Home Care - Intake Registration Specialist Full-time

Frederick Health

7h•Onsite

About The Position

This role provides administrative and clinical support to patients and the multidisciplinary team within and outside Home Health Services. The Intake Registration Specialist assists with care coordination and is focused on utilizing a team based approach to improve outcomes for all patients. Staff utilizes a relationship-based culture of professional interpersonal relationships to help assure that safe, efficient, and high quality care can be provided through the efficient allocation of fiscal and personnel resources. The Intake Registration Specialist is responsible for an array of responsibilities varying from accurately and professionally answering a multi-line telephone system, data entry, addressing patients’ and clinician requests/concerns, and processes incoming insurance referrals, pre-authorizations, patient scheduling , and performs other related departmental duties which may not be listed in the position description. This position supports the Frederick Health mission, vision, core values and customer service philosophy and adheres to the Frederick Health Compliance Program, including following all regulatory requirements and the Frederick Health Standards of Behavior.

Requirements

Ability to prioritize tasks, organizes workload, multitask, display exceptional follow up skills, attention to detail, work with frequent distractions, and minimal direction to meet daily and weekly deadlines.
Well-spoken, friendly, compassionate, professional, courteous, and patient and family centered service focused.
Requires excellent communication skills (including verbal, written and human relation); exercise professional telephone etiquette; and have the ability to clearly communicate information and ideas, as well as the ability to work professionally with a diverse population.
Must answer inquiries appropriately or refer callers to appropriate staff based on type of information requested.
Ability to handle a physically and emotionally demanding environment.
Adeptness to keep patient and associate information confidential; maintain HIPAA compliance.
Strong decision-making, critical thinking and problem-solving aptitude.
Medical Office or Healthcare Administrative experience preferred.
Must possess some familiarity with medical terminology, medications, medical and surgical procedures.
Exposure to/knowledge of Medicare, Medicaid, Commercial Insurance, accreditation, CPT codes, ICD-10 coding, and Conditions of Participation (CoPs).
Must understand and be familiar with State of Maryland medical insurance carriers, both commercial and state governed, and possess an understanding of medical insurance policies and procedural/clinical based guidelines.
Must possess exceptional organizational skills to prioritize and manage multiple tasks; have analytical and strong problem-solving skills; with pleasant disposition and tolerance for a high level of activity. Must be able to work with limited supervision and perform effectively and efficiently with a high volume of task assignments and multiple interruptions.
Working knowledge and ability to understand and obtain information about a patient’s clinical status and determine if the patient is appropriate for home health services.

Responsibilities

Collaborates with all healthcare team members and key stakeholders to coordinate patients appropriate for home health services.
Collects all required clinical data for intake process. (Face to face, confirmation of willingness to sign off on OASIS/485, clarification of orders)
Handles incoming referral requests to include walk-ins, faxes and telephone calls/messages.
Follows the Intake process for transitioning from varying referral sources to home health for start of care (SOC) or resumption of care (ROC) including necessary paperwork, demographics, physician orders, patient health history, payer information criteria is met prior to admission.
Ensures complete and accurate registration including patient demographics and current insurance information.
Provides Patient Rights and Responsibilities to patient and/or POA. Deliver information via email after discussion with POA or certified mail as appropriate. Document communication in electronic health record.
Ensures a seamless transition for patients from skilled nursing facilities to the provision of skilled nursing rehab and aid services in their homes.
Creates patient chart in electronic health record.
Checks each chart for completed documents using SOC/ discharge checklist.
Conducts welcome visit/call and communicates to patients/family members to verify demographics, POA, PCP, etc.
Communicates with all internal and external customers regarding intake, home care services, and billing.
All other duties as assigned.