Intake Assessment Representative-PAH

Compassus•Seattle, WA

2d•$23 - $27•Onsite

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. The major challenges of this role include the ability to critically think and solve complex problems when processing referrals, coordinate multiple tasks and prioritize according to established timelines and unexpected emergent requests, access and productively use multiple software programs, and effectively communicate with internal and external HS customers.

Requirements

Coursework/Training Educational coursework in medical terminology. Or equivalent educ/experience
2 years Experience in customer service including demonstrated computer proficiency
In compliance with the Providence Health and Services-OR Human Resources policy #302 Background Checks, a criminal background check is required for this position, based on assigned duties.

Nice To Haves

Bachelor's Degree
1 year Experience in a clinical setting or home services.
6 months General office experience, preferably in a health care environment.
6 months Experience with electronic medical records.

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.