Intake Representative - (Dallas/Fort Worth)

US Renal Care • Plano, TX

74d

About The Position

The Intake Representative is responsible for verifying detailed benefits and authorizations requirements for a high volume of patients. The position requires attention to detail, the ability to multitask, and a sense of urgency.

Requirements

• High school diploma or equivalent.
• Knowledge of various health insurance programs and the medical insurance industry preferred.
• Previous experience verifying detailed insurance benefits and authorization requirements preferred.
• Knowledge of medical terminology and government/private insurer rules and regulations.
• Must have intermediate computer skills, including Microsoft Office (Word, Excel, Outlook); Working knowledge of Internet for business use.
• Requires research and exceptional organization skills to manage a large patient load.
• Ability to work in a fast-paced environment, deadline driven environment.

Responsibilities

• Verifying correct patient information, including insurance benefits and authorization requirements for permanent and transient patients.
• Submitting required authorizations timely and following up on determinations when needed.
• Updating patient information in a timely manner to avoid delays in billing cycles.
• Contacting the admissions team and/or clinical personnel to obtain missing or incorrect information during initial verification.
• Verifying accuracy of data and updating accounts based off weekly audits.
• Updating patient accounts with newly acquired information and notifying appropriate personnel if claims require rebilling or require voiding and regenerating.
• Keeping up to date on COB rules according to insurance guidelines and requirements.
• Maintaining a professional work relationship with all facility and office staff; developing effective relationships at all levels of the organization.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Ambulatory Health Care Services
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees