Intake Coordinator

Innovive Health•Medford, MA

2d•$20 - $23

About The Position

As an Intake Coordinator at Innovive Health of Colorado, you will oversee the inbound referral process from first contact through admission. You will verify insurance, obtain authorizations, confirm patient eligibility, and manage supply inventory. The role calls for an ambitious, hands-on problem solver and effective communicator who supports the team’s goals. The Intake Coordinator handles incoming and outgoing communications, gathers and enters patient information, coordinates required documentation and authorizations, and works with clinical staff, referral sources, providers, facilities, vendors, and internal departments. The position also supports referral tracking, billing documentation, reporting, process improvement, office operations, and management staff. The role requires adherence to HIPAA and patient confidentiality requirements.

Requirements

Associate’s degree or equivalent related work experience.
At least 1 year of experience in a healthcare administrative role.
Knowledge of medical terminology.
Proficiency in a Windows environment, especially Microsoft Word and Excel.

Nice To Haves

Basic knowledge of medical insurance; familiarity with MassHealth and Medicare is a plus.
Previous experience in a medical office or another medical administration role.

Responsibilities

Answer incoming calls about new referrals, resumptions of care, and readmissions for home health services, and direct other inquiries to the appropriate person or department.
Collect demographic information, check insurance eligibility, and obtain documentation needed for regulatory compliance.
Enter patient information, including medication information, into electronic medical records.
Call referral sources, providers, and patient facilities to obtain required documentation.
Collaborate with clinicians to support timely adherence to patients’ care needs.
Coordinate with multiple departments to ensure authorizations are received before care coordination.
Regularly monitor the referral portal and review new referrals in a timely manner.
Enter data into referral tracking tools and multiple EMR systems.
Serve as a point of contact for clinical staff, intake, vendors, and key physicians through email and phone communications.
Review departmental processes and contribute to process improvement efforts.
Help manage workload so referrals are handled in a timely manner and resolve referral, vendor, and missing-documentation issues.
Monitor the Salesforce queue and HealthWyse exports.
Obtain prior authorization or pre-certification for services as required by each payor.
Complete and manage paperwork and supporting documentation required for billing.
Re-verify patient eligibility and monitor insurance lifetime caps and prior authorization periods.
Resolve patient and payor issues in a timely manner.
Run reports to track patient caseload and Utilization Review Maintenance.
Attend departmental, clinical, and company meetings as requested, and participate in required training.
Manage office and medical supply inventory and coordinate FedEx pickups and deliveries to branch offices.
Greet visitors and assist with meeting coordination as necessary.
Provide administrative support to the Clinical Director, Executive Director, and other management staff as needed.
Adhere to HIPAA laws and maintain patient confidentiality.
Perform other duties as assigned.