Intake Representative

U.S. Renal Care
2d

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. Essential Duties and Responsibilities include the following. Other duties and tasks may be assigned.

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.
  • Update 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.
  • Update patient accounts with newly acquired information and notify appropriate personnel if claims require rebilling or require voiding and regenerating.
  • Keep up to date on COB rules according to insurance guidelines and requirements.
  • Maintaining a professional work relationship with all facility and office staff; develop effective relationships at all levels of the organization.
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