Yakima Home Health & Hospice Intake Coordinator

MultiCare Health System•Yakima, WA

1d•$19 - $28•Remote

About The Position

The Intake Coordinator is the functional expert responsible for appropriately receiving and coordinating Home Health and Hospice referrals from physicians, hospitals, facilities and other community referral sources. Operating with minimal supervision, this position requires substantial specialized knowledge, judgment, and skill. The Coordinator verifies program appropriateness; processes referrals and prior authorizations; completes pre-registration as required by patient type and anticipated service; submits and monitors pre-authorizations; creates price estimates; communicates Advance Beneficiary Notice (ABN) issues to referring providers, and works with referring providers to resolve pre-service authorization denials. The coordinator uses critical thinking skills in making decisions regarding patient care that includes knowledge and integration of relevant standards, resources, and data while working with the LPN and RN Intake Coordinators to make informed patient decisions. This position will be remote with the requirement to come to Yakima office when appropriate.

Requirements

Minimum of two years of customer service experience required.
Minimum of three or more years of pre-authorization or referral coordinator experience, or more years of experience in scheduling, or two years of Home Health and or Hospice intake experience required.
Experience with the Microsoft Office Suite required.

Nice To Haves

Graduate of an accredited medical assistant or certified nursing assistant program preferred.

Responsibilities

Works under the direction of an RN or LPN
Receives and reviews referral information to ensure referrals are appropriate.
Participates with the physician, referral sources and professional and ancillary services in coordinating initiation of home care services.
Communicates with and receives admission orders from physicians regarding the patient’s condition.
Communicates with physicians, patients and families regarding delays in admission related to insurance or lack of physician orders.
Coordinates with preauthorization specialist to ensure patient has appropriate insurance coverage.
Tracks and monitors all referrals until patient is admitted to service.
Works cooperatively with the interdisciplinary team to communicate patient status and needs to the physician.
Documents coordination activities, with physicians, patients and their families in the electronic record with accuracy, timeliness, and according to policies.
Participates in the performance improvement and competency programs as requested.
Documents all incidents of error per agency policy
Resolves inquiries received pertaining to patient referrals
Interprets regulations and policies for patients and patient families consistent with the defined scope of work
Serves as a functional expert for peers throughout Home Health and Hospice
Reviews assigned work queues and reports to ensure goals and deadlines are met
Meets daily productivity and quality standards associated with job requirements
Demonstrates overall knowledge of Home Health and Hospice guidelines, insurance and benefit types, and agency requirements
Provides feedback to management on issues that impede timeliness of starts of care and work with management to resolve
May assist in training new staff
Functions as a backup to scheduling staff
Adheres to MYMH Attendance and Punctuality Policy and Procedure standards, and maintains reliable attendance
Contributes to the success of the organization by meeting organizational competency expectations and core values (respect, integrity, stewardship, excellence, collaboration and kindness), continuously learning, and by performing other duties as needed or assigned.
Able to assess data reflecting the patient’s status and interpret the appropriate information needed to identify each patient’s requirements relative to his or her age-specific needs.
Maintains knowledge of state and federal regulations regarding agency requirements. Clinical Knowledge, PDGM guidelines and acceptable diagnosis codes, medical terminology, and organizational and department procedures.
Proactively collaborates with other teams and departments to include phone and email communications, in-person site visits, and subject matter expert training. Good oral and written communication skills, grammar and spelling in the English language.
Ability to work efficiently under pressure; work effectively in a team environment and with a diverse patient population. Ability to deal with difficult people and/or difficult situations professionally and courteously. Ability to work independently under limited supervision, takes initiative, deals effectively with constant change, and willingly accepts responsibility.