Intake Coordinator Home Health

CenterWell

1d • Remote

About The Position

CenterWell Home Health, part of Humana Inc., is seeking an Intake Coordinator for a part-time remote position. This role involves receiving and responding to incoming calls from referral sources or potential patients, exchanging information to identify patient needs, and determining the company's ability to meet them. The Intake Coordinator will record the outcome of calls, make follow-up calls, and identify alternative community service resources when solutions are not available. They will perform initial telephone screenings to determine patients' appropriateness for home care services with referral sources, advise branch staff of patient acceptance, and provide all relevant information for a smooth transition to home care. The coordinator will also contact referral sources to advise of referral status and provide information to the clinical team. Key responsibilities include identifying potential payer sources, verifying benefits, negotiating rates, and obtaining initial authorizations and frequency of visits from case managers. They will establish primary payers, document conversations with payer sources, and access national or regional account information. The Intake Coordinator will work with the Intake team, branch staff, and patients to identify solutions for payer source problems, monitor and track referral sources' satisfaction levels, and communicate customer service issues to up-line Intake and branch staff as appropriate. CenterWell Home Health specializes in personalized, comprehensive home care for patients managing chronic conditions or recovering from injury, illness, surgery, or hospitalization, with care teams including nurses, physical therapists, occupational therapists, speech-language pathologists, home health aides, and medical social workers. CenterWell, a Humana company, focuses on creating integrated and differentiated healthcare experiences that prioritize patients, offering high-quality, accessible, comprehensive, and personalized care, particularly for seniors.

Requirements

• High School Diploma or equivalent
• Can type a minimum of 40 wpm

Nice To Haves

• 3 or more years in health care delivery or related business experience
• Knowledge of medical terminology and a customer service focus
• Knowledge of insurance reimbursement process
• Data entry experience

Responsibilities

• Receive/respond to incoming calls from referral sources or potential patients, exchange information to identify patient needs, and determine our ability to meet them.
• Record the outcome of calls either manually or in an automated manner, make follow-up calls, and identify alternative community service resources when solutions are not available.
• Perform initial telephone screening to determine patients' appropriateness for home care services with referral sources.
• Advise branch staff of patient acceptance and provide all relevant information to ensure patients' smooth transition to home care.
• Contact referral sources to advise of referral status, and provide to the clinical team who will deliver the services requested.
• Identify potential payer sources, verify benefits with payer sources (by department organizational structure), negotiate rates and obtain initial authorizations and frequency of visits from case managers.
• Establish primary payers and document conversations with payer sources.
• Access national or regional account information, including the names of accounts and terms of the contracts and communicate these conversations to branch and intake department staff.
• Work with Intake team, branch staff, and patients identifying solutions for payor source problems.
• Monitor and track referral sources' satisfaction levels.
• Communicate customer service issues to up-line Intake and branch staff as appropriate.

Benefits

• Medical benefits
• Dental benefits
• Vision benefits
• 401(k) retirement savings plan
• Time off (including paid time off, company and personal holidays, volunteer time off, paid parental and caregiver leave)
• Short-term disability
• Long-term disability
• Life insurance

What This Job Offers

• Job Type: Part-time
• Career Level: Mid Level
• Education Level: High school or GED