Intake Specialist I

Viemed Healthcare • Lafayette, LA

274d

About The Position

The position involves obtaining patient demographic and health insurance information, collecting co-pays when appropriate, and verifying and recording insurance benefits. The employee will interact professionally with physicians, patients, and co-workers, and will be responsible for scheduling setups as called into VieMed by physicians or their office staff. The role also includes retrieving incoming referrals, logging demographic information into the patient database and billing system, and reviewing medical records to determine medical necessity. Communication with the sales team and referral sources is essential, as is documenting the status of referrals and reporting any concerns to the Intake Manager or Supervisor.

Requirements

• High School Diploma or equivalent.
• One (1) to two (2) years working for a Durable Medical Equipment company or relevant medical office experience preferred.
• Basic understanding of medical insurance benefits.
• Skill in establishing and maintaining effective working relationships with other employees, patients, organizations, and the public.
• Effectively communicate with physicians, patients, insurers, colleagues, and staff.
• Able to read and understand medical documentation effectively.
• Knowledge and understanding of same and similar DME equipment.
• Knowledge and understanding of In-network vs Out of Network, PPO, HMO.
• Thorough understanding and maintaining of medical insurances company's regulations and requirements to include but not limited to Medicare and Medicaid.
• Working knowledge of CPT, HCPCS & ICD10 codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits.
• Learns and maintains knowledge of current patient database & billing system.
• Up to date with health information technologies and applications.
• Answers telephone in a polite and professional manner.
• Establishes and maintains effective communication and good working relationships with co-workers, patients, organizations, and the public.
• Proficient in Microsoft Office, including Outlook, Word, and Excel.
• Utilizes initiative, strives to maintain steady level of productivity and is self-motivated.

Nice To Haves

• Experience in a medical office setting.
• Familiarity with health information technologies.

Responsibilities

• Obtains patient demographic and health insurance information; collects co-pay(s) when appropriate.
• Verifies and records insurance benefits, with the ability to understand and provide insurance breakdowns.
• If required by payer(s), obtains prior authorization &/or follows up on authorization.
• Interacts professionally with physicians, patients, patient's family, and co-workers.
• Schedules set ups, as called into VieMed, by physicians or physician's office staff, per policy and procedure.
• Retrieves incoming referral(s) and logs demographic information into current patient database & billing system.
• Reviews medical records from referral(s) to determine if medical necessity has been met.
• Communicates to sales team &/or referral source(s), if referral is acceptable or what is missing to complete referral(s).
• Documents in computer system the status of referral.
• Reports all concerns or issues directly to Intake Manager or Intake Supervisor.
• Other responsibilities and projects as assigned.

Benefits

• Work week is Monday through Friday with agreed upon shifts.
• Possible weekend work or overtime, including on-call rotation schedule.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Industry: Nursing and Residential Care Facilities
• Education Level: High school or GED