Intake Specialist II

VieMed Healthcare•Lafayette, LA

1d•Onsite

About The Position

Essential Duties and Responsibilities: Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

Requirements

High School Diploma or equivalent preferred
Five (5) years’ experiences working for a Durable Medical Equipment company OR worked one (1) year as a VieMed Intake Specialist I
Basic understand of all product offerings.
Basic understandings of medical insurance benefits as wells a medical policy.
Skilled in establishing and maintaining effective working relationships with 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. Communicates information to appropriate personnel and management in a timely 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.
Work week is Monday through Friday and candidates will work an agreed upon shift (current shifts include 7am-4pm, 8am-5pm, 9am-6pm of 10am-7pm)
Possible weekend work or overtime, to include working an on-call rotation schedule.

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 daily.
Interacts professionally with physicians, patients/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 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 and/or referral source(s), if referral(s) 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.