Intake Coordinator

PruittHealth•Savannah, GA

10d

About The Position

The Intake Coordinator facilitates the conversion of referrals to admissions by completing the intake process and using effective phone and customer service skills. The role completes financial clearance, processes and pre-qualifies referrals, verifies insurance coverage and benefits, and records patient demographic, insurance, and benefit information in the appropriate software system. The coordinator also analyzes admission data, prepares assigned reports, and communicates with referral sources, team members, insurers, managed care entities, third-party payors, and case managers to support admissions and reimbursement.

Requirements

Proficiency in Microsoft Office, Word, and Excel.
Understanding of patient compliance issues, Medicare, Medicaid, and commercial insurance.
Excellent communication and customer service skills.
Familiarity with medical terminology.
Ability to multitask, solve problems, and demonstrate critical thinking skills.
Excellent time-management skills.

Nice To Haves

Associate degree preferred.
Experience working in a call center environment.
2+ years’ experience; the posting does not specify the field or type of experience.

Responsibilities

Complete financial clearance for referrals by determining eligibility.
Process referrals to ensure patients are pre-qualified efficiently.
Verify primary and secondary insurance information, including service coverage, benefit maximums and limitations, co-insurance or co-payment, pre-existing clauses, and coverage.
Determine effective and termination dates, plan type, and provider network status.
Complete information with attention to timely filing dates and special filing requirements.
Analyze admission data and prepare assigned reports.
Load patient demographic, insurance, and benefit information into the appropriate software system.
Communicate effectively with referral sources and team members to support business partnerships developed by the sales team.
Establish positive relationships with insurers, managed care entities, third-party payors, and case managers.
Obtain complete and accurate information to facilitate admissions and maximize the likelihood of reimbursement.
Use reports to ensure accurate and timely information is documented in the appropriate software system.