Intake Coordinator, Home Health

CenterWell • San Jose, CA

1d • $50,700 - $64,200 • Onsite

About The Position

As an Intake Coordinator, you will receive/respond to incoming calls from referral sources or potential patients, exchange information to identify patient needs, and determine the Company’s ability to meet them. You will record the outcome of calls either manually or in an automated manner, make follow-up calls as necessary, and identify alternative community service resources when solutions are not available. You will perform initial telephone screening to determine patients’ appropriateness for home care services with referral sources. You will advise branch staff of patient acceptance and provide all relevant information to ensure patients’ smooth transition to home care. You will contact referral sources to advise of referral status, and provide to the clinical team who will deliver the services requested. You will identify potential payer sources, verify benefits with payer sources (as required by department organizational structure), negotiate rates and obtain initial authorizations and frequency of visits from case managers. You will establish primary payers and document conversations with payer sources. You will access national or regional account information, including the names of accounts and terms of the contracts as appropriate and communicate these conversations to branch and intake department staff as needed. You will work with Intake team, branch staff, and patients to identify potential solutions as problems are identified with payer sources. You will monitor and track referral sources’ satisfaction levels. You will communicate customer service issues to up-line Intake and branch staff as appropriate.

Requirements

• High School Diploma or equivalent
• Minimum of three years health care delivery or related business experience
• Strong knowledge of medical terminology and a customer service focus
• Knowledge of insurance reimbursement process
• Effective data entry and word processing, problem-solving, human relations, and oral/written communications skills

Responsibilities

• Receive/respond to incoming calls from referral sources or potential patients, exchange information to identify patient needs, and determine the Company’s ability to meet them.
• Record the outcome of calls either manually or in an automated manner, make follow-up calls as necessary, 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 (as required 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 as appropriate and communicate these conversations to branch and intake department staff as needed.
• Work with Intake team, branch staff, and patients to identify potential solutions as problems are identified with payer sources.
• Monitor and track referral sources’ satisfaction levels.
• Communicate customer service issues to up-line Intake and branch staff as appropriate.

Benefits

• medical
• dental
• vision
• 401(k) retirement savings plan
• time off (including paid time off, company and personal holidays, paid parental and caregiver leave)
• short-term and long-term disability
• life insurance

What This Job Offers

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