluates referral information and contacts patient and or referral source and responsible for determining initial eligibility for HH services.
• Coordinates and ensures insurance information is obtained and accurately recorded into electronic medical record (EMR).
• Coordinates and evaluates patient information for referrals within guidelines.
• Accurately documents referral information utilizing critical thinking skills.
• Responsible for triaging and coordinating with appropriate team members for review if incomplete.
• Serves as a liaison between referral sources, MD office, patients/families, department supervisors, managers, insurance team, Access RNs to ensure timely patient care.
• Coordinates and communicates with appropriate team members to ensure service standards are met.
• Oversees all fax communications: triages faxes, contacts referral source to ensure complete referrals and coordinates the electronic referral system.
• Responsible for coordinating accurate insurance information and problem solves insurance eligibility with insurance team.
• Utilizes critical thinking skills to coordinate and assign appropriate start of care date under clinical guidelines utilizing clinical staff as appropriate.
• Coordinates with referral sources, inclusive of hospital, physician, facility customers and insurance case managers to obtain additional information, confirm referral receipt and communicate start of care date.
• Measures productivity and manages team assignments as needed.
• Prepares specific reports as directed for distribution within Home Health and other departments.
• Responsible for staying current on CMS regulations and maintaining current knowledge of Home Services products and services, and other referral sources.
• Seeks at all times to enhance Home Services Departments relationship with referral and reimbursement sources.
• Participates in Access Services and Insurance Staff meetings and education sessions.
• Performs other duties as assigned.

Benefits

• Compassus offers a comprehensive benefits package including, Medical, Dental, Vision, 401k and much more
• flexible time off
• tuition reimbursement
• wellness programs

What This Job Offers

• Career Level: Entry Level
• Education Level: No Education Listed
• Number of Employees: 5,001-10,000 employees