Intake Specialist

Adapthealth • South San Francisco, CA

123d

About The Position

At AdaptHealth we offer full-service home medical equipment products and services to empower patients to live their best lives - out of the hospital and in their homes. We are actively recruiting in your area. If you are passionate about making a profound impact on the quality of patients' lives, please click to apply, we would love to hear from you.

Requirements

• High School Diploma
• One (1) year work related in health care administrative, financial, or insurance customer services, claims, billing, call center or management regardless of industry is required.
• Exact job experience is considered any of the above tasks in a Medicare certified HME, IV or HH environment that routinely bills insurance.

Responsibilities

• Enters referrals within allotted timeframe as established; meeting productivity and quality standards as established.
• Communicates with referral sources, physician, or associated staff to ensure documentation is routed to appropriate physician for signature/completion.
• Accurately enters referrals into appropriate system based on the type of referral obtained.
• Works with local branch leadership to ensure appropriate inventory/services are provided.
• Assists with other regional team functions, as necessary.
• For non-Medicaid patients communicates with patients their financial responsibility, collects payment and documents in patient record accordingly.
• Follows company philosophies and procedures to ensure appropriate shipping method utilized for delivery of service.
• Answers phone calls in a timely manner and assists caller.
• Responsible for reviewing medical records for non-sales assisted referrals to ensure compliance standards are met prior to a service being rendered.
• Must be an expert at payer guidelines and reading clinical documentation to determine qualification status and compliance for all equipment and services.
• Responsible for working with community referral sources to obtain compliant documentation in a timely manner to facilitate the referral process.
• Responsible for contacting patient when documentation received does not meet payer guidelines to provide updates and offer additional options to facilitate the referral process.
• Works with sales team to obtain necessary documentation to facilitate referral process as well as support referral source relationships.
• Must be able to navigate through multiple online EMR systems to obtain applicable documentation.
• Works with verification team to ensure all needs are met for both teams to provide accurate information to the patient and ensure payments.

What This Job Offers

• Industry: Merchant Wholesalers, Durable Goods
• Education Level: High school or GED